Varje elev i den svenska skolan har rätt att få kunskap om och insikt i demokratiska principer. Detta är stadgat i den svenska Skollagen och i läroplanen sedan 1946. Skolverket gav 2004 alla svenska skolor i uppdrag att arbeta på ett hälsofrämjande sätt. Elevinflytande och delaktighet i skolan är positiva hälsofrämjande faktorer, genom att eleverna ges möjligheter att själva få påverka sin situation och därmed skapa tillhörighet, sammanhang och meningsfullhet med skolarbete. Syftet med denna studie var att undersöka hur åtta grundskoleelever från åk 9 förklarade och upplevde elevinflytande och delaktighet. Kvalitativ undersökningsmetod användes i form av intervjuer och resultatet från intervjuerna analyserades och relaterades till två huvudområden; det demokratiska och det hälsofrämjande perspektivet. Resultatet av intervjufrågorna visade att informanterna till viss del kunde förklara begreppen elevinflytande och delaktighet, och även relatera till demokratiskt arbete i skolans kontext. Upplevelserna av detta arbete beskrevs som positiva, trygga och meningsfulla. Kopplingen mellan elevinflytande/delaktighet och hälsa blev dock inte tydligt i undersökningen, därtill krävs ytterligare studier. / Every child in Swedish schools should have the right to gain knowledge about and insight in democratic principles related to school matters. This is stated in the Swedish Education Act and in the national curricula since 1946. In 2004 all Swedish schools were commissioned by the National Agency of Education to work in a health promoting way. Democracy, as in influence and autonomy, help young people to protect their health and give opportunities for connectedness and sense of belonging to adolescents own school situation in a positive healthy way. The aim of this study was to investigate how eight pupils from a comprehensive school class (9th degree) perceived and expressed influence and autonomy at school. A qualitative methodology through interviewing was used. The results of the interviews was analyzed and related to two perspectives; the democratic and the health promoting perspective. The findings showed that the informants to a certain extent were able to explain the meaning of, and also relate to some situations connected to influence and autonomy. They described the experiences as being positive, confident and meaningful for them. However, it became difficult to find a distinct connection between the informant´s experienced democracy work and health. Further studies about this coherence are needed.

The perspective on health among school pupils needs to be extended. School is animportant arena for the promoting of health among youth, primarily from a healthpromoting perspective and a proactive perspective. A holistic approach has gatheredsome ground in the policy documents for the nine year compulsory school in Sweden, butin what way, and what effect does it have on the governing authorities and on schoollevel?The aim of the study is to investigate the coherence between national, municipal andlocal levels regarding the view on health among pupils. In order to do this, the guidelinesfor pupil health in the municipality of Örebro and operational plans for seven F9 schoolsin the municipality of Örebro will be studied and compared to the government bill”Health, learning and sense of security”. In order to obtain a theoretical understanding ofthe course of events between the different organizational levels, intervention theory hasbeen used as an explanatory model.Through analysis of the municipal guidelines for youth and pupil health, shows that thedocument very much resembles the government bill, which becomes apparent through thesame abstract formulations used. The content of the operational plans, particularly thequestion of preventing ill-health, therefore generally stays on an abstract level as well.Consequently, no concrete measures are taken on school level.From what the government bill emphasizes, the strongest reflection in the operationalplans is the point of quality control in the pupil health work and the participation ofparents. The operational plans are influenced by documents that describe how the pupilhealth work is to be organized, but there is still no policy document available for pupilhealth on local school level that includes health promoting and preventive measures. Thusthe schools lack the tools needed to tackle ill-health from a holistic point of view.However, several measures are available when it comes to reactive measures such asbullying and abusive behaviour. / Det finns ett behov av en utvidgad syn på elevhälsa som uppmärksammar fler aspekter avhälsa. Skolan är en viktig arena för arbetet med barn och ungdomars hälsa, inte minstutifrån ett hälsofrämjande och förebyggande perspektiv. I de dokument som styr skolanhar ett helhetsperspektiv på elevers hälsa fått ett allt större utrymme men på vilket sättoch vad innebär det, från de styrande organen för skolan och ner till personalen som skabemöta eleverna?Syftet med studien är att undersöka överensstämmelsen mellan en nationell och enkommunal och en lokal nivå vad gäller elevhälsa. Konkret innebär det att granska Örebrokommuns riktlinjer för barn- och elevhälsa och sju verksamhetsplaner för F9-skolor iÖrebro kommun utifrån regeringspropositionen ”Hälsa, lärande och trygghet”. För att fåen sammanhängande teoretisk beskrivning av skeendet mellan de olika organisatoriskanivåerna har en interventionsteori används som förklaringsmodell.Det som framkommit genom analys av det kommunala dokumentet är att det i stort ärväldigt likt propositionen, vilket bland annat innebär att det som formulerats i abstraktaordalag i propositionen sällan formuleras mer konkret i kommunens riktlinjer. Det somblir skrivet i verksamhetsplanerna, i synnerhet det som rör att förebygga psykisk ohälsa,blir därför också i vissa fall bara till abstrakta målformuleringar som aldrig tar form ikonkreta åtgärder eller insatser.Det som starkast avspeglas i verksamhetsplanerna utifrån det som framhålls ipropositionen är vikten av att kvalitetssäkra elevhälsoarbetet och att arbeta med eleversoch föräldrars delaktighet. Till stor del formas verksamhetsplanerna utifrån dokumentsom konkret beskriver hur arbetet med elevhälsa ska bedrivas, dock finns det inte någotelevhälsodokument på lokal nivå som generellt beskriver ett förebyggande ochhälsofrämjande arbete. Således har skolorna få verktyg för att angripa ohälsa ur etthelhetsperspektiv. Däremot finns det ett flertal specifika åtgärder till redan befintligproblematik, likt mobbning och kränkande behandling.

