School-based health promotions targeted at improving nutrition and increasing physical activity are seen by governments and public health experts as integral to reducing obesity among children even though such promotions often produce disappointing results. This mixed methods research involving six case schools explored the application of marketing theory in educational settings and postulates that marketing communications processes are relevant when facilitating school-based health promotions. The research intention was to determine the impact of communication processes on the implementation of school-based health promotions by investigating children‘s exposure to promotions and outcomes of promotions. Hence stakeholder perceptions and expectations of promotions were analysed. Additionally, communication enhancers and inhibitors for promotions were identified and communication approaches used by Health Promoting Schools (HPS) were compared with those used by non-HPS. Principals and teachers were interviewed to discover selection, implementation and health promotion outcomes while parents were surveyed about the influence of school-based health promotions on their children‘s eating and exercise behaviours. Children participated in focus groups to determine their perceptions of health promotions, issues and behaviours. Data were analysed using a blended models framework combining best practice principles from marketing communications theory and behavioural theory. The framework was used to explore communication processes within school-based health promotions and behavioural outcomes of those promotions. It was discovered, first, that government policy and community priorities impact upon which health messages are promoted and why. Second, it was found stakeholder roles and relationships impact upon when and where health is promoted and by whom. Third, the extent to which health concepts are integrated into school life highlighted the importance of how health is promoted. Finally, it was established that communication processes and related behaviours, which take place within different environmental contexts, are influenced by communication noise, the skills and abilities of parents and children, and environmental conditions. Future research directions include examining how health priorities of school communities can be combined into a shared vision for health promotions. Clarifying stakeholder roles and examining formation, strength and success characteristics of stakeholder relationships in health promotions is a possibility too. Exploring the HPS initiative and environmental influences on healthy behaviours also warrants further investigation.

Thesis (Ph. D.)--University of Texas at El Paso, 2009. / Vita. Includes bibliographical references: (leaves 109-120) Also available online.

Bakgrund: Hälsosamma matvanor är ett viktigt område eftersom ohälsosamma matvanor kan leda till negativa hälsoeffekter som övervikt, näringsbrist, undervikt och ätstörningar. I skolan träffar ungdomarna skolsköterskan som har en möjlighet att påverka och influera ungdomarna till hälsosamma matvanor.  Syfte: Syftet var att undersöka skolsköterskans erfarenheter av att främja hälsosamma matvanor för ungdomar i högstadiet Metod: Elva stycken kvalitativa intervjuer genomfördes med skolsköterskor i södra och mellersta Sverige. Dataanalysen genomfördes med kvalitativ innehållsanalys.   Resultat: Att arbeta med hälsosamma matvanor visade sig vara ett svårt arbete. Att samarbeta och nå fram till ungdomarna kunde vara svårt eftersom de påverkades av sin sociala miljö. Det kunde vara känsligt att prata om matvanor eftersom ungdomen kunde känna sig kritiserad eller tro att det handlade om utseende eller vikt. Miljön runt ungdomarna var viktig och skolsköterskorna önskade ett bättre samarbete med skola och vårdnadshavare.  Slutsats: Skolsköterskor har ett betydelsefullt arbete eftersom arbetet innebär återkommande kontakt med ungdomar under flera år. Det saknas tid, material och kunskap inom området och genom mer resurser och utbildning till skolsköterskan skulle den enskildes hälsa kunna förbättras. Ur ett samhällsperspektiv skulle detta kunnat leda till lägre kostnader för hälso- och sjukvården i framtiden. / Background: Healthy eating habits are an important area as unhealthy eating habits can lead to negative health effects such as obesity, nutritional deficiencies, underweight and eating disorders. In school the adolescents meet the school nurse who has an opportunity to influence adolescents to good eating habits. Purpose: The purpose was to investigate the school nurse's experiences of promoting healthy eating habits for high school youth  Method: Eleven qualitative interviews were conducted with school nurses in southern and central Sweden. The data was analyzed with qualitative content analysis.  Results:Working with healthy eating habits proved to be a difficult job. Collaborating and reaching adolescents could be difficult because they were affected by their social environment. It could be sensitive to talk about eating habits because the adolescent might feel criticized or think it was about appearance or weight. The environment around the adolescents was important and the school nurses wanted better cooperation with schools and guardians.  Conclusion: School nurses have an important job because the work involves regular contact with adolescents for several years. There was a lack of time, material and knowledge in the field and through more resources and education for the school nurse the individual's health could be improved. From a societal perspective, this could lead to lower costs for health care in the future.

