ReviewChildren (Basel, Switzerland)2025
Impact of School Nurses on Children with Food Allergies: A Comprehensive Review.
Review in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- School health services in Saudi Arabia in the absence of school nurses: a national cross-sectional assessment.BMC nursing · 2026Article
- Integrating Digital Health into School Nursing for Food Allergy Management: A Systematic Review.Children (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFood allergies (FAs) are a significant public health concern, affecting 6-8% of children worldwide, with a growing prevalence. Schools are high-risk environments for allergic reactions, including anaphylaxis, which can be life-threatening. Alarmingly, up to 16-18% of children with FAs experience allergic reactions at school, often due to accidental exposure. Additionally, up to 25% of anaphylactic reactions in schools occur in children with no prior diagnosis of FA, emphasizing the critical need for school-wide preparedness and robust emergency action plans. School nurses play a pivotal role in managing FAs through individualized health plans, emergency preparedness, staff training, and psychosocial support. This review aims to evaluate the multifaceted role of school nurses in ensuring the safety, health, and psychosocial well-being of children with FAs. It also seeks to identify systemic challenges and gaps in allergy management to inform targeted interventions and future research.
methodsThis comprehensive review synthesizes evidence on the role of school nurses in FA management. A systematic literature search was conducted across PubMed, CINAHL, Scopus, and Cochrane, targeting studies published between 2014 and 2024. The search identified 6313 articles, of which 5490 remained after duplicate removal. After title and abstract screening, 60 articles were selected for full-text evaluation, with 59 included in the final review. Thematic analysis identified six domains: preventive measures, emergency preparedness, communication, health outcomes, psychosocial support, and systemic challenges.
resultsThe review highlights the critical contributions of school nurses to FA management. They improve safety by implementing Individualized Health Plans (IHPs) and Emergency Action Plans (EAPs), ensuring timely administration of epinephrine and reducing delays during emergencies. Preventive strategies, such as allergen-free zones and comprehensive training for staff, minimize exposure risks. Psychosocial interventions led by nurses alleviate stigma, bullying, and anxiety, enhancing the quality of life for children with FAs. Despite these benefits, barriers persist, including insufficient nurse-to-student ratios, limited access to emergency resources like stock epinephrine, and disparities in allergy management across socioeconomic and geographic contexts.
conclusionsSchool nurses are integral to managing FAs, ensuring safety, fostering inclusion, and addressing psychosocial needs. Addressing systemic barriers and ensuring equitable resource distribution are essential to optimize their impact. Future research should focus on the long-term outcomes of nurse-led interventions, strategies to reduce disparities, and the potential role of digital tools in improving allergy management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.