Ten years after the introduction of the new democratic political dispensation in 1994, violence in schools are as rife as before. There has been no significant decrease in school violence during this period. Violence has only increased and become part of people's everyday lives. School violence remains a serious problem for both learners and educators. Various factors contribute to school violence and it has become necessary to determine to what extent school violence influences the learners of South Africa. Education is available for everyone to utilize. For learners to achieve optimally, safe environments need to be created. In order to eradicate the problem of school violence, it is important to know what the concept school violence entails, which factors contribute to school violence and to what extent school violence has influenced the schools up to date. It is also important to keep track of international trends which promote health in schools globally. Health is undoubtedly linked to educational achievement. The World Health Organization has initiated a project to promote health and healthy lifestyles universally. To counteract the persisting violence in schools, the possibility of creating health promoting schools in South Africa deserves attention. In order to unravel the phenomenon of violence in schools, a qualitative method of research was used, with data being collected by means of focus-group interviews, through intentional sampling. The transcriptions were subjected to descriptive analysis. The findings of the research are presented with an overview of school violence in the West Rand region. Factors contributing to school violence in this region have been identified as: drug and alcohol abuse, gangsterism, gambling, intolerance and the influence of educators. Physical and Psychological violence are the two main categories of violence identified in this region with various sub-categories which include fighting, harassment, sexual abuse, intimidation and victimization which enhance the violence and violent behaviour in this region. A nation's wealth lies within the youth of a country. They assure the future and our children are the most important natural resources we possess, therefore we need to respond to the challenges -violent behaviour and crime in our schools. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2005.

Le concept d’Hôpital Promoteur de Santé (HPS) a pris beaucoup d’importance depuis son élaboration vers la fin des années quatre-vingt. Dans le contexte de la dernière réforme, le réseau montréalais des HPS et CSSS a été créé. Le Centre Universitaire de Santé McGill (CUSM) fait partie de ce réseau depuis 2007. Cette étude vise la création d’un milieu hospitalier promoteur de la santé pour les patients et s’adresse à l’expérience d’un repas pour les personnes âgées nécessitant une diète purée. Une étude de cas qualitative a été utilisée pour explorer la perception de patients vis-à-vis les aspects relatifs à leur cabaret, l’assistance qu’ils recevaient et le contexte social de leur repas. Les impressions des professionnels de la santé quant à l’expérience des patients ont aussi été obtenues. Les résultats indiquent que l’identification difficile des aliments en purée, la saveur, l’apparence et la variété sont tous des éléments qui affectent négativement leur expérience repas. Des sentiments d’impuissance ont aussi été rapportés par les patients et les professionnels de la santé. Le contexte social du repas a été souligné comme étant un aspect à cibler pour améliorer l’expérience des patients. Un programme utilisant des purées formées pourrait contrecarrer les effets négatifs de la prescription d’une diète purée. Des changements dans les pratiques infirmières, à savoir la création d’une ambiance sociale agréable au moment des repas, semble être une option peu couteuse qui pourrait améliorer l’expérience repas des patients et diminuer les sentiments d’impuissance relevés par les professionnels de la santé à l’égard de cet aspect de soin. / The Health Promoting Hospital (HPH) concept has gained much momentum since its development in Europe in the late nineteen eighties. The Montreal network of HPH was created in 2005, within the context of the last reform. The McGill University Health Center (MUHC) is a part of this network since 2007. This study focuses on the creation of a health promoting hospital setting for patients and addresses the mealtime experience of older hospitalized patients requiring a puree diet. A qualitative case study design was used to explore patients’ perceptions of aspects of their puree meal tray, assistance provided by staff and the social context in which the meal was taken. Health professionals’ view of the patients’ experience were also obtained. Results indicate that the difficult identification of food items, flavour, appearance and variety were all important factors negatively affecting the mealtime experience. Feelings of loss of control were also reported by patients and staff. The social context in which the meal was taken was highlighted as an area which could be targeted to improve mealtimes. A program using formed puree food items could help lessen the negative impact of the prescription of a puree diet. Changes in nursing practices regarding the creation of a pleasant social atmosphere were identified as an inexpensive option to improve the mealtime experience for patients and decrease feelings of lack of control for staff in this aspect of care.

