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Skolsköterskans upplevelser och erfarenheter av arbetet med att förebygga psykisk ohälsa samt deras upplevelser av den ökande psykiska ohälsan hos skolelever.: En intervjustudie med kvalitativ ansats
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The school nurse experiences of the work to prevent mental illness as well as their experiences of the increasing mental illness of pupils : An interview study with qualitative approach (English)
Abstract [sv]

Syfte:

Att beskriva skolsköterskans upplevelser och erfarenheter av arbetet med att förebygga psykisk ohälsa samt deras upplevelser av den ökande psykiska ohälsan hos skolelever.

Metod:

Studien har en kvalitativ ansats med syfte att beskriva skolsköterskans upplevelser. Datainsamling gjordes genom semistrukturerade intervjuer med öppna frågor och informanterna var skolsköterskor. Intervjuerna transkriberades och genomgick en innehållsanalys.

Resultat:

Analysen utmynnade i fem kategorier; Betydelsen av hälsosamtalet, Samarbete, Tid och resurser, Organisationsmässiga aspekter samt Ett ökande problem. Skolsköterskor upplevde hälsosamtalet till stor hjälp i det förebyggande arbetet. Det underlättade även det förebyggande arbetet om det fanns ett gott samarbete, både inom den egna organisationen såväl som med andra. Det upplevdes som ett stort hinder när detta samarbete inte fungerade. Att ha tid till att kunna vara tillgänglig och ha möjlighet att vara i miljöer där eleverna vistas var något positivt, men skolsköterskorna upplevde att tid var en bristvara och att det var svårt att hinna med det förebyggande arbetet. Elever som redan mår dåligt tar mycket tid och skolsköterskorna upplevde att den psykiska ohälsan hos eleverna har ökat. Flera tyckte att det kom som en överraskning att det är så många barn som mår så dåligt i skolan. Många utav de barn som inte mår bra har någon neuropsykiatrisk funktionsnedsättning och skolsköterskorna trodde att om kunskaperna var bättre så skulle stor del av den psykiska ohälsan kunna förebyggas.

Slutsats:

Skolsköterskorna ansåg att den psykiska ohälsan är ett växande problem bland elever i högstadiet. Det var av vikt att arbeta förebyggande men det var även svårt att hinna med då de som redan lider av psykisk ohälsa tar så mycket tid, och tid var en bristvara.

Abstract [en]

Aim:

The school nurse experiences of the work to prevent mental illness as well as their experiences of the increasing mental illness of pupils.

Method:

The study has a qualitative approach, with the purpose of describing the school nurse's experiences. Data collection was done using semi structured interviews with open questions. The interviews were transcribed and underwent a content analysis.

Results:

The analysis resulted in five categories; Importance of the health-dialouge, Cooperation, Time and resources, Organizational aspects and An increasing problem. School nurses experienced the health-dialouge to be very helpful in the preventive work. It also facilitated the preventive work if there was a good cooperation, both within their own organization as well as with others. It became a major obstacle in the school nurse's work when this cooperation did not work. To have time to be available and to be able to stay in environments where the students were staying was something positive, but the school nurses felt that time was a shortcoming and it was difficult to find the time for preventive work. Students who already feel bad take a lot of time and the school nurses felt that the mental illness of the students has increased. Several school nurses found it surprising that there are so many children who did not feel good at school. Many of the children who do not feel well have a neuropsychiatric disability and if the knowledge was better, much of the mental illness could be prevented.

Conclusion:

School nurses considered that mental illness is a growing problem among students in secondary school. It is important to work preventively but also difficult to cope with, as those who already suffers from mental illness need so much time, and time was a shortage.

Place, publisher, year, edition, pages
2018.
Keyword [en]
experience, mental illness, prevention, qualitative, school nurse, pupils.
Keyword [sv]
elever, förebyggande, kvalitativ, psykisk ohälsa, skolsköterska, upplevelse.
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-26977OAI: oai:DiVA.org:du-26977DiVA, id: diva2:1177383
Available from: 2018-01-25 Created: 2018-01-25

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