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Föräldrars användning av Internet för rådgivning avseende sina friska barns hälsa och utveckling och dess inverkan på Barnhälsovårdens konsultativa arbete: En studie i Svensk Barnhälsovård
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2020 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Att bli förälder är en livsomvälvande händelse som kan vara både glädjande och skrämmande. Som förälder ansvarar man för en annan människa där man i vissa fall behöver ny information, kunskap och råd för att leva upp till de nya kraven som en förändrad familjesituation kräver. Förmågan att tillgodogöra sig information, kunskap och råd kan relateras till begreppet hälsolitteracitet som berör hur personer förstår och tillgodogör sig hälsorelaterad information. Den svenska barnhälsovårdens mål är att främja barns hälsa och utveckling och förebygga ohälsa hos barn, samt stödja föräldrar i föräldrarollen. Barnhälsovårdens sjuksköterskor följer barnets hälsa och utveckling till dess att barnet fyller fem år och är en viktig del i stöttningen av föräldrarna. De flesta av dagens föräldrar är födda i den digitala generationen och Internet är en naturlig källa till information och ökad kunskap. Föräldrarnas hälsolitteracitet kan inverka på hur internetinformationen påverkar dem och deras agerande för att möta barnens behov. I nuläget är litet känt om hur informationsöverflödet från digitala källor som Internet används av föräldrar och i interaktionen med barnhälsovården. Denna licentiatavhandlings syfte är att generera ökad kunskap om hur föräldrar använder Internet för hälsorelaterad information relaterat till deras 0–6 åriga friska barn och hur detta kan påverka dem själva samt om och i så fall, hur detta inverkar på barnavårdssjuksköterskans konsultativa arbete. I licentiatavhandlingen ingår två delstudier: Delstudie I genomfördes som en kvalitativ intervjustudie med sjuksköterskor (n=20) verksamma inom Barnhälsovården. Syftet var att beskriva deras erfarenheter och uppfattningar om föräldrars internetanvändning. I resultatet framkom tre kategorier som belyste syftet: Det framkom att ”Internet underlättar vård samt tillgång och tillgänglighet av vård och vårdinformation”, vidare att ” Internet gör yrkesutövande mer komplext” samt till sist uttrycktes det ”Ett behov av förändrad yrkesroll för barnhälsovårdssjuksköterskan”. I delstudie II genomfördes en enkätundersökning med föräldrar (n=687) som hade barn inskrivna på barnhälsovården inom en region i norra Sverige. Syftet var att beskriva föräldrars internetanvändning för råd eller information relaterat till hälsa och barns utveckling för deras friska barn samt hur informationen användes i kontakten med Barnhälsovården. Nästan alla föräldrar (n=686), uppfattade att Internet är en bra informationskälla för råd och information om barns hälsa och utveckling, men de uttryckte osäkerhet inför mängden av information samt kring den egna förmågan att söka, sortera och värdera funnen information. I resultatet sågs också att många föräldrar 81,7% (n = 561) önskade ha stöd och vägledning av sin barnhälsovårdssjuksköterska avseende internetinformation och webbsidor. Licentiatavhandlingens resultat visar att föräldrar har ett behov av stöd och att barnhälsovårdens sjuksköterskor genom den uppbyggda relationen dem emellan både kan vägleda och ge råd för att stödja föräldrar. Genom att stödja föräldrar på detta sätt kan barnhälsovården bidra till att öka föräldrars hälsolitteracitet och därmed även deras hälsokompetens. Barnhälsovårdens medarbetare behöver kompetensutveckling och verktyg för att kunna stödja föräldrar mot större hälsolitteracitet och därigenom även en högre hälsokompetens. Det ses som viktigt att utveckla fler kvalitetssäkrade digitala verktyg som komplement till dagens Barnhälsovård baserad på personliga möten. Verktygen skulle kunna bestå i att stötta föräldrar till att söka och värdera information från evidensbaserade källor, samt att införliva chatt och videokonferensmöjligheter mellan föräldrar och barnhälsovårdssjuksköterskorna också inom offentlig sjukvård.

Abstract [en]

Becoming a parent is a life-changing event that can be both gratifying and scary. As a parent, one is responsible for another person, where there sometimes is a need for new information, knowledge, and advice to live up to the new requirements that a changing family situation requires. The ability to make use of information, knowledge, and advice can be related to the concept of health literacy that affects how people understand and make use of health-related information. The goal of Swedish child health care is to promote children's health and development and prevent ill-health in children, as well as support parents in the role of parenting. Child health care nurses follow the child's health and development until the child turns five years and is an important part of supporting the parents. Most of today's parents are born in the digital generation and the Internet is a natural source of information for increased knowledge. Parental health literacy can affect how Internet information affects them and their actions based on the needs of the children. At present, little is known about how the information flow from digital sources such as the Internet is used by parents and in the interaction with child health care. The purpose of this licentiate thesis is to generate increased knowledge about how parents use the Internet for health-related information related to their 0–6-yearold healthy children and how this may affect themselves and if so how this, in turn, affects the nurse's consultative work. The licentiate thesis includes two sub-studies: Sub-study I was conducted as a qualitative interview study with nurses (n = 20) active in child health care. The purpose was to describe their experiences and perceptions of parents' internet use. In the results, three categories emerged that highlighted the purpose: “The Internet facilitates care and access to care- and care information”, further “The Internet makes professional practice more complex” and finally “A need for a changing professional role for the child health care nurse". In sub-study II, a survey was conducted with parents (n = 687) who had children enrolled in child health care. The purpose was to describe parents' Internet use for advice and information related to health and child development for their healthy children and how the information was used in contact with child health care. Almost all parents (n = 686) perceived that the Internet was a good source of information for advice and information on children's health and development, but they expressed uncertainty about the amount of information and their own ability to search, sort and evaluate the information found. The results also showed that many parents 81.7% (n = 561) wanted support and guidance from their child health care nurse regarding internet information and web pages. The thesis results showed that parents need support and that the child health care nurses can both guide and advice to support parents through the established relationship between them. By supporting parents in this way, the child health care can promote parental health literacy. Based on the research carried out and to meet parental demand for advice on their children's health there is a proposal for a digital solution, a chat or a kind of digital reception where parents can consult the child health care nurse and confirm whether they thought right, or get additional advice and information, which would be an innovative proposal. The staff of Swedish child health care are in need of competence development, as well as tools in order to be able to support and promote parents towards health literacy. It seems necessary to develop adequate and quality assured digital tools as a complement to the present child health care which has its base in personal meetings. The tools could include the competence of supporting parents to search and validate information from evidence-based sources, as well as the incorporation of chat and videoconference possibilities between parents and child health nurses.

