Abstrakt  Bakgrund: Utvecklingen av mobiltelefonen har skett i snabb takt och många ungdomar har idag en egen mobiltelefon. De senaste åren har användning av mobiltelefonen och sociala medier markant ökat. Tidigare forskning visar att användning av mobiltelefonen påverkar ungdomars hälsa på olika sätt. Skolsköterskor arbetar förbyggande och hälsofrämjande för att elever ska uppleva hälsa.  Motiv: Denna studie avser att bidra med en djupare förståelse om skolsköterskors uppfattning om mobiltelefonanvändning bland elever med möjlighet att ge ökad kunskap om ämnet för att vägleda skolsköterskor i deras förebyggande arbete kring elevers hälsa.  Syfte: Syftet med studien är att belysa skolsköterskans uppfattning om mobiltelefonanvändningen bland elever. Metod: Kvalitativ intervjustudie. Individuell semistrukturerade intervjuer med skolsköterskor (n=8). Det insamlade materialet analyserades med kvalitativ innehållsanalys med induktiv ansats. Resultat: Skolsköterskors uppfattningar är att mobiltelefonen bistår med både positiva och negativa följder hos elever samt att elever är i behov av hälsofrämjande insatser. Resultatet mynnade ut i tre huvudkategorier; ”Ses som ett stöd i vardagen”, ”Kan leda till osunda vanor som inverkar på hälsan” och ”Behov finns av hälsopreventiva insatser”. Konklusion: Skolsköterskor behöver få ökad kunskap om följder av elevers mobiltelefonanvändning för att utveckla och förbättra det förebyggande och hälsofrämjande arbete för att hjälpa elever till en ökad hälsa. / Abstract  Background: The development of the cell phone has happened in rapid pace and many adolescents has their own cell phone today. In recent years has the cell phone use and social media use markedly increased. Previous research has shown that cell phone use influence adolescents health in different way. School nurses works with prevention and promotion to help students ́ experience health.  Motive: This study intends to contribute to a deeper understanding of school nurses’ perception of cell phone use among students with the possibility of providing increased knowledge on the subject to guide school nurses in their preventive work regarding student health.  Aim: The aim of this study was to illuminate the school nurse’s perception of cell phone use among school students.Methods: Qualitative interview study. Individual semi-structured interviews with school nurses (n=8). Collected data was analysed using qualitative content analysis with an inductive approach.  Result: The school nurses’ perceptions is that the cell phone contributes with both positive and negative effects on students and that the students are in need of health improvement contributions. The result generated three main categories; “Seen as a support in everyday life”, “Can led to unhealthy habits that affects the health” and “need of health preventive contributions”.  Conclusion: School nurses’ need increased knowledge about the consequence of students’ cell phone use to be able to develop and improve the preventive and health promotion work to support increased student health.

A focus on racial and ethnic minority youth is crucial considering the projections of growth for these populations in the United States. The Journal of American Academy of Child/Adolescent Psychiatry, Journal of Clinical Child and Adolescent Psychology, and Child and Adolescent Psychiatric Clinics of North America were coded for level of focus on minority youth group focus, article topic, and journal trends over time. Latinxs represented 3.2% of published articles (versus 17.8% of the U. S. population), African Americans 3.0% (versus 13.3%), Asian Americans 0.1% (versus 5.9%) and Native Americans 0.9% (versus 1.3%). The top research topics for all minority groups are discussed.

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<p>A decade ago the World Health Organization declared obesity to be a ‘global epidemic’. Rapidly climbing rates of excess body weight resulted in Health Canada declaring obesity as one of three major health concerns facing children today. Accordingly, there is a growing body of research examining how 'obesogenic environments' contribute to increasing prevalence. To date, multiple studies have found rates of childhood and adolescent obesity especially high in low-socioeconomic status (SES) neighbourhoods but knowledge about the specific local-level factors that shape body weight is lacking. Thus, this research focuses on examining local environmental determinants of body weight in adolescent populations living in low-socioeconomic status neighbourhoods in two cities in Southern Ontario.</p> <p>Using a mixed-method, parallel case study design, this study examines the environments in two low-SES neighbourhoods in the cities of Hamilton and Mississauga, Ontario. This study utilizes the ANGELO Framework as an analytic tool to dissect local environments. In the first phase of the study, the political and socio-cultural environments in both cities are investigated through analysis of municipal policy documents, public health websites and key informant interviews. The findings reveal that the cities each held differing health priorities and values that reflected the way they approached obesity. This phase further highlighted the integrated nature of the political and socio-cultural environments and their role in shaping other environments.</p> <p>The second phase of the study involved qualitative data collection from adolescents living in low-SES neighbourhoods (based on 11 SES neighbourhood measures). Specifically, a community mapping exercise and in-depth interviews with 31 participants were conducted in order to better understand how participants define and use neighbourhood space. The results indicate that there are differences between how urban and suburban residents defined neighbourhoods and that personal factors such as age, mobility and migration status influenced knowledge of the neighbourhood. Additionally, findings suggest that social interaction is a primary factor that influences adolescents use of neighbourhood space.</p> <p>In the third and final phase of the study, adolescent perceptions of the determinants of body weight were collected using in-depth and go-along interviews. Results of the 31 interviews revealed that adolescents perceive obese bodies as the unhealthy product of individual-level behaviours. Further exploration of environmental determinants revealed that factors in the physical and economic environments were indeed important and were often influenced by the socio-cultural environment. Participants held the view that neighbourhood space was tempting and unhealthy, and required them to self-regulate their behaviour. This research makes significant theoretical, methodological and substantive contributions to the obesity, adolescent health, and neighbourhoods and health literatures. Policy implications and future research directions are also highlighted.</p> / Doctor of Philosophy (PhD)