Bakgrund: Övervikt är ett ökande problem världen över och är den främsta orsaken till ohälsa bland barn samtidigt som risken att bibehålla övervikten som vuxen är stor. Detta kan leda till flera olika folksjukdomar och påverka folkhälsan globalt. Skolsköterskor har en betydelsefull roll i att tidigt uppmärksamma övervikt hos barn och arbeta hälsofrämjande och förebyggande. Syfte: Syftet med studien var att beskriva skolsköterskors erfarenheter av det hälsofrämjande och förebyggande arbetet i grundskolan med barn som har en övervikt. Metodbeskrivning: Kvalitativ metod med induktiv ansats tillämpades vid studiens genomförande. Semistrukturerade intervjuer med 11 skolsköterskor från södra till norra Sverige utgjorde datainsamlingen. Dataanalysen genomfördes med manifest innehållsanalys enligt Graneheim och Lundman. Resultat: I det bearbetade intervjumaterialet framkom fyra kategorier: Betydelsen av att bedöma barnets övervikt, Skolsköterskans förhållningssätt i hälsosamtalet, Vikten av samverkan med föräldrar vid bedömd övervikt och Vikten av att se möjligheter och utmaningar i arbetet mot övervikt. Slutsatser: Det är betydelsefullt att skolsköterskan tar hänsyn till barnet som helhet där stöd utifrån Swansons omvårdnadsteori kan stödja barnet att uppnå välbefinnande. För att möjliggöra detta behöver riktlinjer utvecklas för att vägleda skolsköterskor i arbetet då de är en nyckelperson i det hälsofrämjande och förebyggande arbetet mot barnets övervikt. / Background: Overweight is an increasing problem worldwide and the main reason for morbidity among children. At the same time, there is a great risk of maintaining excess weight in adulthood, which can cause chronic diseases and affect the public health globally. School nurses have an important role to inform parents about overweight and unhealthy habits for children, as well as contributing knowledge of healthy lifestyles. School nurses have an important role to identify overweight in an early stage and work with health promotion and prevention. Aim: The aim of the study was to describe school nurses' experiences of the health promotion and prevention in primary school among children who are overweight. Method: The study was made using qualitative content analysis with inductive approach. Semi-structured interviews with 11 school nurses´ from southern to north of Sweden constituted the data collection.  The data analysis was carried out with qualitative content analysis. Result: Four categories emerged in processed study material: The importance of identifying the child's overweight, School nurse's approach in the health dialog, The importance of cooperation with parents in the case of assessed overweight, The importance of seeing opportunities and challenges in the work against overweight. Conclusion: It is important that the school nurse takes the whole child into account, where support based on Swanson's nursing theory can support the child to achieve well-being. To enable this, guidelines need to be developed to guide school nurses in their work as they are a key person in the health promotion and prevention work against child overweight.

Bakgrund Typ 2 diabetes är en snabbt växande kronisk sjukdom som förväntas öka kraftigt runt om i världen och leder till svåra komplikationer. Hälsofrämjande arbete är en central dimension vid typ 2 diabetes som ger patienterna möjlighet att aktivt främja sin hälsa och förbygga sjukdom. Syfte Syftet var att beskriva sjuksköterskors uppfattningar av det som påverkar arbetet med hälsofrämjande insatser vid typ 2 diabetes inom primärvården. Metod En strukturerad litteraturöversikt baserad på femton vetenskapliga artiklar publicerade mellan åren 2013 och 2023. Artiklarna var av kvalitativ design och inhämtade från databaserna CINAHL och PubMed. Artiklarna har analyserats med Fribergs fyrstegsmetod där resultaten sammanställdes till en ny helhet. Resultat Resultat presenteras i tre huvudkategorier: patienternas förutsättningar, sjuksköterskors förhållningssätt och organisatoriska förutsättningar följt av sju underkategorier: Behov av kunskap, förmåga till kunskapsinhämtning, eget ansvar, personcentrerat förhållningssätt, stödjande roll, tidsbrist och teamarbete. Slutsats Hälsofrämjande insatser påverkas av tre centrala dimensioner som interagerar med varandra: patient, sjuksköterska och sjukvårdsorganisationen. För att kunna arbeta hälsofrämjande behöver sjuksköterskan organisationens stöd och en arbetsmiljö som möjliggör personcentrerad vård vid hälsofrämjande insatser. / Background Type 2 diabetes is a rapidly growing chronic disease that is expected to increase significantly worldwide and it can lead to severe complications. Health promoting work is central dimension in type 2 diabetes that enables patients to actively promote their health and prevent illness. Aim The aim is to describe nurses' perceptions of factors influencing work with health promotion in type 2 diabetes within primary care. Method A structured literature review based on fifteen scientific articles published between 2013 and 2023. The articles are of qualitative design and were searched in the databases CINAHL and PubMed. Fifteen articles were analysed using Friberg's integrated synthesis method. Results The results are presented in three main categories: patients' conditions, nurses' approaches, and organizational conditions, followed by seven subcategories: Need of knowledge, ability to acquire knowledge, self-responsibility, person-centered approach, supportive role, lack of time and teamwork. Conclusions Health promotion interventions are influenced by three central dimensions that interact with each other: the patient, the nurse, and the healthcare organization. To work with health promotion, the nurse needs the support of the organization and a work environment that enables person-centered care in health promotion interventions.

No description available.