School of Health Sciences, University of Brighton, Falmer, UK.
Coleman Research and Evaluation Services, Hassocks, West Sussex, UK.
J Clin Nurs. 2018 Jan;27(1-2):375-385. doi: 10.1111/jocn.13936. Epub 2017 Aug 3.
To explore the experiences, views and preferences of young people aged 11-19 years regarding school-based sexual health and school nursing to inform commissioning and delivery for one local authority area in England during 2015.
Promoting sexual health for young people remains a challenging, even controversial, but important public health issue. Concerns regarding accessibility, acceptability and efficacy in school-based sexual health and school nursing are evident in the literature. Additionally, a complex public health policy context now governs the funding, provision and delivery of sexual health and school nursing, which potentially presents further challenges.
A qualitative, participatory design was used to explore sexual health and school nursing. Data were generated from 15 focus groups (n = 74), with young people aged 11-19 years, in educational-based settings in one local authority area in England.
The resultant themes of visibility in relation to sexual health education and school nursing revealed both the complex tensions in designing and delivering acceptable and appropriate sexual health services for young people and the significance of participatory approaches.
Our study shows the importance of participatory approaches in working with young people to clearly identify what they want and need in relation to sexual health. The findings also confirm the ways in which school-based sexual health remains challenging but requires a theoretical and conceptual shift. This we argue must be underpinned by participatory approaches.
School nurses have always had a significant role to play in promoting positive sexual health for young people and they are exceptionally well placed to challenge the risk-based cultures that frequently dominate school-based sexual health. A shift of debates and practices towards the promotion of positive sexual health cultures though previously argued for now requires the active engagement and involvement of young people.
探索 11-19 岁青少年对学校性健康和学校护理的经验、看法和偏好，以为 2015 年英格兰一个地方当局的委托和提供服务提供信息。
促进年轻人的性健康仍然是一个具有挑战性的，甚至是有争议的，但也是一个重要的公共卫生问题。关于学校性健康和学校护理的可及性、可接受性和有效性的担忧在文献中显而易见。此外，复杂的公共卫生政策环境现在管理着性健康和学校护理的资金、提供和交付，这可能带来进一步的挑战。
采用定性、参与式设计来探讨性健康和学校护理。数据来自英格兰一个地方当局的教育环境中的 15 个焦点小组（n=74），参与者是 11-19 岁的青少年。
与性健康教育和学校护理相关的可见性主题揭示了为年轻人设计和提供可接受和适当的性健康服务的复杂紧张局势，以及参与式方法的重要性。
我们的研究表明，参与式方法在与年轻人合作，明确了解他们在性健康方面的需求和需求方面的重要性。研究结果还证实了学校性健康仍然具有挑战性，但需要理论和概念上的转变。我们认为，这必须以参与式方法为基础。
学校护士在促进年轻人的积极性健康方面一直发挥着重要作用，他们非常适合挑战经常主导学校性健康的风险文化。虽然以前曾提出过将辩论和实践转向促进积极的性健康文化，但现在需要年轻人的积极参与和投入。