En 2006, un hôpital universitaire de la région de Montréal a décidé d’implanter le projet « Hôpital Promoteur de Santé » dans un contexte où les conditions de travail des infirmières étaient particulièrement difficiles. Une étude de cas a été menée dans le CHU, afin de mieux comprendre le contexte interne d’implantation du sous-projet ‘milieu de travail promoteur de santé’. Des entrevues ont été menées auprès de 7 acteurs-clés du niveau stratégique et 18 infirmières-chefs pour examiner leurs perceptions relativement à l’implantation du projet HPS, et plus particulièrement d’un ‘milieu de travail promoteur de santé’ pour les infirmières. Un questionnaire a aussi été administré par entrevue à quatre acteurs-clés stratégiques du CHU afin d’évaluer la compatibilité des pratiques organisationnelles avec les critères d’une des dimensions du projet HPS, le milieu de travail promoteur de santé. Les résultats montrent des similitudes et des différences parmi les perceptions des acteurs stratégiques au sujet du contexte interne d’implantation. Les similitudes portent sur l’utilité, la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs de l’organisation, la nécessité d’une implantation graduelle ainsi que sur l’existence d’obstacles à l’implantation. Les différences ont mené à cinq discours d'acteurs stratégiques aux niveaux d’engagement différents, en fonction de facteurs d'intelligibilité (i.e. compréhension du concept HPS, rôle perçu dans l'implantation, stratégie d'implantation, vision des implications du concept HPS). Les résultats révèlent aussi que toutes les infirmières-chefs perçoivent l’utilité et la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs, normes, stratégies et buts organisationnels, ainsi que les mêmes obstacles à son implantation perçus par les acteurs stratégiques. Ils montrent aussi l’existence de deux groupes différents chez les infirmières-chefs quant aux stratégies proposées et utilisées pour implanter un ‘milieu de travail promoteur de santé’. Ainsi, les stratégies des infirmières-chefs du groupe 1 peuvent être assimilées à celles de leaders transactionnels, tandis que les infirmières-chefs du groupe 2 peuvent être assimilées à celles de leaders transformationnels. Finalement, les résultats de l’analyse des données du questionnaire indiquent divers niveaux de compatibilité des pratiques de l’hôpital par rapport aux critères d’un ‘milieu de travail promoteur de santé’. Ainsi, la compatibilité est élevée pour les critères portant sur l'organisation apprenante et performante, les stratégies pour un milieu de travail sain et sécuritaire, les activités liées à la promotion de saines habitudes de vie ainsi que les modifications de l'environnement physique et social. Cependant, elle est faible pour les critères portant sur la politique de promotion de la santé et la participation des infirmières. Notre étude a souligné l’importance de l’état de préparation d’une organisation de santé à l’implantation d’une innovation, un concept peu étudié dans les études sur l’implantation efficace d’innovations dans les services de santé, plus particulièrement du projet HPS. Nos résultats ont également mis en évidence l’importance, pour un hôpital souhaitant implanter un milieu de travail promoteur de santé, de former son personnel et ses gestionnaires au sujet du projet HPS, de disposer d’un plan de communication efficace, et de réaliser un état des lieux préalablement à l’implantation. / In 2006, a University Hospital in Montreal decided to implement the "Health Promoting Hospital" project in a context where nurses’ working conditions were particularly difficult. A case study was conducted at the University Hospital in order to better understand the internal context of implementation of the subproject ‘health promoting workplace'. Interviews were conducted with 7 strategic stakeholders and 18 head nurses to examine their perceptions about the implementation of the HPH project, and particularly of a ‘health promoting workplace’ for nurses. A questionnaire was administered by interview to four key strategic stakeholders of the hospital to assess the compatibility of organizational practices with the standards and criteria of one dimension of the HPH project i.e. the health promoting workplace. The results show similarities and differences among strategic stakeholders’ perceptions about the internal context of implementation. The