Clausson Eva K, Köhler Lennart, Berg Agneta
Kristianstad University, Kristianstad, and Nordic School of Public Health, Göteborg, Sweden.
Nurs Ethics. 2008 Jan;15(1):40-51. doi: 10.1177/0969733007083933.
This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.
本研究探讨了瑞典学校护士在学校健康记录文档编制方面的经历。瑞典学校护士代表性样本（n = 129）中有50%报告在记录家庭关系中的心理和社会健康问题、学童行为以及学校情境方面存在困难。对误解的担忧以及文档编制的实际障碍等伦理考量被表述为他们担忧的原因。心理和社会健康不佳在学童中是一个日益严重且常常占主导地位的问题，因此，恰当的文档记录无论是对个体还是对整个人口而言都是一个基本问题。学校护士显然需要在文档记录和伦理挑战方面获得专业指导。应做出系统性努力，以认识并支持这些护士在考虑、跟踪和促进学童健康各个方面的独特机会。
