Support for Siblings of Children With Complex Care Needs: Public Health Nurses' Perceptions of Their Role in Primary Schools.

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Názov: Support for Siblings of Children With Complex Care Needs: Public Health Nurses' Perceptions of Their Role in Primary Schools.
Autori: Bergvoll LM; Department of Health and Caring Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Harstad, Norway., Clancy A; Department of Health and Caring Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Harstad, Norway., Martinussen M; Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway., Laholt H; Department of Health and Caring Sciences, Faculty of Health Sciences, UiT, The Arctic University of Norway, Tromsø, Norway.
Zdroj: Journal of advanced nursing [J Adv Nurs] 2025 Jun; Vol. 81 (6), pp. 3141-3155. Date of Electronic Publication: 2024 Oct 01.
Spôsob vydávania: Journal Article
Jazyk: English
Informácie o časopise: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7609811 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2648 (Electronic) Linking ISSN: 03092402 NLM ISO Abbreviation: J Adv Nurs Subsets: MEDLINE
Imprint Name(s): Publication: Oxford : Blackwell Scientific Publications
Original Publication: Oxford, Blackwell.
Výrazy zo slovníka MeSH: Siblings*/psychology , Nurses, Public Health*/psychology , Nurse's Role*/psychology , School Health Services*/organization & administration, Humans ; Child ; Female ; Norway ; Male ; Adult ; Focus Groups ; Qualitative Research ; Middle Aged ; Schools ; School Nursing
Abstrakt: Aim: To explore the role of public health nurses (PHNs) in Norwegian primary school health services in supporting siblings who have a brother or a sister with complex care needs.
Design: A qualitative, exploratory design using focus groups combined with visual methods.
Methods: Nineteen Norwegian PHNs participated in three focus group discussions between May and September 2022. The nurses were asked to draw themselves as PHNs working in primary schools. Braun and Clarke's reflexive thematic approach was used to analyse the transcribed interviews. The drawings were analysed using critical visual analysis methodology.
Results: The findings revealed that PHNs in primary schools focused on establishing good relationships and found it important to be flexible and creative. However, a challenge to successful service provision in supporting siblings and their families was that the nurses lacked support for the implementation of health promotion interventions and often felt alone. The analysis elicited three main themes: 'the importance of relationships and flexibility in meeting siblings' needs', 'feeling alone with responsibility for supporting siblings' and 'the forgotten children: a need for coordinated services'.
Conclusion: PHNs in school health services are in a unique position to provide support to improve siblings' mental health and well-being. To fully benefit from PHNs' potential to support siblings, there is a need to clarify guidelines and develop evidence-based interventions.
Impact: This study provides valuable insights for health authorities, educators and practitioners on what inhibits sibling support in Norway. The study highlights the potential for PHNs to play a significant role in delivering timely health-promoting interventions for these siblings in school settings independent of context.
Reporting Method: This study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Patient or Public Contribution: No patient or public contribution.
(© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
References: J Fam Nurs. 2021 May;27(2):136-153. (PMID: 33305651)
J Clin Nurs. 2018 Aug;27(15-16):3179-3196. (PMID: 29754433)
Int J Ment Health Syst. 2016 Oct 5;10:64. (PMID: 27752281)
J Pediatr Nurs. 2018 Sep - Oct;42:45-56. (PMID: 30219299)
Psychooncology. 2010 Aug;19(8):789-805. (PMID: 19862680)
Clin Child Fam Psychol Rev. 2021 Sep;24(3):651-667. (PMID: 34184174)
J Paediatr Child Health. 2014 Oct;50(10):E26-38. (PMID: 20598075)
J Pediatr Nurs. 2017 Mar - Apr;33:23-32. (PMID: 27986373)
Brain Sci. 2021 Jun 17;11(6):. (PMID: 34204258)
Syst Rev. 2019 Apr 02;8(1):81. (PMID: 30940180)
Clin Child Fam Psychol Rev. 2018 Jun;21(2):246-265. (PMID: 29450764)
J Pediatr Nurs. 2015 Jan-Feb;30(1):102-16. (PMID: 25458108)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
J Adv Nurs. 2017 Dec;73(12):3070-3078. (PMID: 28661011)
Clin Child Fam Psychol Rev. 2023 Mar;26(1):143-189. (PMID: 36175605)
J Adv Nurs. 2024 Jul;80(7):2629-2646. (PMID: 38062620)
BMC Health Serv Res. 2022 Nov 28;22(1):1427. (PMID: 36443847)
Public Health Nurs. 2022 Sep;39(5):1048-1057. (PMID: 35452531)
Scand J Caring Sci. 2023 Dec;37(4):1100-1108. (PMID: 37246570)
Qual Health Res. 2004 Feb;14(2):272-89. (PMID: 14768462)
Eur J Pediatr. 2018 Nov;177(11):1641-1652. (PMID: 30091109)
Grant Information: Universitetet i Tromsø
Contributed Indexing: Keywords: advanced practice nursing; clinical nursing research; family research; focus group; primary schools; public health nursing; relatives; school nursing; vulnerable population
Entry Date(s): Date Created: 20241001 Date Completed: 20250515 Latest Revision: 20250517
Update Code: 20250519
PubMed Central ID: PMC12080089
DOI: 10.1111/jan.16515
PMID: 39352098
Databáza: MEDLINE
Popis
Abstrakt:Aim: To explore the role of public health nurses (PHNs) in Norwegian primary school health services in supporting siblings who have a brother or a sister with complex care needs.<br />Design: A qualitative, exploratory design using focus groups combined with visual methods.<br />Methods: Nineteen Norwegian PHNs participated in three focus group discussions between May and September 2022. The nurses were asked to draw themselves as PHNs working in primary schools. Braun and Clarke's reflexive thematic approach was used to analyse the transcribed interviews. The drawings were analysed using critical visual analysis methodology.<br />Results: The findings revealed that PHNs in primary schools focused on establishing good relationships and found it important to be flexible and creative. However, a challenge to successful service provision in supporting siblings and their families was that the nurses lacked support for the implementation of health promotion interventions and often felt alone. The analysis elicited three main themes: 'the importance of relationships and flexibility in meeting siblings' needs', 'feeling alone with responsibility for supporting siblings' and 'the forgotten children: a need for coordinated services'.<br />Conclusion: PHNs in school health services are in a unique position to provide support to improve siblings' mental health and well-being. To fully benefit from PHNs' potential to support siblings, there is a need to clarify guidelines and develop evidence-based interventions.<br />Impact: This study provides valuable insights for health authorities, educators and practitioners on what inhibits sibling support in Norway. The study highlights the potential for PHNs to play a significant role in delivering timely health-promoting interventions for these siblings in school settings independent of context.<br />Reporting Method: This study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).<br />Patient or Public Contribution: No patient or public contribution.<br /> (© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
ISSN:1365-2648
DOI:10.1111/jan.16515