similarities are on utility, compatibility of the subproject ‘health promoting workplace’ with the organizational values, the need for a gradual implementation, as well as obstacles to its implementation. Differences have lead to five discourses from strategic actors with different levels of commitment. These levels depend on factors of intelligibility (i.e. understanding of the HPH concept, perceived role in the implementation, implementation strategies, vision of implications of the HPH concept). The results also reveal that all head nurses perceive the usefulness and compatibility of the subproject ‘health promoting workplace' with the organizational values, norms, strategies and goals, as well as the same obstacles to its implementation perceived by the strategic stakeholders. They also show two groups of head nurses differing on proposed and used strategies to implement a ‘health promoting workplace’. The strategies of group 1 can be compared to those of transactional leaders, while those of group 2 can be compared to transformational leaders. Finally, results from the questionnaire show various levels of compatibility between hospital practices and the criteria of a health promoting workplace. Compatibility is high on the criteria for organizational learning and efficiency, health and safety strategies, activities related to health promoting lifestyles, and changes in the physical and social environment. However, it is low for the criteria on health promotion policy and nurses’ participation. Our study has shown the importance of organizational readiness to implement an innovation, a concept hardly considered in the studies about the implementation efficacy of innovations in health services, and particularly the HPH project. Our results also highlighted the importance for a hospital wishing to implement a ‘health promoting workplace’, to train its staff and managers about the HPH project, to have an effective communication plan, and to achieve an organizational diagnostic prior to implementation.

Ten years after the introduction of the new democratic political dispensation in 1994, violence in schools are as rife as before. There has been no significant decrease in school violence during this period. Violence has only increased and become part of people's everyday lives. School violence remains a serious problem for both learners and educators. Various factors contribute to school violence and it has become necessary to determine to what extent school violence influences the learners of South Africa. Education is available for everyone to utilize. For learners to achieve optimally, safe environments need to be created. In order to eradicate the problem of school violence, it is important to know what the concept school violence entails, which factors contribute to school violence and to what extent school violence has influenced the schools up to date. It is also important to keep track of international trends which promote health in schools globally. Health is undoubtedly linked to educational achievement. The World Health Organization has initiated a project to promote health and healthy lifestyles universally. To counteract the persisting violence in schools, the possibility of creating health promoting schools in South Africa deserves attention. In order to unravel the phenomenon of violence in schools, a qualitative method of research was used, with data being collected by means of focus-group interviews, through intentional sampling. The transcriptions were subjected to descriptive analysis. The findings of the research are presented with an overview of school violence in the West Rand region. Factors contributing to school violence in this region have been identified as: drug and alcohol abuse, gangsterism, gambling, intolerance and the influence of educators. Physical and Psychological violence are the two main categories of violence identified in this region with various sub-categories which include fighting, harassment, sexual abuse, intimidation and victimization which enhance the violence and violent behaviour in this region. A nation's wealth lies within the youth of a country. They assure the future and our children are the most important natural resources we possess, therefore we need to respond to the challenges -violent behaviour and crime in our schools. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2005.

