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Skolsköterskors inställning till hälsofrämjande arbete på gruppnivå
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
School nurse´s attitude towards health promotion on a group level (English)
Abstract [sv]

Bakgrund: Skolsköterskans arbetsuppgifter har förändrats över tid, från medicinska insatser på individnivå till ett fokus på hälsofrämjande arbete på individ-, grupp- och organisationsnivå. Skollag, riktlinjer och kompetensbeskrivning beskriver att skolsköterskan ska arbeta hälsofrämjande och förebyggande på gruppnivå. Trots det sker skolsköterskans arbetsinsatser främst åtgärdande på individnivå. Syfte: Syftet med studien var att belysa skolsköterskors inställning till sitt uppdrag med fokus på hälsofrämjande arbete på gruppnivå. Metod: En kvalitativ metod med induktiv ansats valdes för att besvara studiens syfte. Semistrukturerade telefonintervjuer med tio skolsköterskor på väst- och östkusten i Sverige genomfördes. Datamaterialet analyserades med kvalitativ innehållsanalys på latent nivå. Resultat: Analysen resulterade i två kategorier; Skolsköterskans yrkesroll och rollförändring och Arbetsstruktur och organisation, med fem subkategorier; Fokus från åtgärdande insatser till hälsofrämjande arbete; Skolsköterskans breda hälsofrämjande potential; Inga tydliga arbetsbeskrivningar; Prioritering av arbetsuppgifter och Hela skolans ansvar. Konklusion: Skolsköterskan är en unik kompetens som den enda professionen i skolan som möter samtliga elever utifrån ett medicinskt-, omvårdnadsmässigt- och salutogent synsätt. Skolsköterskor vill arbeta mer hälsofrämjande på gruppnivå än vad som görs idag, men saknar tydliga strukturer och tillräckligt med tid och resurser för det arbetet. Med rätt förutsättningar kan skolsköterskan bli mer delaktig i det hälsofrämjande arbetet på gruppnivå.

Abstract [en]

Background: The school nurse’s duties have changed over time, from medical contributions at the individual level to a focus on promoting health at individual-, group- and organizational levels. Swedish school law, guidelines and competence description describes that school nurses’ work methods should be promoting health and be preventative at the group level. Nevertheless, today, the school nurse’s work is mainly done on an individual level. Purpose: The purpose of the study was to highlight school nurses’ attitude towards their assignment in focusing on health promoting work at the group level. Method: A qualitative method was used. Semi-structured telephone interviews with ten school nurses in Sweden were conducted. The data was analysed with a qualitative content analysis method and with an inductive approach, on a latent level. Result: The analysis resulted in two categories; The school nurse’s professional role and role change and Work Structure and Organization, with five subcategories; Focus from curative efforts to promote health promotion; School nurse's broad health promotion potential; No clear job descriptions; Priority of tasks and Responsibility of the whole school. Conclusion: The school nurses have unique skills being the only school profession that meets all students from a medical, care and salutogenic perspective. School nurses would like to work more health promotive at group level than what is currently done. With the right conditions, the school nurse would have a greater opportunity to work with health promotion at the group level.

Place, publisher, year, edition, pages
2018. , p. 26
Keywords [en]
Content analysis, health promotion, group level, school nurse, salutogenesis
Keywords [sv]
Gruppnivå, hälsofrämjande arbete, innehållsanalys, salutogenes, skolsköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-15618OAI: oai:DiVA.org:his-15618DiVA, id: diva2:1219441
Subject / course
Nursing/Nursing Science
Educational program
School Nurse - Study Programme
Supervisors
Examiners
Available from: 2018-06-20 Created: 2018-06-15 Last updated: 2018-06-21Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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