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Closing the Rural School Nurse Gap

A practical guide for district leaders navigating the growing shortage of school nurses.

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A Challenge District Leaders Already Know

Across the country, schools are struggling to hire enough nurses to support student health needs.
In many districts:

  • One nurse covers multiple campuses
  • Teachers or administrators manage health concerns
  • Students are sent home unnecessarily due to lack of evaluation

These realities are especially common in rural communities, where healthcare workforce shortages make nurse recruitment extremely difficult.

Yet student health needs continue to grow.

Conditions such as asthma, diabetes, injuries, and mental health challenges require attention during the school day—often from trained medical professionals.

This guide explores how districts are navigating the school nurse shortage and evaluating new approaches to expand healthcare access for students.

What You’ll Learn

The guide explores:

  • The scale of the national school nurse shortage
  • Why rural districts face the greatest staffing challenges
  • How limited healthcare access affects attendance and learning
  • Merging models districts are exploring to expand nurse coverage

The goal is simple:

Help education leaders better understand the healthcare access challenges facing schools—and the strategies districts are considering to address them.

Why This Matters for Schools

Impact on the School Community

When students lack access to healthcare support during the school day, the consequences ripple across the entire school community.

Lost Instructional Time

Students may miss class.

Expanded Teacher Responsibilities

Teachers may step into medical roles they were never trained to perform.

Operational and Safety Risk

Administrators face increased operational and safety risks.

A Strategic District Priority

Ensuring access to qualified healthcare professionals is increasingly becoming part of a district’s broader strategy to support attendance, student wellbeing, and staff stability.

Additional Resources for School Leaders

Along with the guide, we’ve assembled several resources to help district leaders explore this issue further:

Podcast Conversation

Hear pediatric healthcare leaders discuss the growing school nurse shortage and the impact on student attendance.

Superintendent Briefing

A short executive overview designed for district leadership teams exploring school health infrastructure.

District Health Access Diagnostic

A brief online assessment that helps districts evaluate their current nurse coverage and identify potential gaps.

Get the research-based guide and explore how schools across the country are responding to the growing shortage of school nurses.

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