Framework for 21st Century School Nursing Practice

The National Association of School Nurse's (NASN) Framework for 21st Century School Nursing Practice™ creates an overarching structure that includes concepts integral to the complex clinical specialty practice of school nursing. The framework provides a graphic illustration of the key principles of professional school nursing practice, reflecting the organization's stance for evidence-based best practice and providing focus to priority school nursing activities. The framework provides guidance for the practicing school nurse to reach the goal of supporting student health and academic success by contributing to a healthy and safe school environment. NASN believes it has a responsibility to its members and to the public they serve to develop a framework for professional school nursing practice.

Framework Handouts

Two-page handout version (see preview on this page)
One-page poster version

Framework Presentation

This template can be used to introduce and explain the Framework.

Guidelines for Reprint and Use

Before duplicating and sharing any of NASN's Framework resources, please review the guidelines below and then complete and return the required form.

Guidelines for Framework Usage
This is page 11 from NASN's Identity Manual and includes the guidelines for using the Framework components including graphic and descriptive paragraph in print and/or digital communications

Request for Permission to Reprint form 
NOTE: This is a "fillable" form. To use it properly, open it, save it to your device (computer), edit it, re-save it, and then email it to NASN.

Other Resources

NASN School Nurse podcast: January 2016: Framework for 21st Century School Nursing Practice National Association of School Nurses

NASN School Nurse podcast: July 2020: Framework for 21st Century School Nursing Practice™: Clarifications and Updated Definitions

Tell others how you have or will use the Framework in your practice.
This blog post invites you to leave a comment that will lends to the learning about the Framework.

Framework for 21st Century School Nursing Practice preview graphic

Framework for 21st School Nursing Practice preview key principles


National Association of School Nurses [NASN]. (2016). Framework for 21st century school nursing practice: National Association of School Nurses. NASN School Nurse, 31(1), 45-53. doi: 10.1177/1942602X15618644