En stein i lomma kan bidra til trøst: En kvalitativ studie av helsesykepleiers bruk av gjenstander i helsedialoger i skolehelsetjenesten

Hilde Laholt; Anne Mary Gerard Clancy

doi:10.7557/14.6445

Authors

Hilde Laholt UiT Norges arktiske universitet https://orcid.org/0000-0001-9169-6813
Anne Mary Gerard Clancy UiT the arctic university of Norway https://orcid.org/0000-0003-0805-2588

DOI:

https://doi.org/10.7557/14.6445

Keywords:

public health nurse, comfort, objects, pupils, health dialogue

Abstract

Public health nurses aim to prevent illness and promote health based on the Norwegian national guidelines for school health services. The guidelines state that health dialogues should be supportive and contribute to healthy choices for pupils. Most Norwegian teenagers report good physical and mental health. Nevertheless, mental health challenges in adolescence can occur, and at times continue into adulthood. The need for comfort and support will always be there.

The aim of this article is to shed light on how visual methods and concrete objects, or artifacts can contribute to promoting comfort and consolation in public health nurses' school health dialogues.

This article is based on empirical examples from a qualitative doctoral project with 40 public health nurses working in school health services. Relevant empirical examples of the doctoral project were reinterpreted with a focus on comfort. The findings showed that visual methods such as objects can be offered to pupils as tools to support and help them cope when life becomes challenging. Conclusion: A good relationship between nurse and pupil is essential in comforting conversations. Objects can be useful tools in these health promoting dialogues and continue to be a comfort to the young person after they have left the nurses office.

Metrics

Metrics Loading ...

Author Biographies

Hilde Laholt, UiT Norges arktiske universitet

helsesykepleier, ph.d., førsteamanuensis, fagansvarlig master i helsesykepleie
Institutt for helse- og omsorgsfag
Det helsevitenskapelige fakultet
campus Tromsø

Anne Mary Gerard Clancy, UiT the arctic university of Norway

Department of Health and Care Sciences
UiT Harstad, The Arctic University of Norway, Norway

References

Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11(1), 11-18. https://doi.org/10.1093/heapro/11.1.11.

Barbour, R. (2007). Doing focus groups. Sage.

Bauer, G. F. (2017). The Application of Salutogenesis in Everyday Settings. In M. B. Mittelmark, S. Sagy, M. Eriksson, G. F. Bauer, J. M. Pelikan, B. Lindström, & G. A. Espnes (Eds.), The Handbook of Salutogenesis (pp. 153-158). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-04600-6_16.

Borup, I. (2002). The school health nurse's assessment of a successful health dialogue. Health and Social Care in the community, 10(1), 10-19. https://doi.org/10.1046/j.0966-0410.2001.00337.x.

Clancy, A. (2010). Perceptions of public health nursing consultations: tacit understanding of the importance of relationships. Primary Health Care Research & Development, 11(04), 363-373. https://doi.org/10.1017/S1463423610000137.

Clancy, A. (2012). Dybden i et helsesøstermøte. I R Thorsen, KS Mæhre & K Martinsen (Red.), Fortellinger om etikk (s. 63-83). Fagbokforlaget.

Clancy, A. & Laholt H. (2022). Trøstens stille stemme i helsesykepleiekonsultasjoner. Nordisk Tidsskrift for Helseforskning, 3-22-18. årgang. Spesialnummer «Trøst».

https://doi.org/10.7557/14.6501.

De nasjonale forskningsetiske komiteer - NEM. (2010). Veiledning for forskningsetisk og vitenskapelig vurdering av kvalitative forskningsprosjekt innen medisin og helsefag. https://www.forskningsetikk.no/retningslinjer/med-helse/vurdering-av-kvalitative-forskningsprosjekt-innen-medisin-og-helsefag/.

Edwards, D. (2014). Art therapy: Sage. DOI: https://dx.doi.org/10.4135/9781526401533.

Eriksson, M., & Lindstrom, B. (2008). A salutogenic interpretation of the Ottawa Charter. Health Promotion International, 23(2), 190-199. https://doi.org/10.1093/heapro/dan014.

