This essay focuses on the competition between school nurses and the effect of such on the development of school nursing. As questions regarding the role that school nurses should play and what kind of functions they should have in school have yet to be answered, school nurses are sometimes considered as useless, with school healthcare suffering as a result. This essay first examines the development of professional school nursing in order to demonstrate the import role played by nurses in schools. Critical problems identified by the R.O.C.. School Nurses Association over the past decade in their work to secure school nurse rights and their solutions will be explained in order to underscore the contribution of school nurses and problems presently faced. Finally, the present dilemma and future direction of school nursing and nurses will be described.