College of Nursing and Health, Wright State University-Miami Valley, Dayton, OH 45401, USA.
J Sch Health. 2011 Aug;81(8):437-48. doi: 10.1111/j.1746-1561.2011.00600.x.
Body mass index (BMI) screening is advocated by the National Association of School Nurses (NASN). Research identifying barriers to BMI screening in public elementary school settings has been sparse. The purpose of the study was to identify barriers and facilitating factors of BMI screening practices among Ohio school nurses working in suburban, rural, and urban public elementary schools.
This descriptive study used focus groups with 25 school nurses in 3 geographic regions of Ohio. An adapted Healthy People 2010 model guided the development of semistructured focus group questions.
Nine regional themes related to BMI screening emerged specific to suburban, rural, and/or urban school nurses' experiences with BMI screening practice, policy, school physical environment, school social environment, school risk/protection, and access to quality health care. Key facilitating factors to BMI screening varied by region. Key barriers to BMI screening were a lack of privacy, time, policy, and workload of school nurses.
Regionally specific facilitating factors to BMI screening in schools provide opportunities for schools to accentuate the positive and to promote school health.
美国学校护士协会（NASN）提倡进行体重指数（BMI）筛查。在公立小学环境中识别 BMI 筛查障碍的研究很少。本研究的目的是确定在俄亥俄州郊区、农村和城市公立小学工作的学校护士进行 BMI 筛查实践的障碍和促进因素。
本描述性研究使用焦点小组，共有 25 名来自俄亥俄州 3 个地理区域的学校护士参与。改编后的《健康人民 2010 年目标》模型指导了半结构化焦点小组问题的制定。
出现了 9 个与郊区、农村和/或城市学校护士 BMI 筛查实践、政策、学校物理环境、学校社会环境、学校风险/保护以及获得优质医疗保健相关的区域性主题。BMI 筛查的关键促进因素因地区而异。BMI 筛查的主要障碍是缺乏隐私、时间、政策和学校护士的工作量。
学校中 BMI 筛查的区域性特定促进因素为学校提供了机会，以突出积极因素并促进学校健康。
