School Nurses’ Experiences With Health Dialogues: A Swedish Case

Kostenius, Catrine

doi:10.1177/10598405211022597

Cited by 7 publications

(4 citation statements)

References 38 publications

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“…One example is the health dialogue currently used by SNs in Sweden (Kraft & Eriksson, 2015;Kraft, Rahm, & Eriksson, 2017). In a recent phenomenology study conducted with Swedish SNs, findings corroborate the benefit of using a health dialogue in promoting positive health and learning, especially when coupled with a health questionnaire (Kostenius, 2021). The use of a tool such as the health dialogue can facilitate a more proactive and systematic approach to early identification of CSA, as well as other issues that impact the health and wellbeing of youth.…”

Section: Recommendations For School Nursesmentioning

confidence: 75%

Exploring Screening Practices for Child Sexual Abuse in School Settings: An Integrative Review

Ackers

Colbert

Fraley

et al. 2022

The Journal of School Nursing

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Child sexual abuse (CSA) is a pervasive public health problem. If left undetected, CSA can result in immediate and long-term health problems, which can be mitigated through early identification. Schools are an ideal environment to implement screening measures, and school nurses (SN) are uniquely poised to intervene and respond early. The aim of this review was to systematically examine and synthesize the international evidence related to screening for early identification of CSA in schools. Themes emerging from the analysis were SN behaviors relative to screening, potential instruments or approaches for screening, and SN and school professionals’ beliefs about CSA screening practices. This review found little evidence that CSA screening is occurring in schools. However, SNs are aware that screening falls within their scope of practice and many SNs feel they should be screening for it. A constant proactive approach by SNs is necessary to improve early identification and subsequent intervention.

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Section: Recommendations For School Nursesmentioning

confidence: 75%

Exploring Screening Practices for Child Sexual Abuse in School Settings: An Integrative Review

Ackers

Colbert

Fraley

et al. 2022

The Journal of School Nursing

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“…They had different resources in terms of time depending on the school's socioeconomic index and number of students. Previous studies have described health dialogues as challenging in terms of being a comprehensive and time-consuming process ( 73 ), and some have discussed challenges with adapting the dialogues based on each child's needs and wishes ( 74 ). The fact that school nurses have different conditions to work with physical activity in health dialogues is problematic.…”

Section: Discussionmentioning

confidence: 99%

“A constant battle against sedentary lifestyle and screen time”: Swedish school nurses' views on school children's physical activity and its promotion - a grounded theory study

Wiklund,

Vikman

et al. 2024

Front. Sports Act. Living

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School nurses are in a key position to promote children's physical activity. They engage all children in health dialogues and use different approaches to inform children about physical activity and motivate them to change their physical activity level. In a school context, it is important to explore and problematize school nurses’ views of children's physical activity and the influence of these views on their professional practice in the school health service. Identifying and problematizing school nurses' views of physical activity would enable them to create improved guidelines and equivalent ways of working in the future. Therefore, this study aims to discursively explore Swedish school nurses' views on school children's physical activity and its promotion and elucidate them through a discursive framework based on sensitizing concepts. This study uses a qualitative research design with a constructivist grounded theory approach. Semi-structured interviews were conducted with 24 school nurses. The analysis resulted in a core category describing how school nurses use intertwined views to lead children from sedentarity to physical activity. Furthermore, the school nurses' practices were identified in three categories: fostering everyday movement as a tool for health, battling children's sedentarity under difficult conditions, and promoting everyday movement and compensating for unequal access. The results indicate that school nurses lack common and clear guidelines for their mission to promote physical activity to children, which may lead to inequality in access to physical activity for children and young people.

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“…These three areas of school nursing complement each other in terms of the common goal of making the school a health-promoting environment but differ in their approaches and strategies to achieve this goal. Health literacy has the aim of enabling students and teachers to find, understand, evaluate, and apply health information to health-related decisions in order to maintain or improve health and quality of life [ 10 , 11 ]. Health literacy holds the educational perspective with the goal of knowledge gain.…”

Section: Introductionmentioning

confidence: 99%

“…This can be achieved through resource-strengthening measures at schools, promoting healthy behaviors such as sports and nutrition and through preventive care services, e.g. care coordination by school nurses [ 11 , 12 ]. All three aspects of school health cannot be clearly distinguished from each other.…”

Section: Introductionmentioning

confidence: 99%

The current state of international research on the effectiveness of school nurses in promoting the health of children and adolescents: An overview of reviews

et al. 2023

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Objective School nurses are engaging worldwide to promote and protect children’s health. Many researchers who examined the effectiveness of the school nurse criticized the inadequate methodology employed in many of the studies. We therefore carried out an evaluation on the effectiveness of school nurses based on a rigorous methodological approach. Methods In this overview of reviews we performed an electronic databank search and global research results on the effectiveness of school nurses were sought. We identified 1,494 records through database search. Abstracts and full texts were screened and summarized using the dual control principle. We summarized the aspects of quality criteria as well as the significance of the effectiveness of the school nurse. In the first step, k = 16 systematic reviews were summarized and evaluated following the AMSTAR-2 guidelines. In a second step, j = 357 primary studies included in these k = 16 reviews were summarized and assessed following the GRADE guidelines. Results Research results on the effectiveness of school nurses show that school nurses play a key role in improving the health of children with asthma (j = 6) and diabetes (j = 2), results on combating obesity are less certain (j = 6). The quality of identified reviews is mostly very low with only six studies of medium quality, of which one identified as a meta-analysis. A total of j = 289 primary studies were identified. Approximately 25% (j = 74) of identified primary studies were either randomized controlled trials (RCT) or observational studies, of which roughly 20% (j = 16) had a low risk of bias. Studies with physiological variables such as blood glucose or asthma labeling led to higher quality results. Conclusion This paper represents an initial contribution and recommends further evaluation of the effectiveness of school nurses, particularly in the areas of mental health or children from low socioeconomic backgrounds. The general lack of quality standards in school nursing research should be integrated into the scientific discourse of school nursing researchers to provide robust evidence for policy planners and researchers.

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School Nurses’ Experiences With Health Dialogues: A Swedish Case

Cited by 7 publications

References 38 publications

Exploring Screening Practices for Child Sexual Abuse in School Settings: An Integrative Review

Exploring Screening Practices for Child Sexual Abuse in School Settings: An Integrative Review

“A constant battle against sedentary lifestyle and screen time”: Swedish school nurses' views on school children's physical activity and its promotion - a grounded theory study

The current state of international research on the effectiveness of school nurses in promoting the health of children and adolescents: An overview of reviews

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