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Adolescents' and school nurses' perceptions of using a health and lifestyle tool in health dialogues
Jönköping University, School of Health Science, HHJ. CHILD.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
Primärvårdens fou-enhet Jönköpings läns landsting.
Jönköping University, School of Health Science, HHJ. CHILD. Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
2011 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17-18, 2573-2583 p.Article in journal (Refereed) Published
Abstract [en]

Aim and objective. To describe and explore adolescents’ and nurses’ perceptions of using a health and lifestyle tool in healthdialogues in the School Health Service.

Background. In Sweden, dialogues concerning health and lifestyle are offered to adolescents aged 14 years with the purpose of encouraging an interest in a healthy lifestyle. A health and lifestyle tool including a health questionnaire and a health profile has recently been developed, with the aim of facilitating the communication about health and lifestyle in these dialogues.

Design.Qualitative descriptive design.

Method. Twenty-nine adolescents and 23 nurses participated in focus group interviews, which were subjected to qualitative content analysis.

Results. The health and lifestyle tool was perceived as constituting a structure for the dialogues and as a clear and applicable starting point, focusing on individual aspects. The tool contributed to an understanding of the health situation and to the transmittal of health information on an individual as well as a group level.

Conclusion.The tool was perceived as constituting a useful structure for the dialogues about health and lifestyle. When it was used the individual’s health and lifestyle were concretised, which opened up for a dialogue and different aspects of health and lifestyle were detected. However, in some cases the outcome of the tool could be conceived as a stringent assessment and thereby complicate the dialogues.

Relevance to clinical practice.The use of a tool, such as the one used in this study, is one way to improve the dialogues in the School Health Service, allowing them to be more focused on the individual’s needs and to detect aspects that would otherwise not be so easily detected. The implications of this study include using the findings to guide counselling sessions in the schools and other health care settings.

Place, publisher, year, edition, pages
2011. Vol. 20, no 17-18, 2573-2583 p.
Keyword [en]
adolescent, health dialogues, health and lifestyle tool, nurses, nursing, School Health Service
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-15941DOI: 10.1111/j.1365-2702.2011.03816.xOAI: oai:DiVA.org:hj-15941DiVA: diva2:437957
Available from: 2011-08-31 Created: 2011-08-31 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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