Bakgrunn: I helsesektorener det mange pleiere som arbeider ufrivillig deltid, noe som gjør at de ikke får forutsigbar inntekt og arbeidstid. En bemanningsenhet kan være et virkemiddel for å redusere omfanget av ufrvillig deltid. Hensikt: Studiens hensikt er å få kunnskap om hvilke faktorer som er viktige for at en bemanningsenhet skal kunne være en god og varig arbeidsplass for pleiereog samtidig gi tjenester av god kvalitet. Metode: Utvalget bestod av 14 pleiere som hadde arbeidet i en bemanningsenhet i syv til atten måneder. Datainnsamlingen ble hovedsakelig foretatt gjennom tre fokusgruppeintervjuer, og datamaterialet ble analysert ved metoden kvalitativ innholdsanalyse. Resultat: Tre kategorier ble identifisert og beskrevet: Organisering og kultur, Helsefremmende arbeidsplasser og Medarbeidernes kvalifikasjoner. Konklusjon: Studien viser at full fast stilling er en grunnleggende forutsetning for å rekruttere ansatte til bemanningsenheter. For å beholde de ansatte, er det viktig med systematisk og strukturert opplæring og vedlikehold og utvikling av kompetanse. Tydelig ledelse som skaper helsefremmende arbeidsplasser ved å legge til rette for mestring, anerkjennelse og tilhørighet er viktig for å beholde pleierne, og for at de skal gi tjenester av god kvalitet. De ansattes mestringsressurser og personlige egenskaper ser ut til å ha en betydning / Background: In healthcare manyc aregivers work part-time involuntarily, resulting in unpredictable income and work schedule. A staffing unit could providean efficient tool for reducingthe scope of involuntary work. Purpose: This study aimed to determine the important factors in supporting a good staffing unit and full-time work for caregivers while simultaneously providing quality services. Method: We recruited 14 caregivers,who had worked ina staffing unit for 7-18 months, to participate inthree focus-group interviews. We reviewed all data using qualitative content analysis. Result: We identified and describedthree categories: organization and culture, health promoting work places, and the qualifications of the employees. Conclusion: Our results show that a full-timeposition is a basic requirement for recruitment to staffing units. Retaining employees requires systematic and structured training as well as skill development and maintenance. Management should promote a healthy workplace by facilitating coping skills and recognizing achievement, ambition, and affiliation. Such promotion ensures careg ivers’ ability to provide quality care. The employees’ coping resources and personal skills appear to be significant. / <p>ISBN 978-91-86739-94-2</p>

Hensikt: Hensiktenmed studien var å undersøke forutsetningene for å være faglig leder for anestesisykepleiere i dagens norske helseforetak. Metode: Studien ble gjennomført med en kombinert metodikk: 1) Spørreundersøkelse med et skjema som forfatteren selv utviklet til alle førstelinjeledere for anestesisykepleiere i norske helseforetak,totalt77, med 80,5 % svarfrekvens. Datable analysert med kvantitative metoder.2) Halvstrukturerte individuelle intervju med syv ledere, strategisk utvalgt, både kvinner og menn, i alle landets fire regionale helseforetak, som det ble gjort en kvalitativ innholdsanalyse av. Resultat: I denne studien fant man at mange andre presserende oppgaver for lederne gjør at faglig ledelse ofte blir nedprioritertog delegert til andre, som fagutviklingssykepleierne. Lederne har et betydelig fokus på helsefremmende ledelse. Lederrollen er belastende, til tider slik at helsen påvirkes. Det er liten interesse for og nærmest ingen konkurranse om lederjobben. Av lederne er forholdsvis mange menn. Konklusjon: På grunn av de endrede rammebetingelsene,som følge av blant annet enhetlig ledelse og helseforetak,har lederrollen endret seg. Den har gått fra å stort sett være faglig leder til stadig mer personalledelse og administrative oppgaver. Lederne har i høy grad tilpasset seg de nye kravene, ogfungerer på mange måter som hybridlederemedettydelig fokus på helsefremmende ledelse.Anestesisykepleiefaget ivaretas gjerne av fagutviklingssykepleierne. Lederjobben oppleves som belastende og ikke særlig attraktiv for anestesisykepleiere / Aim: This study aimed to investigate the conditions being a professional leader of nurse anesthetists in Norwegian public hospitals today. Method: Thestudy used a combination of quantitative and qualitative methods, including a survey questionnaire constructed by the author and distributed to all first-line managers of nurse anesthetists in 77 Norwegian public hospitals, with a response rate of 80.5 %. The questionnaires were analyzed by quantitative methods. The author also conducted semi-structured individual interviews with seven strategically chosen leaders, both women and men, at hospitals in Norway’s four health regions. The interviews were analyzed using qualitative content analysis. Result: The results showed that leaders give less priority to professional leadership, largely due to many other urgent tasks, and frequently delegate this part of their leadership role to others (e.g., nurse anesthetists working with professional development). In leadership roles, nurse anesthetists focus on health promotion. They describe their managerial role as burdensome, at times even affecting their health. There is not much interest in and hardly any competition for managemen tpositions. Among the leaders, there is a relative dominance of men. Conclusion: Due to altered framework conditions, such as unitary management and health enterprises, the managerial role has changed, moving in responsibility from something more like a traditional foreman to becoming a first-line manager, who increasingly deals with personnel management and administration. Leaders have mostly adapted to the new demands.In many ways, they functionas hybrid leaders whofocus on health promoting leadership.Nurse anesthetistsperceive the management position as burdensome and not particularly attractive / <p>ISBN 978-91-86739-38-6</p>