Place, publisher, year, edition, pages
Sundsvall: Mid Sweden University , 2020. , p. 74
Series
Mid Sweden University licentiate thesis, ISSN 1652-8948 ; 169
Keywords [en]
Child Health Care, Counseling, Health Literacy, Internet, Family
Keywords [sv]
Barnhälsovård, Hälsolitteracitet, Internet, Familj, Rådgivning
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-39009ISBN: 978-91-88947-48-2 (print)OAI: oai:DiVA.org:miun-39009DiVA, id: diva2:1429804
Presentation
2020-06-05, Campus Sundsvall, Holmgatan 10, Sundsvall, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2020-05-12 Created: 2020-05-12 Last updated: 2020-05-12Bibliographically approved
List of papers
1. Child health nurses’ experiences and opinions of parent Internet use
Open this publication in new window or tab >>Child health nurses’ experiences and opinions of parent Internet use
2018 (English)In: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 188, no 12, p. 1736-1747Article in journal (Refereed) Published
Abstract [en]

ABSTRACT Background: On the basis of parents? growing use of the Internet as a resource for health-related information, and the total lack of scientific literature about how nurses in child healthcare experience how their work is affected, further information is needed.Purpose: This study describes child health nurses? (CHN) experiences and opinions of parent Internet use.Design and methods: Using a qualitative descriptive approach, CHNs (n?=?20) working at Health Centres in northern Sweden were interviewed.Results: An overarching theme named ?Parents? use of Internet has influenced Nurses? work? was identified. The theme comprises three categories; ?Internet facilitating care, access, and provision?; ?The Internet complicating the professional role and performance?; and ?Sensing an imperative for a new role as a CHN.Conclusions: These findings add a fresh perspective to understanding the new and transformed professional role of CHNs.

National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-32184 (URN)10.1080/03004430.2017.1278697 (DOI)000447301100010 ()2-s2.0-85009829462 (Scopus ID)
Available from: 2017-11-29 Created: 2017-11-29 Last updated: 2020-05-12Bibliographically approved
2. Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care: A Mixed-Methods Study on Parents’ Search Patterns
Open this publication in new window or tab >>Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care: A Mixed-Methods Study on Parents’ Search Patterns
2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 10, p. 731-745, article id 88148Article in journal (Refereed) Published
Abstract [en]

Today’s parents belong to the digital generation and regularly use the Internet as a source of information. Parents’ quests for health-related online information comprise an effort to manage symptoms of illness or address questions about child development which may be an expression of self-management or self-care. Purpose: This study aims to describe health and child development related Internet search patterns used by parents of children ages zero to six, and further, how the obtained information was used in contacts with Child Health Care. Design and Methods: A two-step mixed- method approach is used in this study, comprising both a quantitative and a qualitative approach. First, a questionnaire was distributed to parents (n = 800) at 13 health centers in a medium sized county in Sweden. Second, one narrative interview with two parents total was conducted. Descriptive and non-parametric statistics were calculated, and qualitative manifest content analyses were performed. Results: A total of 687 completed the questionnaire, which corresponds to a response rate of 86%. The results show that 97% used the Internet for health-related and developmental child issues. The results show that parents often look at basic tips and the Internet is seen as a fast and accessible forum to obtain information. Parents often initiated their Internet searches using Google search for the specific subject, but the most common and most used website (used by 95% of parents), was the Swedish health site 1177.se. 98.4% of parents evaluated the general information searches they made on the Internet as reliable despite only 31% of the parents checking to see if the websites they used were scientifically based. Parents (81.7%) stated that they wanted their Child Health Nurses (CHN) to give them recommendations for valid websites. Conclusions: The results in this study show that, on the one hand, the Internet could strengthen parental knowledge (support self-care capacity), but, on the other hand, the found information could worry them and increase their anxiety—negatively affected self-care capacity. The parents suggested that the information should be double-checked to establish trust and develop self-care knowledge. Having a good resource to rely on, such as personal contact with a CHN, or using reliable websites seems to strengthen and reassure parents.

Place, publisher, year, edition, pages
Scientific Research Publishing, 2018
Keywords
Health Literacy, Internet Advice, Mixed-Method, Parenting, Self-Care
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-35216 (URN)10.4236/ojn.2018.810055 (DOI)
Available from: 2018-12-14 Created: 2018-12-14 Last updated: 2020-05-12Bibliographically approved

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