A qualitative exploration of the experiences of school nurses during COVID-19 pandemic as the frontline primary health care professionals

Background: It is widely acknowledged that the experiences of frontline primary health care professionals during COVID-19 are important to understand how they respond and act under situations of pandemic as the gatekeepers in pri-mary health care system. School nurses are primary health care professionals who lead health care in schools and practice in a holistic manner to address the needs of schoolchildren and school personnel. There are rising mental health concerns of frontline health care professionals with anxiety and panic disorders, somatic symptoms, and feeling isolated. No studies use a qualitative study approach to document community frontline school nursing professionals' expe-riences and challenges during the COVID-19 pandemic. Hence, understanding the school nurses' experiences and challenges to fight against COVID-19 in the communities is important. Purpose: This study aims to explore the experiences of school nurses during the COVID-19 pandemic in Hong Kong. Methods: A qualitative study design adopted the principles of thematic analysis. Nineteen school nurses were recruited to participate in individual semistruc-tured interviews and shared their roles and responsibilities during the COVID-19 pandemic. Findings: Three themes indicated the school nurses' expand professional respon-sibilities to fight against COVID-19 emerged from the data analysis. These were "Managing Stress," "Navigating the School Through the Pandemic," and "Raising the Profile of the School Nurse Professional," Discussion: Findings reveal the important role of school nursing professionals in minimizing the community-wide risk posed by pandemics and the need to inte-grate them into planning and implementation of school health policies and guidelines in the primary health care system. This essential role in schools is necessary to assess, implement, monitor, prevent, and reduce the spread of virus in school communities and to minimize the burden to and extra health care resources utilized in the acute care setting during COVID-19 pandemic.