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School Nurses' Awareness and Attitudes Toward Commercial Sexual Exploitation of Children

Fraley, Hannah E. PhD, RN; Aronowitz, Teri PhD, APRN, FNP-BC, FAAN; Jones, Emily J. PhD, RNC-OB

doi: 10.1097/ANS.0000000000000197
Special Issue Topic: Crime, Justice and Health

Human trafficking is a global, multibillion-dollar industry. Most victims are female and more than half are children. At-risk youth continue to attend school with school nurses on the frontline of this health crisis. Using the Peace and Power Conceptual Model, a mixed-methods study was conducted to explore school nurses' awareness, attitudes, and role perceptions in the prevention of commercial sexual exploitation of children. Six peace-power versus power-over power themes and 4 subthemes were identified: “exposure/knowledge, “collaboration,” “role boundaries,” and “creating respite space.” Policy efforts should focus on improving practice conditions for school nurses to support the prevention of commercial sexual exploitation of children.

University of Massachusetts Lowell, Susan and Alan Solomont School of Nursing (Dr Fraley); and Department of Nursing, University of Massachusetts Boston (Drs Aronowitz and Jones).

Correspondence: Hannah E. Fraley, PhD, RN, Susan and Alan Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Health and Social Sciences Bldg, Office 281, 113 Wilder St, Lowell, MA 01854 (

The authors acknowledge the funding support from Sigma Theta Tau, Theta Alpha Chapter Global Health Nursing Research and Practice Grant; and University of Massachusetts Boston Dissertation Grant.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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