Future

Children with special health care needs require health and related services beyond those required by children in general, which may affect their participation and inclusion in school. School nurses play a key role in supporting these children through a range of health-related interventions within the school setting. However, evidence on school nurse–led interventions for this population remains fragmented. This scoping review will follow the JBI methodology and aims to map the nature and extent of interventions developed by school nurses for children with special health care needs in school settings worldwide. The review will provide an overview of current practices and may inform the development of school health policies and evidence-informed nursing interventions. This research is registered on the Open Science Framework platform since 10 June 2024, with data updated on 26 August 2025.

Adolescence is a critical life period connected with the initiation of substance use. Exploring the prevalence of and contributors to adolescents’ smoking, drinking, and drug use is essential for developing effective health education programs. This study aims to detect prevalence rates of adolescent substance use and their association with sociodemographics and a set of psychological, social, and school-related variables. Participants were high school students (9th graders, N = 1590; 694 males, 896 females) in Békés county, Hungary. The lifetime prevalence rates were the following: smoking (47.2%), alternative smoking (49.2%), drinking (85.7%), cannabis use (7.6%), sedative use (7.0%), and designer drug (herbal) use (3.7%), with gender differences (a surplus of girls) found only in smoking and sedative use. Using bivariate logistic regression analyses, depressive and psychosomatic symptoms and internet addiction increased the odds of all types of substance use, life satisfaction, future orientation, and social support from the family, while school achievement and school satisfaction showed odds-reducing effects. In multivariate analyses, the various types of substance use were predicted by different variables, while psychosomatic symptoms, social support from the family, and school achievement seemed to be the most relevant contributors. Health education programs should also incorporate fostering mental health to prevent adolescent substance use.

While perfectionism is recognized as a complex personality trait with both adaptive and maladaptive facets in adults, the specific developmental and contextual factors that influence its emergence in children are poorly understood. This study addresses this critical gap by examining associations between children’s perceptions of family climate and emotion regulation strategies. A sample of 191 children (94 boys, M_age = 11.27 years, SD = 0.97) completed standardized measures of perfectionism, family environment, and emotion regulation. Results indicated that both family climate and emotion regulation significantly predict perfectionism in children (R² = 0.36). Specifically, children’s perceptions of high parental control, a strong achievement family orientation, and reliance on expressive suppression (hiding emotions) emerged as moderate, significant predictors. These findings clarify the developmental factors underlying perfectionism, providing actionable targets—particularly around adaptive parenting and emotion coping—for child and family support programs and preventative interventions focused on promoting long-term well-being.