ABSTRACT
Objective: To explore perceptions among nurses, managers, and policymakers regarding organizational readiness to implement mHealth for the promotion of healthy lifestyle behaviors in child and school healthcare. Methods: Individual semi-structured interviews with nurses (n = 10), managers (n = 10), and policymakers (n = 8) within child and school healthcare in Sweden. Inductive content analysis was used for data analysis. Results: Data showed that various trust-building aspects in health care organizations may contribute to readiness to implement mHealth. Several aspects were perceived to contribute trusting conditions: (a) how health-related data could be stored and managed; (b) how mHealth aligned with current organizational ways of working; (c) how implementation of mHealth was governed; and (d) camaraderie within a healthcare team to facilitate use of mHealth in practice. Poor capability to manage health-related data, as well as lack of governance of mHealth implementation were described as dealbreakers for readiness to implement mHealth in healthcare organizations. Conclusions: Healthcare professionals and policymakers perceived that trusting conditions for mHealth implementation within organizations were central for readiness. Specifically, governance of mHealth implementation and the ability to manage health-data produced by mHealth were perceived critical for readiness.
ABSTRACT
This article is the second in a series of three articles discussing the importance of interprofessional collaboration between the school nurse and other school-based and community professionals to create a healthcare team. Developing the healthcare team begins with identifying the individual medical, mental health, and educational needs of the student. Expertise in both education and healthcare systems makes school nurses ideal candidates for coordinating with the healthcare team to meet the needs of the student. This article builds on the first article by providing some examples of the collaboration that occurs between the school nurse and other team members, as well as identifying facilitators and barriers to this collaboration.
Subject(s)
Interprofessional Relations , School Nursing , Cooperative Behavior , Delivery of Health Care , Humans , Patient Care Team , SchoolsABSTRACT
AIM: The aim of this study was to compare and describe gender differences and the associations between symptoms of depression and family conflict and economics, lifestyle habits, school satisfaction and the use of health-care services among adolescents. METHODS: Data were retrieved from Ungdata which is a cross-sectional study. Adolescents ( n=8052) from secondary school grades 8, 9 and 10 (age 13-16 years) participated in the study from 41 municipal schools in four counties. RESULTS: Girls reported a higher prevalence of symptoms of depression than boys. Gender differences were seen on all items related to symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and health-care services. Multiple regressions showed that family conflicts and economics contributed to 19.2% of the variance in symptoms of depression in girls and 12.4% in boys. School satisfaction made a strong contribution: 21.5% in girls and 15.4% in boys. The total model explained 49% of the total variance in symptoms of depression in girls and 32.5% in boys. CONCLUSIONS: Gender demonstrated a pattern through a higher proportion of girls reporting symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and use of health-care services. Even though the adolescents reported symptoms of depression, few used the school health-care services and public health nurses. This indicates that they need a person-centered approach for symptoms of depression. The findings may have important implications for planning for adolescents in school health services.
Subject(s)
Depression/epidemiology , Health Status Disparities , Adolescent , Cross-Sectional Studies , Female , Health Surveys , Humans , Male , Norway/epidemiology , Sex DistributionABSTRACT
Nurses in Swedish child and school healthcare need to balance their assignment of promoting children's health and development based on the national health-monitoring programme with their responsibility to consider each child's needs. In this balancing act, they encounter children through directed and pliable strategies to fulfil their professional obligations. The aim of this study was to analyse the extent to which nurses use different strategies when encountering children during their recurrent health visits throughout childhood. A quantitative descriptive content analysis was used to code 30 video recordings displaying nurses' encounters with children (3-16 years of age). A constructed observation protocol was used to identify the codes. The results show that nurses use pliable strategies (58%) and directed strategies (42%) in encounters with children. The action they use the most within the pliable strategy is encouraging (51%), while in the directed strategy, the action they use most is instructing (56%). That they primarily use these opposing actions can be understood as trying to synthesize their twofold assignment. However, they seem to act pliably to be able to fulfil their public function as dictated by the national health-monitoring programme, rather than to meet each child's needs.
Subject(s)
Child Health , Nurses/psychology , School Health Services/organization & administration , Teaching , Adolescent , Child , Child, Preschool , Female , Health Behavior , Humans , Male , Parents , Schools , SwedenABSTRACT
Buscou-se identificar e analisar as representações sociais de monitores do PET-Saúde da Universidade Federal de Minas Gerais (UFMG), Brasil, que atuam na linha de pesquisa Saúde na Escola, concernente à influência dessa vivência na sua formação e no seu olhar sobre o trabalho em equipe interdisciplinar. O trajeto metodológico delineou as representações sociais dos monitores após vivenciarem o projeto. As respostas dos relatórios dos monitores foram digitalizadas e importadas para o programa NVivo10, categorizadas e analisadas por meio do discurso do sujeito coletivo. Levantaram-se dados de 33 monitores do PET-Saúde na Escola, que constituíram 16 componentes representacionais positivamente relacionados a sua formação (n=9) e ao trabalho em equipe interdisciplinar (n=7). Verificou-se que a vivência no referido projeto promoveu diferenciais relevantes na formação desses futuros profissionais de saúde, com percepções favoráveis ao trabalho em equipe interdisciplinar, atentas às demandas sociais do Sistema Único de Saúde (SUS).
