Emmie Wahlström1,2, Marie Golsäter3,4, Mats Granlund3, Inger K Holmström5,6, Peter Larm5, Maria Harder7,5,8. 1. ChiP research group, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23, Västerås, Sweden. emmie.wahlstrom@mdh.se. 2. School of health, care and social welfare, Mälardalen University, Västerås, Sweden. emmie.wahlstrom@mdh.se. 3. CHILD-research group, School of Health and Welfare, Jönköping University, Jönköping, Sweden. 4. Child Health Services and Futurum, Region Jönköping County, Jönköping, Sweden. 5. School of health, care and social welfare, Mälardalen University, Västerås, Sweden. 6. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. 7. ChiP research group, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23, Västerås, Sweden. 8. Child Health Care Services, Region Västmanland, Västerås, Sweden.
Abstract
BACKGROUND: School nurses in the school health services are assigned to promote health and participation among children when conducting health visits. Still, for children of foreign origin this promotion of participation might be hampered by challenges related to cultural diversity and language barriers. Therefore, knowledge needs to be developed regarding how these children's participation can be promoted, to support them in sharing and describing matters important for their health. The aim was to investigate school nurses' descriptions of promoting participation for children of foreign origin in health visits. METHODS: A content analysis of 673 Swedish school nurses' answers to eight open-ended questions regarding promotion of participation for children of foreign origin was conducted. The open-ended questions were part of a larger web-based cross-sectional survey distributed to school nurses in Sweden. RESULTS: The results show that school nurses use three main approaches during the health visit: adjusting according to the child's proficiency in Swedish and/or cultural or national background, adjusting according to the child's individual needs, and doing the same for all children regardless of their origin. Yet, adjustments according to the child's proficiency in Swedish and/or cultural or national background were the most common. CONCLUSIONS: By combining the approaches of adjusting, a child-centered care that contributes to children's participation in health visits and equity in health could be provided.
BACKGROUND: School nurses in the school health services are assigned to promote health and participation among children when conducting health visits. Still, for children of foreign origin this promotion of participation might be hampered by challenges related to cultural diversity and language barriers. Therefore, knowledge needs to be developed regarding how these children's participation can be promoted, to support them in sharing and describing matters important for their health. The aim was to investigate school nurses' descriptions of promoting participation for children of foreign origin in health visits. METHODS: A content analysis of 673 Swedish school nurses' answers to eight open-ended questions regarding promotion of participation for children of foreign origin was conducted. The open-ended questions were part of a larger web-based cross-sectional survey distributed to school nurses in Sweden. RESULTS: The results show that school nurses use three main approaches during the health visit: adjusting according to the child's proficiency in Swedish and/or cultural or national background, adjusting according to the child's individual needs, and doing the same for all children regardless of their origin. Yet, adjustments according to the child's proficiency in Swedish and/or cultural or national background were the most common. CONCLUSIONS: By combining the approaches of adjusting, a child-centered care that contributes to children's participation in health visits and equity in health could be provided.
Entities:
Keywords:
Children; Content analysis; Cultural diversity; Participation; School health services; School nursing
Authors: Emmie Wahlström; Maria Harder; Mats Granlund; Inger K Holmström; Peter Larm; Marie Golsäter Journal: Nurs Health Sci Date: 2019-11-15 Impact factor: 1.857
Authors: Christine Imms; Mats Granlund; Peter H Wilson; Bert Steenbergen; Peter L Rosenbaum; Andrew M Gordon Journal: Dev Med Child Neurol Date: 2016-09-19 Impact factor: 5.449