Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
J Clin Nurs. 2019 Aug;28(15-16):2899-2910. doi: 10.1111/jocn.14881. Epub 2019 Apr 29.
To describe the variation in public health nurses' perceptions of interprofessional collaboration related to adolescents' mental health problems in secondary schools in Norway.
Mental health problems among adolescents account for a large portion of the global burden of disease and affect 10%-20% of adolescents worldwide. Public health nurses in school health services play an important role in disease prevention and promotion of physical and mental health. In order to serve adolescents with regard to mental health problems, public health nurses are dependent on collaboration with other professionals in schools.
Qualitative interviews were conducted with 18 public health nurses working in the school health services.
A phenomenographic approach was used for interviewing and for analysing the qualitative interviews. This study is presented in line with COREQ's checklist.
The analysis resulted in three descriptive categories based on eight identified conceptions. The categories are as follows: "The formal structure has an impact on interprofessional collaboration"; "The public health nurse is an important, but not always self-evident, partner in interprofessional collaboration"; and "The primary players are the teachers in collaboration."
The public health nurses describe that they had limited impact on collaboration and were dependent on both the school principal and the teachers for achieving good collaboration. Teachers have the power to decide whether to collaborate with the public health nurse, and public health nurses regard teachers as the most important collaborative partners. The public health nurses need to make themselves and their competence visible.
The findings demonstrated that public health nurses are important collaborators, but are not always included in interprofessional collaboration. This knowledge is essential to strengthen public health nurses' roles and presence in schools, which could most certainly benefit adolescents with mental health problems in secondary school.
描述挪威中学公共卫生护士对青少年心理健康问题相关的跨专业合作的看法的变化。
青少年的心理健康问题占全球疾病负担的很大一部分，影响全球 10%-20%的青少年。学校卫生服务中的公共卫生护士在疾病预防和促进身心健康方面发挥着重要作用。为了服务于有心理健康问题的青少年，公共卫生护士依赖于与学校其他专业人员的合作。
对在学校卫生服务部门工作的 18 名公共卫生护士进行了定性访谈。
采用现象学方法进行访谈和分析定性访谈。本研究按照 COREQ 的检查表进行呈现。
分析结果基于 8 种确定的概念，得出了三个描述性类别。这些类别如下：“正式结构对跨专业合作有影响”；“公共卫生护士是跨专业合作中重要的，但并非总是不言而喻的合作伙伴”；“主要参与者是合作中的教师”。
公共卫生护士描述说，他们对合作的影响有限，并且依赖于学校校长和教师来实现良好的合作。教师有权决定是否与公共卫生护士合作，而公共卫生护士则将教师视为最重要的合作伙伴。公共卫生护士需要让自己和自己的能力可见。
研究结果表明，公共卫生护士是重要的合作者，但并不总是参与跨专业合作。这一知识对于加强公共卫生护士在学校中的角色和存在至关重要，这肯定会使有心理健康问题的青少年受益。
