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Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils
Örebro University, Department of Health Sciences.
Örebro University, Department of Health Sciences.
2006 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 4, p. 10-13, 19Article in journal (Refereed) Published
Abstract [en]

Mental health is a major public health issue in Sweden, especially concerning children and adolescents. School plays a primary role as a health-promoting arena, where school nurses use the health dialogue to promote mental health. The aim of this study was to describe the prerequisites of a mental health-promoting dialogue with the school nurse from the perspective of young people. A further aim was to explore what adolescents believe are important dimensions for achieving such a desired dialogue. Twenty-six 15-year-olds in Sweden were interviewed after being assigned to five focus groups. Inductive qualitative content analysis was used. The findings show that the prerequisites for a mental health-promoting dialogue with the school nurse include what issues to discuss in the dialogue and where the dialogue should take place. The dimensions of the dialogue include what the adolescents think is most important in the dialogue with the school nurse: trustiness, attentiveness, respectfulness, authencity, accessibility during school hours and continuity.

Place, publisher, year, edition, pages
2006. Vol. 26, no 4, p. 10-13, 19
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-3027OAI: oai:DiVA.org:oru-3027DiVA, id: diva2:136439
Available from: 2008-11-05 Created: 2008-11-05 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Adolescents' perspectives: on mental health, being at risk, and promoting initiatives
Open this publication in new window or tab >>Adolescents' perspectives: on mental health, being at risk, and promoting initiatives
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Ungdomars perspektiv : på psykisk hälsa, att vara i riskzon, och främjande åtgärder
Abstract [en]

Mental health is a major child public health issue in Sweden. The overall aims of this thesis are to explore girls’ and boys’ perspectives on mental health and on mental health-promoting initiatives, and to deepen the knowledge of disclosure and support for ado-lescents at risk of abuse and neglect. Four studies are included in the thesis, and a qualitative descriptive design was chosen. In three of the studies (Studies I, II, and III), adolescents in Sweden were interviewed individually or in focus-groups. In the fourth study (IV) officials and politicians in nine municipalities in Sweden were interviewed, and documents were analysed in a multiple-case-study design.

In study I the adolescents were asked about the mental health-promoting dialogue with the school nurse. The results reveal that what the adolescents found important were trustiness, attentiveness, respectfulness, authenticity, accessibility, and continuity. The adolescents also had certain views on what issues to talk about in the health dialogue; physical and psychological issues should be included. In Study II, the adolescents perceived “mental health” to be an emotional experience with positive and negative aspects of internal and relational feelings. Family, friends, and school were regarded as important determinants of mental health by the adolescents. Neither girls nor boys thought that there were any major differences in mental health between girls and boys, but did think they were subject to different expectations. In Study III the results show that adolescents with families with alcohol problems are unsure whether to disclose their home situation to an adult; the adolescents seem to make a risk assessment when looking for trustworthy adults. It is a disclosure process. Friends are confidants and supportive, and sometimes facilitators for contacting adults, when support from adults is needed. Study IV show that even small grants to municipalities for children-at-risk projects lead to more activities for these children and adolescents. But children or adolescents were not involved in the planning or decision-making of the activities.

The studies in this thesis show that most important thing for adolescents’ mental health is the relation between adolescents and adults, foremost parents, and between adolescents and friends. In addition, gender and age, adolescents’ perspec¬tives and par-ticipation, and society’s support, including the implementation of the UN Convention on the Rights of the Child, have an impact on adolescents’ mental health, both for ado-lescents in general and for adolescents at risk of abuse and neglect. The results are viewed in relation to the bioecological model, to illustrate how all levels in society influence mental health among adolescents, on an individual and a population plane. The findings have implications for adults: to learn more about adolescents and puberty, and about the home situation for children and adolescents at risk of abuse and neglect; to listen to suggestions from children and adolescents; to include friends in support to adolescents at risk of abuse and neglect; and to include girls and boys in all matters concerning them.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2008. p. 107
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 21
Keyword
abuse and neglect, adolescent, bioecological model, child public health, children of alcoholics, Convention on the Rights of the Child, school health service, social work, barn i riskzon, barn till alkoholiserade föräldrar, folkhälsa för barn, Konventionen om barnets rättigheter, skolhälsovård, socialt arbete, utvecklingsekologisk modell
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-2589 (URN)978-91-7668-639-3 (ISBN)
Public defence
2008-12-10, Hörsal P2, Prismahuset, Örebro universitet, Örebro, 13:00 (English)
Opponent
Supervisors
Available from: 2008-11-05 Created: 2008-11-05 Last updated: 2017-10-18Bibliographically approved
2. Adolescents' perspective on mental health and health-promoting dialogues
Open this publication in new window or tab >>Adolescents' perspective on mental health and health-promoting dialogues
2007 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Young people in Sweden are satisfied with most things in their lives. But they are not satisfied with school and not with their opportunities for personal influence. The Convention on the Rights of the Child emphasizes the right for children to express their views freely and that their views should be given due weight. In the present academic essay adolescents, 13, 15 and 16 years old, have been interviewed about matters concerning mental health.

The overall aim of the study is to increase our knowledge of adolescents´ perceptions, of mental health and of school nurses´ mental health-promoting dialogue. Focus groups were used in the data collection in study I, as well as in study II. In study II these were combined with individual interviews. Altogether 26 adolescents in study I and 48 in study II were interviewed. Content analysis was used in the analysis in study I, and in study II a phenomenographical approach was used in the analysis.

The findings in study I include what issues to discuss and where the school nurse’s mental health-promoting dialogue should take place. The findings show that adolescents emphasize as most important what the school nurse is like as a person in the health-promoting dialogue, and that trust, attentiveness, respectfulness, authenticity, accessibility during school hours and continuity are established. In study II, the findings show that adolescents find mental health to be an emotional experience where positive and negative health is part of the concept. Family is perceived as the most important determinant for young people’s health, closely followed by friends and thereafter school. The girls and the boys in study II did not feel that there were large differences in mental health between girls and boys, but they saw differences in the way they act; girls are talkative and emotional, and boys are silent and tough. Age differences seem to be more important than gender in the adolescents’ perception of mental health.

The findings are discussed in relation to gender and previous research. Furthermore, the voice of young people and ethical issues in interviewing young people are discussed. The findings are thereafter placed in an ecological model.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2007. p. 42
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 14
Keyword
child public health, the Convention on the Rights of the Child, ethics, focus group, gender, mental health, school health
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Social Medicine; Nursing Science
Identifiers
urn:nbn:se:oru:diva-3994 (URN)
Presentation
(English)
Note
Agneta Tinnfält (tidigare Johansson)Available from: 2007-09-03 Created: 2007-09-03 Last updated: 2017-10-18Bibliographically approved

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