This study aimed to identify and analyze social representations of PET-Health monitors at the Minas Gerais Federal University (UFMG), Brazil, which participate in the School Healthcare research area, with respect to the influence of this experience on their professional education and their outlook toward interdisciplinary teamwork. The methodology sought to delineate their social representations. Their responses were assessed, entered into a database, and imported to the NVivo.10 software. The data were categorized and evaluated using collective subject discourse analysis. Data from 33 monitors of PET-Saúde were gathered, and these formed 16 representational components: nine related to the monitors education and seven related to interdisciplinary teamwork. The experience made a relevant difference to the education of professionals, with favorable perceptions toward interdisciplinary teamwork focusing on the social demands of the Brazilian Health System (SUS).
El objetivo fue delinear las representaciones sociales de los monitores del PET-Salud-UFMG, Brasil, que actúan en la línea de investigación Salud en la Escuela, acerca de la influencia de esa experiencia en su formación y con respecto al trabajo en equipo interdisciplinario. El trayecto metodológico buscó delinear las representaciones sociales de los monitores. Fueron depuradas las respuestas en los informes de los monitores, digitalizadas e importadas para el programa NVivo.10. Posteriormente, fueron categorizadas y analizadas vía discurso del sujeto colectivo. Se pesquisaron datos de 33 monitores del PET-Salud en la Escuela, constituyendo 16 representaciones sociales, siendo nueve relacionadas a su formación y siete al trabajo en equipo interdisciplinario. La experiencia en el proyecto ayudó a promover diferencias para la formación de futuros profesionales de salud, con percepciones favorables para el trabajo en equipo interdisciplinario, dirigidas a las demandas sociales del Sistema Brasileño de Salud (SUS).
Subject(s)
Humans , National Health Programs , Unified Health SystemABSTRACT
O objetivo deste estudo foi analisar os conhecimentos, as atitudes e as práticas sobre saúde ocular em escolares dos enfermeiros que atuam na Equipe de Saúde da Família. Trata-se de um estudo descritivo, do tipo inquérito KAP (Kowledge, Attitudes and Practices) com enfermeiros (n = 94) lotados na Área de Planejamento 3.1. O período de coleta de dados foi entre maio e junho de 2013, após aprovação do Comitê de Ética em Pesquisa da Escola de Enfermagem Anna Nery, sob o protocolo 240.019. Os dados foram digitados, revisados e analisados utilizando o software Epi-Info (versão 3.5.2). Os resultados, após análises univariadas com distribuição de frequências simples, foram apresentados em tabelas e quadros e apresentados separadamente de acordo com cada variável do método. Destaca-se a predominância do sexo feminino (84%), com tempo de formação de um a cinco anos (49,9%) e 21,3% tiveram cargo de gerente de Unidade Básica. No consolidado dos percentuais de respostas adequadas, a população estudada apresentou conhecimento adequado (61,26%), atitude positiva (90,15%) e, em destaque, um percentual baixo de práticas adequadas (36,43%). O nível de conhecimento e atitudes foi favorável, visto que a maioria das respostas demonstrou ser adequada. Com relação à prática, o baixo nível evidenciou que, no momento da realização da pesquisa, poucos praticavam ações voltadas para saúde ocular em ambiente escolar, assim como no ambiente ambulatorial. O método utilizado permitiu que os objetivos fossem alcançados, sendo que o estudo possibilitou a realização de um diagnóstico seccional da área de planejamento sobre a promoção da saúde voltada para saúde ocular, permitindo a descrição dos conhecimentos, atitudes e práticas...
The aim of this study is to analyze the knowledge, attitudes and practices of Nurses who work with the Family Health Strategy Staff, in regards to the eye healthcare in school children. This is a descriptive study, of the KAP (Knowledge, Attitudes and Practices) kind, with Nurses (n=94) with a position at the Planning Area 3.1. The timeline for data collection was from May to June, 2013, after the approval granted by the Research Ethics Committee at the Escola de Enfermagem Anna Nery, #240.019. Data was digitalized, revised and analysed using the Epi-Info (version 3.5.2) software. After uni-varied analyses with simple frequency distribution, the results were presented in tables and charts, and were separately presented according to each method's variable. The predominance of female gender (84%), time of finishing education (49.9%), and having occupied the Basic Unit's managing position (21.3%) were highlighted. The consolidated percentages of adequate responses showed that the studied population presented adequate knowledge (61.26%), a positive attitude (90.15%), and, highlighted, a low percentage of adequate practices (36.43%). The level of knowledge and attitude were favorable, since the majority of answers showed to be adequate. In relation to the practice, the low level indicated that, at the time of the research, there were only a few actions in practice that were turned to the Eye Healthcare at the school environment, as well as at the outpatient environment...
El objetivo de este estudio es analizar los conocimientos, actitudes y prácticas en salud ocular en escolares de los enfermeros que actúan en el Equipo de Salud de la Familia. Este es un estudio descriptivo, de tipo entrevista KAP (Knowledge, Attitudes and Practices) con enfermeros (n = 94) que trabajan en el Área de Planeamiento 3.1. El período de coleta de datos fue entre mayo y junio de 2013, después de la aprobación del Comité de Ética en Pesquisa de la Escola de Enfermagem Anna Nery, bajo número 240.019. Los datos fueran digitalizados, revisados y analizados usándose el software Epi-Info (versión 3.5.2). Los resultados, después de análisis univariadas con distribución de frecuencias simples, fueran presentados en tablas y cuadros, y fueran presentados en separado de acuerdo con cada nivel del método. Destacase la predominancia del sexo femenino (84%), con tiempo de formación de uno a cinco años (49.9%) y 21.3% tuvieran la posición de gerente de Unidad Básica. El resultado consolidado presentó porcentuales de respuestas adecuadas: la población estudiada presentó conocimiento adecuado (61.26%), actitud positiva (90.15%) y, destacándose, un bajo porcentual de prácticas adecuadas (36.43%)...
