“…Poor understanding of the school nurse's role (Newell et al, 2003;Rice et al, 2005;Merrel et al, 2007;Buckley et al, 2009;Smith & Firmin, 2009), and a lack of understanding of professional responsibilities and legal requirements of nursing professionals (Newell et al, 2003;Rice et al, 2005;Broussard, 2007;Smith & Firmin, 2009;Sendall et al, 2011), are the most commonly identified challenges discussed in school nursing literature internationally.…”