School nurses’ experiences from interprofessional collaboration to prevent school dropout.
A qualitative study.
DOI:
https://doi.org/10.7557/14.7208Keywords:
Empowerment, interprofessional collaboration, school dropout, school health services, school nurses, public health nurses, secondary educationAbstract
Completion of secondary education is crucial for individuals' integration and participation in the labour market. However, one in five students in Norway does not complete secondary school. In this study we examined how school nurses can facilitate interdisciplinary work to counteract school dropout. Based on three focus group interviews with 13 school nurses in secondary schools, qualitative statements were analysed using a stepwise deductive-inductive method. The findings indicate that school nurses strive to understand the reasons for student absences by considering the whole student, but they face challenges in showcasing their own competence to their collaborators. Implicit power structures, including school leadership, significantly influence the inclusion of school nurses in interdisciplinary teams. To promote interdisciplinary collaboration and strengthen their role, school nurses should actively make themselves and their expertise visible.
Metrics
References
Albæk, K., Asplund, R., Barth, E., Lindahl, L., Strøm, M. & Vanhala, P. (2020). Bedre sent enn aldri? . Universitetsforlaget, 37(1-2), 124-141. https://doi.org/https://doi.org/10.18261/issn.1504-7989-2020-01-02-08
Askheim, O. P. (2012). Empowerment i helse- og sosialfaglig arbeid. Floskel, styringsverktøy eller frigjøringsstrategi? . Gyldendal Akademisk.
Dahl, B. M. & Crawford, P. (2018). Perceptions of experiences with interprofessional collaboration in public health nursing: A qualitative analysis. Journal of Interprofessional Care, 32(2), 178-184. https://doi.org/10.1080/13561820.2017.1386164
Eurostat. (2022, 23. mai 2022). Continued decline in early school leavers in the EU. Eurostat. https://ec.europa.eu/eurostat/en/web/products-eurostat-news/-/ddn-20220523-1
Forskrift om helsestasjons- og skolehelsetjenesten. (2018). Forskrift om kommunens helsefremmende og forebyggende arbeid i helsestasjons- og skolehelsetjenesten (FOR-2018-10-19-1584). Lovdata. https://lovdata.no/dokument/SF/forskrift/2018-10-19-1584?q=skolehelsetjenesten
Forskrift om nasjonal retningslinje for helsesykepleierutdanning. (2021). Forskrift om nasjonal retningslinje for helsesykepleierutdanning (FOR-2021-04-09-1146). Lovdata. https://lovdata.no/dokument/LTI/forskrift/2021-04-09-1146
Glavin, K. & Erdal, B. (2018). Tverrfaglig samarbeid i praksis: til beste for barn og unge i kommune- Norge (4. utg.). Kommuneforlaget
Granrud, M. D., Anderzen-Carlsson, A., Bisholt, B. & Steffenak, A. K. M. (2019). Public health nurses' perceptions of interprofessional collaboration related to adolescents' mental health problems in secondary schools: A phenomenographic study. Journal of Clinical Nursing, 28, 2899-2910. https://doi.org/10.1111/jocn.14881
Granrud, M. D., Theander, K., Anderzen-Carlsson, A. & Steffenak, A. K. M. (2019). Experiences of interprofessional collaboration in a special school programme for adolescents who struggle with school life: an explorative study. Journal of Interprofessional Care, 33(6), 706-713. https://doi.org/10.1080/13561820.2019.1565755
Helleve, A., Midthassel, U. V. & Federici, R. A. (2020). Finding the Balance Between Collaboration and Autonomy Among School Nurses in Interactions With Schools. Journal of School Nursing, 1-10. https://doi.org/10.1177/1059840520918924
Helsedirektoratet. (2019, 11. november 2021). Samhandling med skole. Helsedirektoratet. https://www.helsedirektoratet.no/retningslinjer/helsestasjons-og-skolehelsetjenesten/skolehelsetjenesten-520-ar/samhandling-med-skole
Hernes, G. (2010). Gull av gråstein- tiltak for å redusere frafall i videregående opplæring. (Fafo-rapport 2010:03). Fafo. https://www.fafo.no/media/com_netsukii/20147.pdf
Hjälmhult, E., Wold, B. & Samdal, O. (2002). Skolehelsetjenesten og helsefremmende arbeid: Samarbeid mellom helsesøstre og lærere ved de norske skolene i «Europeisk nettverk av Helsefremmende skoler». Vård i Norden, 22(1), 42-46. https://doi.org/10.1177/010740830202200108
Johannessen, A., Tufte, P. A. & Christoffersen, L. (2021). Introduksjon til samfunnsvitenskapelig metode (6. utg.). Abstrakt forlag.
Kvale, S. & Brinkmann, S. (2015). Det kvalitative forskningsintervju (3. utg.). Gyldendal akademisk.
Laverty, S. M. (2003). Hermeneutic Phenomenology and Phenomenology: A Comparison of Historical and Methodological Considerations. International Journal of Qualitative Methods, 2(3), 21-35. https://doi.org/https://doi.org/10.1177/160940690300200303
Lo Icano, V., Symonds, P. & Brown, D. H. K. (2016). Skype as a Tool for Qualitative Research Interviews. Sociological research online 21(2), 103-117. https://doi.org/10.5153/sro.3952
Lobe, B. & Morgan, D. L. (2020). Assesing the effectiveness of video- based interviewing: a systematic comparison of video- conferencing based dyadic interviews and focus groups. International Journal of Social Research Methodology, 24(3), 301-312. https://doi.org/10.1080/13645579.2020.1785763
Meld. St. 21 (2020-2021). Fullføringsreformen Kunnskapsdepartementet. https://www.regjeringen.no/contentassets/581b5c91e6cf418aa9dcc84010180697/no/pdfs/stm202020210021000dddpdfs.pdf
Nations, U. (2023). The Sustainable Development Goals. Hentet 13. juli fra https://sdgs.un.org/
Prop. 91 L (2010-2011). Lov om kommunale helse- og omsorgstjenester m.m. Helse- og omsorgsdepartementet. https://www.regjeringen.no/contentassets/6aaaa5e4b6b34d9581e4c0e34d8eabeb/no/pdfs/prp201020110091000dddpdfs.pdf
Reutersward, M. & Hylander, I. (2017). Shared responsibility: school nurses’ experience of collaborating in school-based interprofessional teams. Scandinavian Journal of Caring Sciences, 31, 253-262. https://doi.org/https://doi.org/10.1111/scs.12337
Statistisk sentralbyrå. (2023, 12. juni 2023). Gjennomføring i videregående opplæring. Statistisk sentralbyrå. https://www.ssb.no/utdanning/videregaende-utdanning/statistikk/gjennomforing-i-videregaende-opplaering
Thomassen, M. (2006). Vitenskap, kunnskap og praksis: Innføring i vitenskapsfilosofi for helse- og sosialfag. Gyldendal akademisk.
Tjora, A. (2021). Kvalitative forskningsmetoder i praksis (4. utg.). Gyldendal Akademisk.
Tveiten, S. (2020). Helsepedagogikk: helsekompetanse og brukermedvirkning (2. utg.). Fagbokforlaget.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Camilla Blomberg Bakke, Hege Sjølie, Tone Nygaard Flølo
This work is licensed under a Creative Commons Attribution 4.0 International License.
