As health care institutions in the United States respond to shrinking budgets and nursing shortages by increasing the use of unlicensed assistive personnel (UAP), school nursing practice is changing from providing direct care to supervising activities delegated to UAP. Therefore, delegation is a critical area of concern for school nurses. The…

A variety of leadership theories are examined to support the idea that school nurses can be positive deviants in the school setting. Transformational leadership, situational leadership, and complexity theory can all be used by school nurses to create positive change in the school environment because all recognize the need for flexible leadership…

Professional empowerment is vital to nurses' productivity and job satisfaction. A grounded theory study was conducted to describe the basic social process experienced by school nurses in relation to professional empowerment. Interviews with 10 school nurses led to the development of a situation-specific theory of school nurse empowerment,…