Assistant Professor, East Carolina University College of Nursing, Greenville, North Carolina.
Public Health Nurs. 2022 Nov;39(6):1220-1226. doi: 10.1111/phn.13112. Epub 2022 Jun 25.
Adolescent suicide is a public health crisis. School connectedness, a protective factor, may be especially important in low-income rural schools, with fewer resources and higher rates of suicide as compared to urban schools. The purpose of this study was to explore teacher perceptions of safety and school connectedness in a low-income, rural middle school, and implications for collaborative practice between school nurses and teachers.
A qualitative secondary data analysis was used. Data were taken from transcripts from four focus groups comprised of middle school teachers (n = 20).
An inductive approach to content analysis was conducted using in vivo Coding and Venn diagrams.
Three themes were identified: (1) defiant and aggressive student behaviors were safety concerns, as teachers perceived they may be obscuring mental health needs; (2) teachers were sometimes placed in a position to assist students with safety management strategies; and (3) managing safety concerns was an obstacle to building connectedness, as reflected in safety and school connectedness.
Collaborative strategies between school nurses and teachers are essential to identify student behaviors that may be masking mental health needs. Strategies have the potential to enhance school connectedness and support student safety.
青少年自杀是公共卫生危机。与城市学校相比,学校联系(一种保护因素)在低收入农村学校可能尤为重要,因为这些学校资源较少,自杀率较高。本研究旨在探讨一所低收入农村中学教师对安全和学校联系的看法,以及学校护士与教师之间合作实践的意义。
采用定性二次数据分析。数据来自由 20 名中学教师组成的四个焦点小组的转录本。
采用植入式编码和韦恩图对内容分析进行了归纳法。
确定了三个主题:(1)挑衅和攻击性的学生行为是安全问题,因为教师认为这些行为可能掩盖了心理健康需求;(2)教师有时被置于协助学生制定安全管理策略的位置;(3)管理安全问题是建立联系的障碍,这反映在安全和学校联系上。
学校护士与教师之间的合作策略对于识别可能掩盖心理健康需求的学生行为至关重要。这些策略有可能增强学校联系并支持学生安全。