Bergvoll Lise-Marie, Clancy Anne, Martinussen Monica, Laholt Hilde
Department of Health and Caring Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Harstad, Norway.
Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
J Adv Nurs. 2025 Jun;81(6):3141-3155. doi: 10.1111/jan.16515. Epub 2024 Oct 1.
To explore the role of public health nurses (PHNs) in Norwegian primary school health services in supporting siblings who have a brother or a sister with complex care needs.
A qualitative, exploratory design using focus groups combined with visual methods.
Nineteen Norwegian PHNs participated in three focus group discussions between May and September 2022. The nurses were asked to draw themselves as PHNs working in primary schools. Braun and Clarke's reflexive thematic approach was used to analyse the transcribed interviews. The drawings were analysed using critical visual analysis methodology.
The findings revealed that PHNs in primary schools focused on establishing good relationships and found it important to be flexible and creative. However, a challenge to successful service provision in supporting siblings and their families was that the nurses lacked support for the implementation of health promotion interventions and often felt alone. The analysis elicited three main themes: 'the importance of relationships and flexibility in meeting siblings' needs', 'feeling alone with responsibility for supporting siblings' and 'the forgotten children: a need for coordinated services'.
PHNs in school health services are in a unique position to provide support to improve siblings' mental health and well-being. To fully benefit from PHNs' potential to support siblings, there is a need to clarify guidelines and develop evidence-based interventions.
This study provides valuable insights for health authorities, educators and practitioners on what inhibits sibling support in Norway. The study highlights the potential for PHNs to play a significant role in delivering timely health-promoting interventions for these siblings in school settings independent of context.
This study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).
No patient or public contribution.
探讨挪威小学卫生服务中的公共卫生护士（PHNs）在支持有复杂护理需求的兄弟姐妹方面所起的作用。
采用焦点小组结合视觉方法的定性探索性设计。
19名挪威公共卫生护士参加了2022年5月至9月期间的三次焦点小组讨论。要求护士们将自己描绘成在小学工作的公共卫生护士。采用布劳恩和克拉克的反思性主题分析法对转录的访谈进行分析。使用批判性视觉分析方法对这些图画进行分析。
研究结果显示，小学中的公共卫生护士专注于建立良好的关系，并认为灵活性和创造性很重要。然而，在为兄弟姐妹及其家庭提供支持方面，成功提供服务面临的一个挑战是，护士们缺乏实施健康促进干预措施的支持，并且常常感到孤立无援。分析得出三个主要主题：“在满足兄弟姐妹需求方面关系和灵活性的重要性”、“在支持兄弟姐妹方面独自承担责任的感受”以及“被遗忘的孩子：对协调服务的需求”。
学校卫生服务中的公共卫生护士处于独特地位，能够提供支持以改善兄弟姐妹的心理健康和幸福感。为了充分利用公共卫生护士支持兄弟姐妹的潜力，需要明确指导方针并制定基于证据的干预措施。
本研究为卫生当局、教育工作者和从业者提供了关于挪威抑制兄弟姐妹支持因素方面宝贵的见解。该研究强调了公共卫生护士在学校环境中为这些兄弟姐妹提供及时健康促进干预措施方面发挥重要作用的潜力，且不受背景限制。
本研究按照定性研究报告的综合标准（COREQ）进行报告。
无患者或公众贡献。
