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Health counselling: parental-oriented health dialogue - an innovation for child health nurses
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. CHILD. (Child-hälsa)
Primärvårdens fou-enhet Jönköpings läns landsting.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
2009 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 13, no 1, 75-88 p.Article in journal (Refereed) Published
Abstract [en]

The Health Curve, used by nurses in community-based health care, is an educational tool for conducting goal-directed dialogues concerning lifestyle and health. The aim of this study was to investigate how child health nurses experienced the Health Curve as a tool for conducting dialogues with parents. Fourteen nurses were interviewed. The data were analysed according to qualitative analysis. The results showed that nurses working in child health care experienced the Health Curve as a useful tool for conducting health dialogues with parents. Through their work with the Health Curve, the nurses gained a greater insight into, and understanding of, the families' health and life situation. The results indicated that working with the Health Curve could increase the opportunity for nurses to provide parents with support early in the process, helping the family to lead a healthy lifestyle.

Place, publisher, year, edition, pages
2009. Vol. 13, no 1, 75-88 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-13883DOI: 10.1177/1367493508098382PubMedID: 19240192OAI: oai:DiVA.org:hj-13883DiVA: diva2:375095
Available from: 2010-12-07 Created: 2010-12-07 Last updated: 2012-02-17Bibliographically approved
In thesis
1. Hälsosamtal som metod att främja barns och ungdomars hälsa: en utmanande uppgift
Open this publication in new window or tab >>Hälsosamtal som metod att främja barns och ungdomars hälsa: en utmanande uppgift
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to explore and describe health dialogues from pupils’ and nurses’ perspectives as well as the verbal interaction between them, in the context of a structured health and lifestyle tool.

Seventy-four pupils and 23 school nurses participated in focus group interviews, and further 14 nurses participated in individual interviews. To explore the verbal interaction, 24 health dialogues with pupils and school nurses were recorded using a video camera. The data from the interviews were subjected to qualitative content analysis and the verbal interactions were analysed using the paediatric version of the Roter Interaction Analysis System.

Health dialogues based on the pupil’s own situation were described as a process that provided them opportunities to influence their own health. Prerequisites for a pupil-centered health dialogue were that the pupils were prepared, felt respected and like active participants, and that their own experiences were in focus. How the nurses acted was crucial to the pupils’ experience of and possibility to benefit from of the health dialogue based on their own needs and wishes. A health and lifestyle tool could support the dialogue by constituting a structure, open up for discussion and contribute to an understanding of the individual’s situation. The tool could also facilitate the transmittal of health information on an individual as well as a group level. In terms of utterances in the dialogues, the school nurses were the ones who talked the most. The pupils most frequently gave information about their lifestyle and agreed with the nurses. The nurses asked questions and provided information about lifestyle, and checked that they had understood the pupils. Just over a third of the nurses’ verbal interaction approaches were aimed to make the pupil more active and participatory in the dialogues.

In conclusion, the health dialogues were described as an opportunity to gain knowledge about and insight into health and lifestyle, but a pupil-centered dialogue was considered crucial. The challenge is to adapt the health dialogue based on each pupil’s needs and wishes, and a health and lifestyle tool could contribute structure and support the dialogue.

 

Place, publisher, year, edition, pages
School of Health Sciences, Jönköping University, 2012. 92 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 26
Keyword
barnhälsovård, barn och ungdomar, elevcentrerade hälsosamtal, hälsofrämjande arbete, hälsosamtal, hälsoverktyg, sjuksköterska, skolhälsovård
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-17654 (URN)978-91-85835-25-6 (ISBN)
Public defence
2012-03-09, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-02-17 Created: 2012-02-16 Last updated: 2012-11-26Bibliographically approved

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