University of Skövde, Skövde, Sweden.
Neighborhood Management North, Borås, Sweden.
J Clin Nurs. 2018 Jan;27(1-2):e251-e258. doi: 10.1111/jocn.13924. Epub 2017 Nov 16.
To describe the experiences of school nurses working with overweight schoolchildren.
School nurses play an important role in health promotion of overweight children. Lifestyle changes and interventions to address being overweight can improve health outcomes and decrease the risk for future health problems.
A descriptive and qualitative design with a phenomenological approach was used. Data were gathered through interviews with school nurses working with overweight schoolchildren in Swedish elementary school; the data were subsequently analysed for meanings.
Working with overweight children was perceived as demanding and challenging by the school nurses who found conversations on this topic emotionally loaded and complex. In addition, the school nurses needed to be sensitive and supportive to succeed in their support for a healthier everyday life for the schoolchildren. It was stated as important to find ways to break the child's weight gain and to cooperate with the parents in this work. The children's decrease in weight was experienced to be more successful when making small, step-by-step changes together with the child and his or her parents.
This study concludes that health talks about being overweight may be a challenge for school nurses. Strategies used to manage and succeed in this work included engaging in motivational conversations, working step by step and cooperating with the child's parents. Furthermore, the nurses experienced that they needed to provide emotional support for overweight children during school time.
The school nurses' health promotion needs to focus on how to break weight gain in overweight children. In this work, the nurses' sensitiveness seems pivotal. Further research is needed on school nurses' work with health promotion and support of overweight children concerning how to perform efficient communication and cooperation with the children and their parents.
描述与超重学童一起工作的学校护士的经验。
学校护士在促进超重儿童健康方面发挥着重要作用。改变生活方式和干预措施来解决超重问题可以改善健康结果，并降低未来健康问题的风险。
采用描述性和定性设计以及现象学方法。数据通过对在瑞典小学工作的超重学童的学校护士进行访谈收集；随后对数据进行分析以获取意义。
学校护士认为与超重儿童一起工作具有挑战性和要求性，他们发现关于这个话题的对话情绪紧张且复杂。此外，学校护士需要敏感和支持，才能成功地支持学童过上更健康的日常生活。有人指出，找到打破孩子体重增加的方法并与父母在这方面合作非常重要。当与孩子及其父母一起逐步做出小的改变时，孩子的体重减轻被认为更成功。
本研究得出的结论是，关于超重的健康谈话可能对学校护士构成挑战。用于管理和成功完成这项工作的策略包括进行动机对话、逐步开展工作以及与孩子的父母合作。此外，护士们还体验到，他们在上学期间需要为超重儿童提供情感支持。
学校护士的健康促进需要侧重于如何打破超重儿童的体重增加。在这项工作中，护士的敏感性似乎至关重要。需要进一步研究学校护士在促进健康和支持超重儿童方面的工作，探讨如何与儿童及其父母进行有效的沟通和合作。
