School of Health and Welfare, Halmstad University, PO Box 823, 30118, Halmstad, Sweden.
Department of Paediatrics, University of Gothenburg, 40530, Gothenburg, Sweden.
BMC Public Health. 2023 Jan 4;23(1):21. doi: 10.1186/s12889-022-14941-9.
The prevalence of overweight and obesity among children has risen sharply during recent decades. School nurses are key health professionals in interventions targeting the early onset of overweight and obesity during childhood. Understanding how school nurses experience communication with parents concerning their child´s growth and weight development are essential. The aim of the study is to describe school nurses' experience of communicating growth data and weight development to parents of school children ages 8 and 10 years.
The design of the study is a descriptive, qualitative design with purposive and snowball sampling. Sixteen interviews with school nurses were conducted and analysed with qualitative content analysis.
The analysis resulted in three main categories including subcategories. In Challenges in the professional role, the school nurses expressed a lack of knowledge, skills and tools in communication, described a perception of parental responsibility and stated using several different approaches in communicating growth data and weight development to parents. In Sustainable communication with parents, the school nurses described the value of creating a dialogue, a supportive approach to the parents, and the building of a relation between them and the parents as essential. In Barriers in communicating the child´s weight, the school nurses described the experience of stigma concerning the subject of overweight and obesity, increased concern when they detected underweight as well as an ambivalence towards measuring weight.
The study highlights an educational challenge concerning the need for training, skills, and strategies for communication with parents. A variety of ways in school nurses' communication with parents were identified in the present study and this shows an inconsistency in how School health services was offered and a need for the development of evidence-based procedures for communicating growth data and weight development to parents.
在最近几十年，儿童超重和肥胖的患病率急剧上升。学校护士是针对儿童期超重和肥胖早期发病进行干预的关键卫生专业人员。了解学校护士如何与家长就其子女的生长和体重发育进行沟通至关重要。本研究旨在描述学校护士向 8 至 10 岁学龄儿童的家长传达生长数据和体重发育情况的经验。
本研究的设计是描述性的定性设计，采用目的抽样和滚雪球抽样。对 16 名学校护士进行了访谈，并进行了定性内容分析。
分析结果产生了三个主要类别，包括子类别。在专业角色的挑战中，学校护士表示在沟通方面缺乏知识、技能和工具，描述了对父母责任的看法，并表示在向家长传达生长数据和体重发育方面采用了几种不同的方法。在与家长可持续沟通方面，学校护士表示，建立对话、对家长采取支持性的方法、以及在他们和家长之间建立关系是非常重要的。在沟通孩子体重方面的障碍中，学校护士描述了超重和肥胖这一主题带来的耻辱感体验，当发现体重不足时会增加关注，以及对测量体重的矛盾态度。
本研究强调了与家长沟通培训、技能和策略方面的教育挑战。本研究中确定了学校护士与家长沟通的各种方式，这表明学校卫生服务的提供方式不一致，需要制定基于证据的沟通生长数据和体重发育给家长的程序。
