School Nurses' Perceived Barriers to Discussing Weight with Children and Their Families: A Qualitative Approach

Autor/inn/en	Steele, Ric G.; Wu, Yelena P.; Jensen, Chad D.; Pankey, Sydni; Davis, Ann M.; Aylward, Brandon S.
Titel	School Nurses' Perceived Barriers to Discussing Weight with Children and Their Families: A Qualitative Approach
Quelle	In: Journal of School Health, 81 (2011) 3, S.128-137 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/j.1746-1561.2010.00571.x
Schlagwörter	Barriers; Body Weight; Obesity; Health Promotion; Interpersonal Communication; Child Health; Role; Attitude Measures; Urban Schools; Knowledge Level; School Role; Time Factors (Learning); Family School Relationship; Motivation; Responses; Rural Schools; School Nurses; Focus Groups; Family Characteristics; Children; Communications; Methods; Financial Support; Public Policy; Economic Factors; Board of Education Policy; Educational Environment + Suchen Sie Ihr Suchwort? Körpergewicht; Adipositas; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Interpersonale Kommunikation; Rollen; Urban area; Urban areas; School; Schools; Stadtregion; Stadt; Schule; Wissensbasis; psychologische; Motivation (psychologisch); Rural area; Rural areas; Ländlicher Raum; Schulen; Child; Kind; Kinder; Nachrichtenwesen; Method; Methode; Finanzielle Förderung; Öffentliche Ordnung; Ökonomischer Faktor; Lernumgebung; Pädagogische Umwelt; Schulumwelt
Abstract	Background: Previous studies have documented the presence of specific barriers to school nurses' communications with families about weight-related health. The purpose of the present study was to contribute to the literature by further analyzing, using focus group methodology, school nurses' perceived barriers to addressing weight-related health issues with children and their families. Methods: Twenty-two school nurses from urban and rural school districts in the Midwestern United States participated in 7 focus groups during the spring semester of 2008. Sessions were recorded and transcribed in their entirety. Study authors reviewed the focus group content and identified themes of perceived barriers. NVivo 8 was used to code and evaluate themes. Results: Consistent with the extant literature, nurses identified a lack of knowledge and resources, personal weight challenges, lack of institutional support, and lack of time as barriers to weight-related communications with families. However, in addition to these previously identified barriers, nurses also identified family characteristics, child motivation, fear of reactions, and difficulty establishing relationships with children as barriers that impeded their communication with families about weight-related health. Conclusions: As expected, the use of focus group methodology yielded evidence of barriers to communication that had not been previously identified in the literature, as well as those that had been well documented. Consistent with a socioecological view of pediatric healthcare, results suggest a number of systems that could be targeted to improve nurses' weight-related communications with families. (Contains 2 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10