Gruber Jennifer A, Nordquist Erica A, Acevedo-Polakovich Ignacio D
Michigan State University, East Lansing, MI, USA.
J Sch Nurs. 2023 Oct;39(5):368-376. doi: 10.1177/10598405211025008. Epub 2021 Jun 29.
School-based health centers (SBHCs) positively influence student health. However, the extent to which these benefits are actualized varies across sites. We conducted focus groups with high school students and teachers at an underperforming SBHC to identify facilitators and barriers to student access to SBHC services. Our qualitative analysis revealed four main emergent categories: (1) students' knowledge of SBHC services; (2) teachers' perceptions of, and experiences with, the SBHC; (3) accessing and utilizing SBHC services; and (4) student and teacher suggestions to improve the school-SBHC relationship. Our findings suggest that the relationships between health center staff and teachers are crucial and can be damaged with poor implementation. Additionally, there was a general lack of knowledge about the procedures for accessing services at the SBHC. Participants provided recommendations, including strategies for better outreach and engagement with teachers and students, as well as operational strategies to enhance communication systems and the physical environment.
校内健康中心（SBHCs）对学生健康有积极影响。然而，这些益处的实现程度因地点而异。我们在一所表现不佳的校内健康中心与高中生和教师进行了焦点小组讨论，以确定学生获得校内健康中心服务的促进因素和障碍。我们的定性分析揭示了四个主要的新出现类别：（1）学生对校内健康中心服务的了解；（2）教师对校内健康中心的看法和体验；（3）获取和利用校内健康中心服务；以及（4）学生和教师关于改善学校与校内健康中心关系的建议。我们的研究结果表明，健康中心工作人员与教师之间的关系至关重要，实施不当可能会受到损害。此外，人们对在校内健康中心获取服务的程序普遍缺乏了解。参与者提出了建议，包括更好地与教师和学生进行外展和互动的策略，以及加强沟通系统和物理环境的运营策略。
