Although further investigation is needed, these results
suggest that school nurses and entire school teams, using targeted
primary and secondary prevention may help achieve
this. Ideally, these interventions target preschoolers through
third-grade students, but intervening with at risk kindergarteners,
sixth-, and nineth-grade students is a project many
school nurses could do. School nurses are positioned to
change the accepted to unacceptable and affect the health,
educational, and social trajectory of early school children
and by extension, the community’s health.