Hung Tommy Tsz Man, Chiang Vico Chung Lim, Dawson Angela, Lee Regina Lai Tong
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, HKSAR.
Health Services and Practice, Faculty of Health, University of Technology, Sydney, Australia.
PLoS One. 2014 Sep 29;9(9):e108284. doi: 10.1371/journal.pone.0108284. eCollection 2014.
Health-promoting schools have been regarded as an important initiative in promoting child and adolescent health in school settings using the whole-school approach. Quantitative research has proved its effectiveness in various school-based programmes. However, few qualitative studies have been conducted to investigate the strategies used by health promoters to implement such initiatives. In this study, the researchers conducted a systematic review and narrative synthesis of the qualitative literature to identify important enablers assisting the implementation of health-promoting schools from the perspectives of health promoters. Five enablers have been identified from the review: (a) Following a framework/guideline to implement health-promoting schools; (b) Obtaining committed support and contributions from the school staff, school board management, government authorities, health agencies and other stakeholders; (c) Adopting a multidisciplinary, collaborative approach to implementing HPS; (d) Establishing professional networks and relationships; and (e) Continuing training and education in school health promotion. This highlights the importance of developing school health policies that meet local health needs, and socio-cultural characteristics that can foster mutual understanding between the health and education sectors so as to foster health promotion in children and adolescents.
健康促进学校被视为采用全校性方法在学校环境中促进儿童和青少年健康的一项重要举措。定量研究已证明其在各种校本项目中的有效性。然而，很少有定性研究来调查健康促进者实施此类举措所采用的策略。在本研究中，研究人员对定性文献进行了系统综述和叙述性综合分析，以从健康促进者的角度确定有助于实施健康促进学校的重要推动因素。通过综述确定了五个推动因素：(a)遵循框架/指南实施健康促进学校；(b)获得学校工作人员、学校董事会管理层、政府当局、卫生机构和其他利益相关者的坚定支持和贡献；(c)采用多学科协作方法实施健康促进学校；(d)建立专业网络和关系；(e)持续开展学校健康促进方面的培训和教育。这凸显了制定符合当地健康需求的学校健康政策以及能促进卫生和教育部门相互理解以促进儿童和青少年健康促进的社会文化特征的重要性。
