ChiP research group, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23, Västerås, Sweden.
School of health, care and social welfare, Mälardalen University, Västerås, Sweden.
BMC Public Health. 2021 Jan 9;21(1):111. doi: 10.1186/s12889-020-10144-2.
School nurses in the school health services are assigned to promote health and participation among children when conducting health visits. Still, for children of foreign origin this promotion of participation might be hampered by challenges related to cultural diversity and language barriers. Therefore, knowledge needs to be developed regarding how these children's participation can be promoted, to support them in sharing and describing matters important for their health. The aim was to investigate school nurses' descriptions of promoting participation for children of foreign origin in health visits.
A content analysis of 673 Swedish school nurses' answers to eight open-ended questions regarding promotion of participation for children of foreign origin was conducted. The open-ended questions were part of a larger web-based cross-sectional survey distributed to school nurses in Sweden.
The results show that school nurses use three main approaches during the health visit: adjusting according to the child's proficiency in Swedish and/or cultural or national background, adjusting according to the child's individual needs, and doing the same for all children regardless of their origin. Yet, adjustments according to the child's proficiency in Swedish and/or cultural or national background were the most common.
By combining the approaches of adjusting, a child-centered care that contributes to children's participation in health visits and equity in health could be provided.
学校护士在学校卫生服务中负责在进行健康访问时促进儿童的健康和参与度。然而，对于外国出生的儿童来说，这种参与度的促进可能会受到与文化多样性和语言障碍相关的挑战的阻碍。因此，需要了解如何促进这些儿童的参与度，以支持他们分享和描述对他们健康重要的事情。目的是调查学校护士在健康访问中促进外国出生儿童参与的描述。
对瑞典 673 名学校护士对 8 个关于促进外国出生儿童参与的开放式问题的回答进行了内容分析。这些开放式问题是瑞典学校护士在线问卷调查的一部分。
结果表明，学校护士在健康访问中使用三种主要方法：根据儿童的瑞典语熟练程度和/或文化或民族背景进行调整、根据儿童的个体需求进行调整以及对所有儿童一视同仁，无论其出身如何。然而，根据儿童的瑞典语熟练程度和/或文化或民族背景进行调整是最常见的。
通过结合调整的方法，可以提供以儿童为中心的护理，有助于儿童在健康访问中的参与度和健康公平。
