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在具有挑战性的环境中担任促进者——学校工作人员照顾1型糖尿病青少年的经历

Being Facilitators in a Challenging Context-School Personnel's Experiences of Caring for Youth with Diabetes Type 1.

作者信息

Holmström Malin Rising, Häggström Marie, Söderberg Siv

机构信息

Department of Nursing, Mid Sweden University, SE-851 70 Sundsvall, Sweden.

Department of Nursing Science, Mid Sweden University, SE-83125 Östersund, Sweden.

出版信息

J Pediatr Nurs. 2018 Nov-Dec;43:e114-e119. doi: 10.1016/j.pedn.2018.08.007. Epub 2018 Aug 10.

Abstract

PURPOSE

The purpose of the study was to describe school personnel's experiences of caring for youth with diabetes type 1.

DESIGN AND METHODS

A qualitative design was chosen for this study. Data were collected with individual interviews that were subjected to inductive qualitative content analysis. The sample consisted of 24 school personnel (teachers, principals and school nurses) from Swedish schools. All had experience with youth aged 6 to 18 years old with diabetes type 1.

RESULTS

School personnel experienced caring for youth with diabetes type 1 as "Being facilitators in a challenging context" and described establishing trusting relationships, finding strategies to support self-care, feeling uncertain and incapable in need of education, and dealing with unclear responsibility.

CONCLUSIONS

School personnel (teachers, principals and school nurses) are key professionals supporting youth with diabetes type 1 and self-care in school. Lack of education and unclear responsibility created feelings of uncertainty and insecurity for school personnel and a need for mandatory education of school personnel regarding T1DM and self-care, including legislation was identified.

IMPLICATIONS

Mandatory education should be provided for all school personnel regarding diabetes type 1, self-care and current legislation. A liason position in form of a nurse specialist should manage the education.

摘要

目的

本研究旨在描述学校工作人员照顾1型糖尿病青少年的经历。

设计与方法

本研究采用定性设计。通过个人访谈收集数据,并对其进行归纳定性内容分析。样本包括来自瑞典学校的24名学校工作人员(教师、校长和学校护士)。他们都有照顾6至18岁1型糖尿病青少年的经验。

结果

学校工作人员将照顾1型糖尿病青少年的经历描述为“在具有挑战性的环境中成为促进者”,并阐述了建立信任关系、寻找支持自我护理的策略、因需要教育而感到不确定和无能力,以及应对责任不明确的情况。

结论

学校工作人员(教师、校长和学校护士)是支持1型糖尿病青少年在学校进行自我护理的关键专业人员。缺乏教育和责任不明确给学校工作人员带来了不确定感和不安全感,因此确定需要对学校工作人员进行关于1型糖尿病和自我护理的强制性教育,包括立法方面的教育。

启示

应为所有学校工作人员提供关于1型糖尿病、自我护理和现行立法的强制性教育。应以护士专家的形式设立一个联络职位来管理该教育。

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