Schroeder Krista, Smaldone Arlene
1 University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
2 Columbia University School of Nursing, New York, NY, USA.
J Sch Nurs. 2017 Dec;33(6):456-466. doi: 10.1177/1059840517694967. Epub 2017 Feb 26.
A recent evaluation of a school nurse-led obesity intervention demonstrated a 5% implementation rate. The purpose of this study was to explore school nurses' perceived barriers to and facilitators of the intervention in order to understand reasons for the low implementation rate. Methods included semi-structured individual interviews with school nurses. Data were analyzed using content analysis and heat mapping. Nineteen nurses participated and eight themes were identified. Parental and administrative gatekeeping, heavy nurse workload, obesogenic environments, and concerns about obesity stigma were barriers to implementation. Teamwork with parents and school staff was a key facilitator of implementation. Nurses also noted the importance of cultural considerations and highlighted the need to tailor the intervention to the unique needs of their school environment and student population. These findings suggest that for school nurses to play a key role in school-based obesity interventions, barriers must be identified and addressed prior to program implementation.
最近一项对由学校护士主导的肥胖干预措施的评估显示，实施率为5%。本研究的目的是探讨学校护士对该干预措施所感知到的障碍和促进因素，以便了解实施率低的原因。方法包括对学校护士进行半结构化的个人访谈。使用内容分析和热点图对数据进行分析。19名护士参与了访谈，确定了8个主题。家长和行政把关、护士工作量大、致胖环境以及对肥胖污名化的担忧是实施的障碍。与家长和学校工作人员的团队合作是实施的关键促进因素。护士们还指出了文化考量的重要性，并强调需要根据学校环境和学生群体的独特需求调整干预措施。这些发现表明，要让学校护士在基于学校的肥胖干预中发挥关键作用，必须在项目实施前识别并解决障碍。
