Understanding the contribution of the whole-school staff to health education (HE) is an important goal in HE research. This study aimed to identify the views of staff (principals; teachers; school nurses and doctors; counsellors and administrative, maintenance, canteen and cleaning staff) regarding the nature of their contribution to HE. The research is based on 207 semi-structured interviews of staff in a sample of five French middle schools (grade 6-9). Content analysis was performed using Bardin's method. The results showed that staff members have different views of their role, three main roles were identified: (i) as an educator in everyday life issues (72%); (ii) individual support, listening (14%) and (iii) taking part in collective projects and facilitation (14%). Professional status has a significant influence on the view they have of their contribution to HE. These results show that in order to facilitate consistent implementation of HE, schools need to be supported to build HE policy (need analysis, definition of priorities and partnerships) and also to develop the means by which an inclusive and real sharing of common culture among all staff can happen; this is not limited to teaching staff but includes non-teaching staff also.
Purpose Implementing health promotion programmes in schools is key to improving children’s health and well-being but difficulties in achieving expected results are often reported in the research literature. Discrepancies between expected and achieved outcomes can originate from differences in contexts. Understanding how interactions between contexts and programmes generate variable outcomes is, therefore, critical. The purpose of this paper is to explore the outputs of a programme implemented in different school contexts. The focus is to pinpoint outputs, understand the involvement of combinations of contextual factors and identify recurrences in these combinations. Design/methodology/approach This retrospective study covers a period from 2006 to 2016. Data collection includes two sets of data in eight high schools in the Rhône-Alpes Region in France: written documents and interviews with school staff. Realist evaluation is used to attempt to pinpoint outputs and relating contextual factors. Findings Results highlight the limited outputs of the programme. Differences between schools appear to originate from existing school policy prior to participation, existence of a project team, identification of the issue as priority and staff turnover. Analysis of contextual factors led to considering the implementation process as enabling health capacity building and enhanced the capacity of settings and communities to promote health. Research limitations/implications The data provided remain partial as there was high staff turnover, reluctance to participate due to failure to implement the project, and schools being over burdened with other requests. Originality/value Previous research suggests that top-down implementation of a standard programme is not an efficient strategy for all schools to engage in the development of suitable health promotion policies. A potential way forward is to base support for the local development of health promotion in schools on a better understanding of the contexts in which implementation occurs.
International audiencePurpose– Health and education are inextricably linked. Health promotion sits somewhat uncomfortably within schools, often remaining a marginal aspect of teachers’ work. The purpose of this paper is to examine the compatibility of an HP-initiative with teacher professional identity.Design/methodology/approach– A qualitative research design was adopted consisting of semi-structured interviews. In total, 49 teachers in two school districts in the Auvergne region in central France were interviewed in depth post having completed three years’ involvement in a health promoting schools initiative called “Learning to Live Better Together” (“Apprendre a Mieux Vivre Ensemble”).Findings– Teachers in the study had a broad conceptualisation of their role in health promotion. In keeping with international trends, there was more success at classroom than at whole school level. While generally teachers can be reluctant to engage with health promotion, the teachers in this study identified having little difficulty in understanding their professional identity as health promoters and identified strong compatibility with the HP-initiative.Practical implications– Teachers generally viewed professional development in health promotion in a positive light when its underlying values were commensurate with their own and when the context was seen as compatible with the school mission. The promotion of health in schools needs to be sensitive to professional identity and be tailored specifically to blend more successfully with current teacher identity and practice.Originality/value– The promotion of health in schools needs to be sensitive to professional identity and be tailored specifically to blend more successfully with current teacher identity and practice
La notion de compétences psychosociale (CPS) a été introduite par l’OMS en 1993 et définie comme « la capacité d’une personne à répondre avec efficacité aux exigences et aux épreuves de la vie quotidienne. C’est la capacité d’une personne à maintenir un état de bien-être subjectif qui lui permet d’adopter un comportement approprié et positif à l’occasion d’interactions avec les autres, sa culture, son environnement. ». Aujourd’hui, les compétences psychosociales bénéficient de plus en plus de recherches et sont reconnues comme un déterminant solide du bien-être et donc plus largement de la santé des élèves. Si des programmes scolaires permettant de les développer voient le jour, il semblerait qu’il n’existe pas d’échelle psychométrique permettant de les mesurer. Cet article propose donc la validation d’une échelle de mesure de la compétence « sociale » des CPS, en langue française, pour un public âgé d’au moins 8 ans. Pour ce faire, un recueil auprès de 614 élèves de cycle 3 (CM1-CM2-6ème), âgés de 8 à 12 ans (moyenne = 9,71 ans et écart-type = 0,81) a été mené lors de l’année scolaire 2017-2018 dans le cadre d’un projet de recherche-intervention sur le développement des CPS. Les élèves ont complété un questionnaire auto-administré en classe créé à partir d’outils connexes existants. Après un traitement statistique (validité, fiabilité), il ressort que les propriétés psychométriques de l’échelle de mesure CPS relatives à la compétence « sociale » sont bonnes et permettent de la valider.
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