No / This paper presents the findings of the third stage of a research study, the overall aim of which was to evaluate the educational preparation for cancer and palliative care nursing for children and adolescents in England. The specific aim of this stage was to define the attributes of `threshold' and `higher level' practice in nursing in order to inform the outcomes of future educational programmes. The research design involved children, their parents and their nurses at two different stages in the study. The first stage was the construction of the research instruments, in this case video and audio recordings of episodes of care in which the children participated. The second stage was the review of the recordings by the children, their parents and other stakeholders involved in their care. Service users were also involved in the management of the project. The study findings suggested that although there was considerable agreement between service users and other stakeholders about the characteristics of adequate or threshold practice, for both cancer and palliative care, there was less agreement about what constituted higher level or expert practice — other than `more of the same but better'. The key areas of importance for future professional development courses were agreed as partnership working, clinical skills, multidisciplinary working and the personal attributes of the nurse.

Positive health-related behaviour is particularly important for liver transplant recipients’ (LTRs) recovery. However, non-adherence in adolescents post-transplant is thought to be greater than, or equal to, 50%. Literature searches have found limited research into the area of young adults’ experiences of having a donated liver. Knowing more of their experience seems important to help inform practice to improve adherence and ultimately save lives. The present study aimed to construct a grounded theory of young adults’ experiences of having a liver transplant, in order to better understand how young adults may adjust following such experiences. Semi-structured interviews were conducted with twelve liver transplant recipients (LTRs; five female, seven male). Data were analysed using constructivist grounded theory. A model was constructed to capture the dynamic interactions between thirteen categories, resulting in four main themes: Finding Identity Post-Transplant, Carrying Responsibility, Unseen, Unspoken or Misunderstood Challenges and Adjusting to Life After Transplant. The study highlights the importance of the themes in psychological adjustment post-transplant. Understanding this process is imperative in order to improve health-related behaviours in a cohort with traditionally poor adherence. Implications for further research and clinical practice are discussed, including educating LTRs to raise their levels of self-efficacy, which have a positive impact on adherence.

<p>Problem: Gay, bisexual, and queer (GBQ) adolescent males are disproportionately affected by negative sexual health outcomes compared to their heterosexual counterparts. Their sex education needs are not sufficiently addressed in the home and the larger ecological systems. The omission of their sex education needs at a time when they are forming a sexual identity during adolescence compels GBQ males to seek information in unsupervised settings. Evidence-based interventions aimed at ensuring positive sexual health outcomes through sex communication cannot be carried out with these youth as research on how parents and GBQ males discuss sex in the home has been largely uninvestigated. </p><p>Methods: This naturalistic qualitative study focused on the interpretive reports of 15- to 20-year-old GBQ males’ discussions about sex-related topics with their parents. From a purposive sample of 30 male adolescents who self-identified as GBQ, participants who could recall at least one conversation about sex with their parents were recruited for one-time interviews and card sorts. This strategy revealed, using Bronfenbrenners’ Bioecological Theory, their perceptions about sex communication in the context of their reciprocal relationship and the ecological systems that GBQ males and their parents navigate.</p><p>Results: Parents received poor ratings as sex educators, were generally viewed as not confident in their communication approach, and lacked knowledge about issues pertinent to GBQ sons. Nevertheless, participants viewed parents as their preferred source of sex information and recognized multiple functions of sex communication. The value placed by GBQ youth on sex communication underscores their desire to ensure an uninterrupted parent-child relationship in spite of their GBQ sexual orientation. For GBQ children, inclusive sex communication is a proxy for parental acceptance. </p><p>Results show that the timing, prompts, teaching aids, and setting of sex communication for this population are similar to what has been reported with heterosexual samples. However, most GBQ sons rarely had inclusive guidance about sex and sexuality that matched their attraction, behavior, and identities. Furthermore, the assumption of heterosexuality resulted in the early awareness of being different from their peers which led them to covertly search for sex information. The combination of assumed heterosexuality and their early reliance on themselves for applicable information is a missed parental opportunity to positively impact the health of GBQ sons. More importantly, due to the powerful reach of new media, there is a critical period of maximum receptiveness that has been identified which makes inclusive sex communication paramount in the pre-sexual stage for this population. Our findings also indicate that there are plenty of opportunities for systemic improvements to meet this population’s sexual education needs.</p> / Dissertation