Department of Health Sciences, Faculty Medicine and Health Science, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
J Clin Nurs. 2017 Dec;26(23-24):5044-5051. doi: 10.1111/jocn.14004. Epub 2017 Oct 9.
To explore school nurses' experiences with and attitudes towards working with young people with mental health problem in the school health services.
Worldwide, 10%-20% of children and adolescents are affected by mental health problems. When these occur during youth, they constitute a considerable burden and are one of the main causes of disability among adolescents. School nurses are at the forefront of care for children and adolescents, identifying pupils struggling with physical, mental, psychosocial or emotional issues.
A qualitative, explorative study was performed based on open-ended questions in a cross-sectional study of 284 school nurses in Norway. Inclusion criteria were as follows: working as a school nurse in the school health services with children and adolescents between the ages of 11-18 years. A qualitative inductive content analysis was conducted.
Three generic categories emerged: perception of their role and experiences with mental health: the school nurses acknowledge their important role in work with adolescents focusing on their mental health. Perception of their professional competence: the school nurses described a lack of confidence and unmet training needs concerning mental health problems. Experiences with collaboration: the school nurses requested more knowledge about inter- and multidisciplinary cooperation regarding follow-up of pupils with mental health problems.
The school nurses lacked knowledge and confidence in respect of working with children and adolescents suffering from mental health problems. This may be a barrier to giving pupils adequate aid.
Nurses need to acquire more knowledge about mental health problems among children and adolescents as this is a growing public health issue. Educational programmes for school nurses need to be revised to achieve this.
探讨学校护士在学校卫生服务中与有心理健康问题的年轻人合作的经验和态度。
在世界范围内，10%-20%的儿童和青少年受到心理健康问题的影响。当这些问题发生在青少年时期时，它们构成了相当大的负担，是青少年残疾的主要原因之一。学校护士是照顾儿童和青少年的第一线人员，他们能够识别出在身体、心理、社会心理或情感方面存在问题的学生。
这是一项基于挪威 284 名学校护士横断面研究的开放式问题的定性、探索性研究。纳入标准如下：在学校卫生服务中作为学校护士为 11-18 岁的儿童和青少年提供服务。采用定性归纳内容分析法进行分析。
出现了三个通用类别：对其角色的认知和心理健康方面的经验：学校护士承认他们在关注青少年心理健康方面的重要作用。对其专业能力的认知：学校护士表示缺乏有关心理健康问题的信心和未满足的培训需求。合作经验：学校护士要求更多关于心理健康问题学生的后续工作的跨学科和多学科合作方面的知识。
学校护士在处理患有心理健康问题的儿童和青少年方面缺乏知识和信心。这可能成为为学生提供适当帮助的障碍。
护士需要获得更多关于儿童和青少年心理健康问题的知识，因为这是一个日益严重的公共卫生问题。需要修订学校护士的教育计划来实现这一目标。
