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The Factors That Affect the Grade

Performance of Junior High School


Students During The Pandemic
Marissa L Williams, Brenna L Morse, Wendy DeGraffenried, Diana L McAuliffe 

-PMID: 33729054

-DOI: 10.1177/1942602X21993053

Safety isolation protocols in response to the COVID-19 (coronavirus disease 2019) pandemic
have had the unintended consequence of social isolation for adolescents, youth who have a
developmental need for autonomy and peer connection. Social isolation alone can lead to
various psychological effects such as anxiety, stress, low mood, fear, frustration, and
boredom. School nurses serve a vital role in addressing stress among adolescents by
initiating early interventions, ensuring positive school experiences for students, and
providing support surrounding the development of mental health disorders. Through
implementation of NASN's Framework for 21st Century School Nursing Practice, school
nurses address stress among high school students during the COVID-19 pandemic.
Innovative interventions can include recognizing signs and symptoms of stress on physical
and emotional health, advocating for mental health literacy curriculums, social prescribing,
incorporating anticipatory guidance related to health promotion lifestyle practices into each
school health encounter, and creating a virtual school health office to reach students while
COVID-19 safety isolation continues.

Keywords: COVID-19, adolescents, high school students, school nurse, school-


related stress.

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