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为学校健康开启大门——对公共卫生护士参与综合学校健康项目能力的探索

Opening the doors for school health-An exploration of public health nurses' capacities to engage in comprehensive school health programs.

作者信息

Sanders Tanya, O'Mahony Joyce, Duncan Susan, Mahara Star, Pitman Valerie, Ringstad Kristin, Weatherman Kristine

机构信息

School of Nursing, Thompson Rivers University, Kamloops, BC, Canada.

School of Nursing, University of Victoria, Victoria, BC, Canada.

出版信息

Public Health Nurs. 2019 May;36(3):348-356. doi: 10.1111/phn.12607. Epub 2019 Mar 18.

Abstract

OBJECTIVES

Public health nurses (PHNs) have a significant role in engaging the voice and actions of school communities in promoting the health of children and youth. School nursing was one of the early 20th century public health nursing foci and specialties in Canada, however over several decades, there has been a gap in actualizing PHNs' full potential in schools. At the same time, intersectoral and interdisciplinary comprehensive school health (CSH) models have emerged as exemplars of partnerships between schools and communities to advance health promotion and ultimately chronic disease prevention with school populations (Pan-Canadian Joint Consortium for School Health, ; World Health Organization, ).

DESIGN AND MEASUREMENT

Using a participatory action research methodology we explored the role of PHNs in CSH, drawing on the concept of engagement in intersectoral healthy school teams.

RESULTS AND CONCLUSIONS

The three themes that emerged from the data analysis were: facilitators of public health nursing engagement, barriers to public health nursing engagement, and the influences of community context on engagement. Overall, findings indicate that the PHN role in CSH must be developed and supported so that PHNs remain a vital link between school health communities, programs, and policies in the promotion of health.

摘要

目标

公共卫生护士在促使学校社区发声并采取行动以促进儿童和青少年健康方面发挥着重要作用。学校护理是20世纪初加拿大公共卫生护理的重点和专业领域之一,然而在过去几十年里,公共卫生护士在学校未能充分发挥其全部潜力。与此同时,跨部门和跨学科的综合学校健康(CSH)模式已成为学校与社区之间伙伴关系的典范,以促进健康促进并最终预防学校人群的慢性病(泛加拿大学校健康联合财团;世界卫生组织)。

设计与测量

我们采用参与式行动研究方法,借鉴跨部门健康学校团队中的参与概念,探讨了公共卫生护士在综合学校健康中的作用。

结果与结论

数据分析得出的三个主题是:公共卫生护理参与的促进因素、公共卫生护理参与的障碍以及社区背景对参与的影响。总体而言,研究结果表明,必须发展和支持公共卫生护士在综合学校健康中的作用,以便公共卫生护士在促进健康方面仍然是学校健康社区、项目和政策之间的重要纽带。

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