Mångkulturell hälso- och sjukvård har ökat i Sverige på senare år på grund av krig i Syrien, och oro i andra länder i bland annat Mellanöstern och Afghanistan. Det har medfört mänskliga tragedier och stora flyktingströmmar. Sverige har tagit emot en stor andel av flyktingströmmen. Detta ställer nya krav på distriktssköterskan som i ett tidigt skede möter flyktingarna. Syftet med studien var att beskriva distriktssköterskans erfarenheter av hälsofrämjande och förebyggande arbete med nyanlända flyktingar ur ett vårdcentralsperspektiv. Metod: En kvalitativ intervjustudie med sju distriktssköterskor från olika vårdcentraler inom en västsvensk region. Materialet analyserades med en kvalitativ innehållsanalys. Resultat: Det framkom åtta subteman och fyra teman i analysen. Huvudteman var: Egenvårdens betydelse för att främja hälsan, Förebyggande arbete ur ett vårdcentralsperspektiv, Att kommunicera via tredje part samt Samordning mellan parter. Slutsats: Distriktssköterskornas hälsofrämjande och förebyggande arbete var betydelsefullt för de nyanlända flyktingarna eftersom distriktssköterskan var en av de yrkesprofessioner som de träffade i ett tidigt skede. Egenvårdsråd utmärkte det hälsofrämjande arbetet med nyanlända flyktingar men kunde vara svårt då många nyanlända flyktingar var vana från sina hemländer att alltid möta en läkare. Det utmärkande för det förebyggande arbetet var framförallt arbetet med vaccinationsuppföljning, som innebar en stor och krävande arbetsinsats för distriktssköterskorna. / Multicultural health and medical care has increased in Sweden during the last few years due to war in Syria and unrest in other countries among others in the Middle East and in Afghanistan. This has led to human tragedies and big streams of refugees. Sweden has received a large number of these refugees. This poses new demands on district nurses who at an early stage meet the refugees. The purpose of the study was to describe district nurses experience of health promoting and preventive care of newly arrived refugees from a perspective of the care centre. Method: A qualitative interview study with seven district nurses from different care centres within a region in West Sweden. The material was analysed with a qualitative analysis of content. Result: The analysis resulted in eight subthemes and four themes. Main themes were: The importance of self-care in order to promote health, Preventive work from a perspective of the care centre, To communicate through a third party and Co-ordination between parties. Conclusion: District nurses health promoting and preventive care was important for newly arrived refugees as the district nurse was one of the professionals they met at an early stage. Advice on self-care characterized the health promoting work with newly arrived refugees but could be difficult, as many refugees were used always to meet a doctor in their home countries. Characteristic for the preventive work was above all the follow-up of vaccinations, which required big and demanding efforts for district nurses.

Over the last few decades there has been a significant increase when it comes to mental ill health amongst Swedish schoolchildren. The school counselor has a crucial role both when it comes to detecting and to deal with these social problems. But according to recent studies the school counselors’ profession seems to lack a universal-based defined job description which has led to a decreased autonomy as well as legitimacy-related issues. This made us ask ourselves if the school counselors’ competence is used to its full potential. The overarching purpose of this study is to increase the understanding of how school social workers experience and perceive health-promoting work based on their professional role. The specific aims were to answer the following questions: How do school teachers experience health promotion at school? How does the school counselor perceive their professional role? Our method in order to collect our empirical data was to through semistructured interviews with six school counselors in Sweden. To help increase the understanding of our data we used profession-theory and also role-theory. The summarized findings are that the school counselors are a part of a group created to support the schoolchildren’s health. This group is heavily affected by the school organization’s resource assets and the school counselors’ perception is that there aren’t enough time nor enough professionals working with school-based health-promotion compared to the amount of students attending the school. We also found that the school counselors have different room, a different degree of autonomy, in order to influence the structure of the health-promoting work at school. Our conclusion is that this difference seems to depend on the principal as well as on the type of employment the school counselor has. The externally employed school counselor experienced much more autonomy compared to the internal employees. Furthermore, the school principal is proven to have a strong impact on the school counselors’ professional role and the school counselors have experienced legitimacy-related issues towards certain teachers due to their undefined job description.