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Health dialogues between pupils and school nurses: a description of the verbal interaction
Jönköping University, School of Health Science, HHJ. CHILD.
Unit for Research and Development in Primary Health Care, Futurum, County Council of Jönköping.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health Science, HHJ. CHILD. (CHILD)
2012 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 89, no 2, 260-266 p.Article in journal (Refereed) Published
Abstract [en]

Objective:The purpose of this study was to explore and describe the content and the verbal interaction in health dialogues between pupils and school nurses.

Method: Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system.

Results:The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses’ statements. The nurses summarized and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses.

Conclusion:The nurses’ use of verbal interaction approaches to promote pupils’ activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues. 

Clinical implications: The nurses’ great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about.

Place, publisher, year, edition, pages
2012. Vol. 89, no 2, 260-266 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-17653DOI: 10.1016/j.pec.2012.07.012OAI: oai:DiVA.org:hj-17653DiVA: diva2:503588
Available from: 2012-02-16 Created: 2012-02-16 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Hälsosamtal som metod att främja barns och ungdomars hälsa: en utmanande uppgift
Open this publication in new window or tab >>Hälsosamtal som metod att främja barns och ungdomars hälsa: en utmanande uppgift
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to explore and describe health dialogues from pupils’ and nurses’ perspectives as well as the verbal interaction between them, in the context of a structured health and lifestyle tool.

Seventy-four pupils and 23 school nurses participated in focus group interviews, and further 14 nurses participated in individual interviews. To explore the verbal interaction, 24 health dialogues with pupils and school nurses were recorded using a video camera. The data from the interviews were subjected to qualitative content analysis and the verbal interactions were analysed using the paediatric version of the Roter Interaction Analysis System.

Health dialogues based on the pupil’s own situation were described as a process that provided them opportunities to influence their own health. Prerequisites for a pupil-centered health dialogue were that the pupils were prepared, felt respected and like active participants, and that their own experiences were in focus. How the nurses acted was crucial to the pupils’ experience of and possibility to benefit from of the health dialogue based on their own needs and wishes. A health and lifestyle tool could support the dialogue by constituting a structure, open up for discussion and contribute to an understanding of the individual’s situation. The tool could also facilitate the transmittal of health information on an individual as well as a group level. In terms of utterances in the dialogues, the school nurses were the ones who talked the most. The pupils most frequently gave information about their lifestyle and agreed with the nurses. The nurses asked questions and provided information about lifestyle, and checked that they had understood the pupils. Just over a third of the nurses’ verbal interaction approaches were aimed to make the pupil more active and participatory in the dialogues.

In conclusion, the health dialogues were described as an opportunity to gain knowledge about and insight into health and lifestyle, but a pupil-centered dialogue was considered crucial. The challenge is to adapt the health dialogue based on each pupil’s needs and wishes, and a health and lifestyle tool could contribute structure and support the dialogue.

 

Place, publisher, year, edition, pages
School of Health Sciences, Jönköping University, 2012. 92 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 26
Keyword
barnhälsovård, barn och ungdomar, elevcentrerade hälsosamtal, hälsofrämjande arbete, hälsosamtal, hälsoverktyg, sjuksköterska, skolhälsovård
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-17654 (URN)978-91-85835-25-6 (ISBN)
Public defence
2012-03-09, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-02-17 Created: 2012-02-16 Last updated: 2012-11-26Bibliographically approved

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