Moriarty Daley Alison, Polifroni E Carol, Sadler Lois S
Yale University School of Nursing, Orange, CT, USA.
Yale-Haven Children's Hospital, New Haven, CT, USA.
J Sch Nurs. 2023 Jun;39(3):238-247. doi: 10.1177/1059840520979661. Epub 2020 Dec 17.
This study explored adolescent perspectives on school-based health center (SBHC) services and how services differed from school nurses and community agencies. Six focus groups were conducted with adolescents, 13-19 years old, as part of a larger mixed-methods study. Data were analyzed for themes using content analysis. Adolescents ( = 30) described the accessibility, positive attitude of staff, competence of the nurse practitioner, confidentiality/privacy, and trusted relationships with staff as important aspects of SBHC care. SBHC services allowed adolescents to stay in school, provided confidentiality/privacy, were comfortable and convenient, fostered their independence, and adolescents felt SBHC staff knew them and they did not feel like strangers. SBHCs are adolescent-friendly resources that maximize school time and an important source for contraception, sexually transmitted infection testing, and mental health care. Additionally, SBHC services help support adolescents' transition from pediatric to adolescent-focused care and foster their growing self-awareness and empowerment related to their engagement in health care services.
本研究探讨了青少年对校内健康中心（SBHC）服务的看法，以及这些服务与学校护士和社区机构提供的服务有何不同。作为一项更大规模的混合方法研究的一部分，对13至19岁的青少年进行了六个焦点小组访谈。使用内容分析法对数据进行主题分析。30名青少年将SBHC护理的可及性、工作人员的积极态度、执业护士的能力、保密性/隐私以及与工作人员的信任关系描述为重要方面。SBHC服务使青少年能够留在学校，提供保密性/隐私，舒适且便捷，培养了他们的独立性，青少年觉得SBHC工作人员了解他们，而且他们不会感到自己像陌生人。SBHC是对青少年友好的资源，能最大限度地利用在校时间，是避孕、性传播感染检测和心理健康护理的重要来源。此外，SBHC服务有助于支持青少年从儿科护理过渡到以青少年为重点的护理，并促进他们在参与医疗服务方面不断增强的自我意识和自主权。
