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Explains how school nurses in California have a much higher professional status than that of their counterparts in the UK. They have a defined career structure within schools, which also employ them, so that they have similar salaries, terms and conditions of employment to their schoolteacher colleagues. Describes how school nurses in the USA have developed their role over the past decade, so that they now play a significant role in health promotion and in voicing their professional opinion on issues that affect school‐age children. Emphasizes that school nurses in the UK would do well to follow a similar course of action.

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