Nursing intervention in bullying and physical

violence in schools

Under Supervision
Group A1 DR AHMED MASUED
Out Line
• Introduction
• Epidemiology
• Definition
• Risk Factors
• Types
• Nursing Role for Bullying and Physical Violence in schools
• References
Introduction
• School violence and bullying are social problems within school environments and
impede children and adolescents from the basic right to education in safe learning
environments Bullying is one of the most serious problems that has become
widespread in modern societies. It happens everywhere, such as at home, school, or
social events and victims experience emotional distress decreased self estem and
long lasting psychological scars

• This requires more attention from families and sectors of education, health,
and social services.
Epidemiology
• Half of the world’s students aged 13-15 say they have experienced violence in and
around school.

• Nearly one in three students of this age say they have experienced bullying or been
involved in fights.

• More than 700 million children have no legal protection from corporal punishment at
school. IN Egypt About 60% of female students were victims versus 39% in males,
while males experienced other bullying behaviors . Physical and verbal bullying
reached 53.1% , while cyberbullying was 23.2% and sexual bullying 12.1%.
Definition
• Bullying is a form of violence. It can be defined as unwanted,
aggressive behaviour which involves a real or perceived
imbalance of power. It is behaviour that is repeated, or
carries the threat of being repeated over time

• Violence is the threatened or actual use of physical force or

power resulting in physical or psychological harm to others.
 Risk factors
• These are some of the risk factors that can make a child more likely to commit

school violence and bullying

Poor academic performance

Prior history of violence

Hyperactive or impulsive personality

Mental health conditions

Witnessing or being a victim of violence

Alcohol, drug, or tobacco use

Dysfunctional family dynamic

Access to weapons

Poverty or high crime rates in the community

The impact experienced by victims of
bullying and violence :
,sleep disturbances

Headaches

stomach pains

depression

anxiety disorders somatic disorders

low psychological well-being

low social adjustment ability, and psychological distress

,a lack of motivation or self-esteem

 Types
• Bullying takes different forms in school, including:

• Physical, e.g., hitting, kicking, slapping, shoving, hair-pulling.

• Verbal, e.g., name-calling, teasing, using belittling expressions .

• social, e.g., spreading rumours, social manipulation .

• Sexual, e.g., sexual name-calling, uninvited touching, abusive comments.

• Religious bullying

• Cyberbullying is one or agroup of kids using electronic means to threaten

or embarrass another kid
Nursing intervention in bullying and
physical violence in schools

Assessment Educational Prevention

and screening programs

Support and Physical activity

Counseling advocacy program
Assessment and screening

• The presence of a school nurse every day, all day during school hours
enables student access to a trusted adult with whom students can share
concerns about bullying. For students who do not disclose bullying,
school nurses provide specialized expertise in assessment, screening,
surveillance, and monitoring to identify students who may show
physical or emotional signs and symptoms indicative of involvement in
bullying.
Educational and Prevention programs

• Nurses as professional health workers can collaborate with schools.

Nurses can carry out their roles as educators and advocates for children,
youth, parents, teachers, and other communities related to actions and
prevention efforts, as well as efforts to overcome bullying . Nurses have
role as counselors, can work together in developing educational
programs and conducting interventions related to bullying as a
prevention effort.
Counseling and Support and advocacy

• Nurses have the role to provide comprehensive nursing care from biological,
psychological, sociological, and spiritual aspects. One of the roles of community
nurses in the mental health aspect is school nurses who provide comprehensive
school nursing care to improve the health of students and school employees
including physical and psychological health. The role of nurses as educators to
increase knowledge of bullying on students and increase student awareness of
bullying incidents. Nurses also have a role as advocates to collaborate with
teachers
Physical activity program
Physical activity carried out together can increase a sense of
concern for friends, so as to prevent bullying from happening to
students.
Nurses collaborate with physical activity therapists to evaluate the
results of activity therapy performed by students.
Nurses have a role in monitoring and evaluating physical activity
therapy.
References
• 1. Chatziioannidis I., Bascialla F.G., Chatzivalsama P., Vouzas F., Mitsiakos G. Prevalence, causes and mental
health impact of workplace bullying in the Neonatal Intensive Care Unit environment. BMJ
Open. 2018;8:e018766. doi: 10.1136/bmjopen-2017-018766.
• 2. UNICEF Peer Violence. 2017. [(accessed on 1 November 2022)]. Available online: https://www.unicef.org
• 3. Lan M., Law N., Pan Q., Gaffney H., Farrington D.P., Espelage D.L., Ttofi M.M., Fekkes M., van de Sande
M.C.E., Gravesteijn J.C., et al. Evaluation of a Whole-School Change Intervention: Findings from a Two-Year
Cluster-Randomized Trial of the Restorative Practices Intervention. Comput. Educ. 2022;18:53–66.
• 4. Yokoyama M., Suzuki M., Takai Y., Igarashi A., Noguchi-Watanabe M., Yamamoto-Mitani N. Workplace
bullying among nurses and their related factors in Japan: A cross-sectional survey. J. Clin.
Nurs. 2016;25:2478–2488. doi: 10.1111/jocn.13270.
• 5. Wang J., Iannotti R.J., Nansel T.R. School Bullying Among Adolescents in the United States: Physical,
Verbal, Relational, and Cyber. J. Adolesc. Health. 2009;45:368–375. doi: 10.1016/j.jadohealth.2009.03.021
• 6. Olweus D. Aggression in the Schools: Bullies and Whipping Boys. Wiley; New York, NY, USA: 1978.
Thanks for your time