Lise-Marie Bergvoll, Anne Clancy, Monica Martinussen, Hilde Laholt
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The drawings were analysed using critical visual analysis methodology.</p><p><strong>Results: </strong>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'.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Impact: </strong>This study provides valuable insights for health authorities, educators and practitioners on what inhibits sibling support in Norway. 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引用次数: 0
摘要
目的：探讨挪威小学卫生服务机构的公共卫生护士（PHNs）在为有一个有复杂护理需求的兄弟姐妹提供支持方面所扮演的角色：方法：19 名挪威公共卫生护士参加了重点小组讨论：19名挪威初级保健护士在2022年5月至9月期间参加了三次焦点小组讨论。这些护士被要求将自己画成在小学工作的公共卫生护士。布劳恩和克拉克（Braun and Clarke）的反思性主题方法被用于分析访谈记录。采用批判性视觉分析方法对绘画进行了分析：研究结果表明，小学公共卫生护士注重建立良好的关系，并认为灵活和富有创造性非常重要。然而，要成功地为兄弟姐妹及其家庭提供支持服务所面临的挑战是，护士在实施健康促进干预措施时缺乏支持，常常感到孤独。分析得出了三大主题："关系和灵活性在满足兄弟姐妹需求方面的重要性"、"感到独自承担支持兄弟姐妹的责任 "和 "被遗忘的儿童：需要协调服务"：结论：学校健康服务机构中的公共卫生护士在提供支持以改善兄弟姐妹的心理健康和幸福 方面具有独特的优势。为了充分发挥公共卫生护士在支持兄弟姐妹方面的潜力，有必要明确指导原则并制定以证据为基础的干预措施：这项研究为卫生当局、教育工作者和从业人员提供了宝贵的见解，帮助他们了解在挪威，是什么阻碍了对兄弟姐妹的支持。该研究强调了公共卫生护士在不受环境影响的情况下，在学校环境中为这些兄弟姐妹及时提供促进健康的干预措施方面发挥重要作用的潜力：本研究按照定性研究综合报告标准（COREQ）进行报告：无患者或公众贡献。
Support for Siblings of Children With Complex Care Needs: Public Health Nurses' Perceptions of Their Role in Primary Schools.
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.
期刊介绍：
The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy.
All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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