Ginicola, M. (2012). Counseling Through Images: Using Photography to Guide the Counseling Process and Achieve Treatment Goals. Journal of Creativity in Mental Health, 7(4), 310-329. https://doi.org/10.1080/15401383.2012.739955.

Guillemin, M. (2004). Understanding Illness: Using Drawings as a Research Method. Qualitative Health Research, 14(2), 272-289. https://doi.org/10.1177/1049732303260445.

Helsedirektoratet. (2017). Nasjonal faglig retningslinje for det helsefremmende og forebyggende arbeidet i helsestasjon, skolehelsetjeneste og helsestasjon for ungdom. Sist faglig oppdatert: 10. juni 2022. https://helsedirektoratet.no/retningslinjer/helsestasjons-og-skolehelsetjenesten.

Jensen, B. B., Dür, W., & Buijs, G. (2017). The Application of Salutogenesis in Schools. In M. B. Mittelmark, S. Sagy, M. Eriksson, G. F. Bauer, J. M. Pelikan, B. Lindström, & G. A. Espnes (Eds.), The Handbook of Salutogenesis (pp. 225-235). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-04600-6_22.

Kolcaba, K. (2003). Comfort theory and practice: a vision for holistic health care and research: Springer Publishing Company.

Krueger, R. A., & Casey, M. A. (2014). Focus groups: A practical guide for applied research. Sage Publications.

Laholt, H., Guillemin, M., Mcleod, K., Olsen, R.E., Lorem, G.F. (2017). Visual methods in health dialogues: A qualitative study of public health nurse practice in schools. Journal of Advanced Nursing, 73(12), 3070-3078. https://doi.org/10.1111/jan.13371.

Laholt, H., McLeod, K., Guillemin, M., Beddari, E., Lorem, G.F. (2019). Ethical challenges experienced by public health nurses related to adolescents’ use of visual technologies. Nursing Ethics, 26(6):1822-1833.

https://doi.org/10.1177/0969733018779179.

Laholt. (2020). Visual methods in health dialogue and public health work. An action research approach to improve school nurses’ work with adolescents. Doktorgradsavhandling.

Lindström, B., & Eriksson, M. (2015). Haikerens guide til salutogenese: helsefremmende arbeid i et salutogent perspektiv: Gyldendal Norsk Forlag A/S.

Pinto, S., Fumincelli, L., Mazzo, A., Caldeira, S., & Martins, J. C. (2017). Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts. Porto Biomedical Journal, 2(1), 6-12. https://doi.org/10.1016/j.pbj.2016.11.003.

Raknes, S., Finne, P., & Haugland, B. S. M. (2013). Psykologisk førstehjelp; veiledning for bruk i førstelinjen. Gyldendal akademisk.

Raknes, S., & Peterson, Å. (2014). Grønne tanker - glade barn Barn 4-7 år. Gyldendal akademisk.

Rose, G. (2012). Visual methodologies: an introduction to researching with visual materials. (3rd ed.). Sage.

Skogen, J. C., Smith, O. R. F., Aarø, L., Edvard, Siqveland, J., & Øverland, S. (2018). Barn og unges psykiske helse: Forebyggende og helsefremmende folkehelsetiltak. En kunnskapsoversikt. https://www.fhi.no/globalassets/dokumenterfiler/rapporter/2018/barn_og_unges_psykiske_helse_forebyggende.pdf.

Tetzchner, S. v. (2012). Utviklingspsykologi. (2. utg.). Gyldendal akademisk.

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042.

Ungdatasenteret. (2020). Stress, press og psykiske plager blant unge. https://www.ungdata.no/stress-press-og-psykiske-plager-blant-unge/.

World Health Organization (WHO). (1986) Ottawa Charter for Health Promotion. https://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf.

Walters, D. A. (2020). Art as therapy; museums and galleries as places for psychodynamic art therapy. Asia Pacific Journal of Counselling and Psychotherapy, 11(1), 3-22.

https://doi.org/10.1080/21507686.2019.1703773.

Wensley, C., Botti, M., McKillop, A., & Merry, A. F. (2017). A framework of comfort for practice: An integrative review identifying the multiple influences on patients’ experience of comfort in healthcare settings. International Journal for Quality in Health Care, 29(2), 151-162.

https://doi.org/10.1093/intqhc/mzw158.