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全面覆盖的体育体检:学校护士在学生运动员健康促进中未被挖掘的作用。

Full Coverage Sports Physicals: School Nurses' Untapped Role in Health Promotion Among Student Athletes.

作者信息

Johnson Karen E, Morris Marian, McRee Annie-Laurie

机构信息

1 School of Nursing, The University of Texas at Austin, Austin, TX, USA.

2 Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, MN, USA.

出版信息

J Sch Nurs. 2018 Apr;34(2):139-148. doi: 10.1177/1059840517696963. Epub 2017 Mar 6.

Abstract

Pre-participation physical exams (PPEs) hold great potential for addressing adolescents' health-risk behaviors. School nurses may be well positioned to assist with PPEs, yet little is known about their involvement. In this mixed methods study conducted in 2015, we collected data from school nurses in Texas (surveys, n = 208; key informant interviews, n = 10) to explore their roles and attitudes toward being involved in PPEs and addressing health-risk behaviors. Most respondents described minimal involvement in PPEs or were not involved to their full scope of practice. Most (69%) felt that school nurses are an untapped resource for addressing health-risk behaviors among student athletes. Interview participants felt that student athletes saw nurses as a "safe space" to talk about health-risk behaviors. Barriers included a lack of time, resources for follow-up, parental approval, and legal concerns. Study findings identify potential opportunities to support nurses' involvement in addressing health-risk behaviors among student athletes.

摘要

参与前体格检查(PPEs)在解决青少年健康风险行为方面具有巨大潜力。学校护士可能很适合协助进行参与前体格检查,但对于他们的参与情况却知之甚少。在2015年开展的这项混合方法研究中,我们收集了德克萨斯州学校护士的数据(调查,n = 208;关键 informant 访谈,n = 10),以探讨他们在参与前体格检查及解决健康风险行为方面的角色和态度。大多数受访者表示在参与前体格检查中的参与度很低,或者没有充分发挥其全部实践范围。大多数(69%)人认为学校护士是解决学生运动员健康风险行为的未开发资源。访谈参与者认为学生运动员将护士视为谈论健康风险行为的“安全空间”。障碍包括缺乏时间、后续跟进资源、家长批准和法律问题。研究结果确定了支持护士参与解决学生运动员健康风险行为的潜在机会。

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