Wankasi Hellen I, Sehularo Leepile A, Rakhudu Mahlasela A
School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho.
Curationis. 2020 Jul 23;43(1):e1-e10. doi: 10.4102/curationis.v43i1.2100.
There is a marked inequality between children in public schools and their counterparts in private schools in terms of school healthcare in rural Nigeria. This is because of the ineffective dissemination and implementation of a policy on school health in public schools. Effective dissemination and implementation of such policy can reduce the prevalence of risky health behaviours amongst young people and have a positive effect on academic performance.
The purpose of this study was to develop a conceptual framework for the effective dissemination and implementation of a policy on school health in rural Nigeria.
This study consisted of four phases as follows: an empirical phase, concept classification, framework development and critical reflection on the conceptual framework. An exploratory, descriptive and contextual research design was used to develop the framework. The work of Dickoff et al. was used to classify concepts from the empirical phase. Chinn and Kramer's nursing theory on generative method was used for the development of the conceptual framework and for critical review.
The framework consisted of six components, namely, departments of health and education (context); health or educational professionals in the ministries (agents); health or educational practitioners, pupils, parents and communities (recipients); ratification of a policy on school health, stakeholder engagement, training as well as monitoring and evaluation (process); communication, collaborative partnership, commitment and support (dynamics); and effective dissemination and implementation of a policy on school health.
The framework would be a firm foundation and contribution to improve the health of children in public schools, and well-being and academic performance that would be a good feat towards the future endeavour. The findings of the study are pertinent to school health nursing practice, education and research.
在尼日利亚农村地区，公立学校儿童与私立学校儿童在学校卫生保健方面存在显著不平等。这是由于公立学校关于学校卫生政策的传播和实施效果不佳。有效传播和实施此类政策可以降低年轻人中危险健康行为的发生率，并对学业成绩产生积极影响。
本研究的目的是为尼日利亚农村地区有效传播和实施学校卫生政策制定一个概念框架。
本研究包括以下四个阶段：实证阶段、概念分类、框架开发以及对概念框架的批判性反思。采用探索性、描述性和情境性研究设计来开发该框架。利用迪科夫等人的工作对实证阶段的概念进行分类。使用钦和克莱默关于生成方法的护理理论来开发概念框架并进行批判性审查。
该框架由六个部分组成，即卫生和教育部门（背景）；部委中的卫生或教育专业人员（主体）；卫生或教育从业者、学生、家长和社区（接受者）；学校卫生政策的批准、利益相关者参与、培训以及监测和评估（过程）；沟通、合作伙伴关系、承诺和支持（动态因素）；以及学校卫生政策的有效传播和实施。
该框架将为改善公立学校儿童的健康、福祉和学业成绩奠定坚实基础并做出贡献，这将是朝着未来努力迈出的一项出色成就。该研究结果与学校卫生护理实践、教育和研究相关。
