Access to a school health nurse and adolescent health needs in the universal school health service in Finland

Kivimäki, Hanne; Saaristo, Vesa; Wiss, Kirsi; Frantsi-Lankia, Marjut; Ståhl, Timo; Rimpelä, Arja

doi:10.1111/scs.12617

Cited by 19 publications

(22 citation statements)

References 21 publications

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“…In this study, the adolescents who perceived need for the services were likely to access AFHS, and the same thing happened in South Ethiopia (Cherie, Tura and Teklehaymanot, 2015). In Finland, adolescents who perceived need for school health nurses likely reported difficulties in accessing the service (Kivimäki et al, 2019). Adolescents who need for support would seek for the service if the AFHS available in their community met their needs (Godia et al, 2014).…”

Section: Resultsmentioning

confidence: 57%

The Determinants of Access to Adolescent- Friendly Health Service: A Case Control Study

Arifah

Kusumawardani

Hendriyaningsih

et al. 2020

JAKI

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Background: Adolescents need to access Adolescent-Friendly Health Service (AFHS) to get it’s benefit in order to improve adolescent health. However, the current adolescent access to that service remains low with the access prevalence under 50%).Aim: This study determined factors that affected adolescents’ access to AFHS.Methods: This school-based case control study was conducted in 9 junior and senior high schools in the area of Sangkrah and Kratonan in Surakarta District. There were 162 cases (who accessed the AFHS by guidance from health professionals and peer educators) and 162 controls (those who did not) who were chosen using total sampling and proportionate random sampling technique, respectively. A multiple logistic regression analysis was used to assess the determinant factors of AFHS access.Results: Access to AFHS was significantly determined by knowledge of the program and perceived demand. A probability of finding adolescents who had knowledge of the program was 6 times higher in the case group than in control group with the OR value of 6.1 (95% CI 3.3-11.1).Conclusion: Overall, the low adolescents’ access was mostly caused because of insufficient knowledge. Broadening information about the program and adolescents’ access to the program through electronic media and peer educators is required. Keywords: access, adolescent, Adolescent-Friendly Health service, AFHS.

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Section: Resultsmentioning

confidence: 57%

The Determinants of Access to Adolescent- Friendly Health Service: A Case Control Study

Arifah

Kusumawardani

Hendriyaningsih

et al. 2020

JAKI

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“…However, in smaller schools they are only present part of the week. Still, Kivimäki et al (2019) found that youth generally reported that accessing their school nurse was easy, even though this varied between the schools [46]. The open-door policy of school nurses is important for students, as they are often the only school health professionals students can go to without a scheduled appointment.…”

Section: Discussionmentioning

confidence: 99%

Supporting Student’s Mental Health: A Cross-Sectional Survey for School Nurses

2021

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Children’s and adolescents’ health problems are often related to mental health, and their wellbeing should be supported in schools. This study describes school nurses’ role and how equipped they are in recognizing students’ mental health needs and in supporting students’ mental health. Moreover, we explored the methods used and the barriers that exist for supporting students’ mental health. A national survey for members of the Finnish Public Health Association working as school nurses was conducted (n = 136/648, 21%). The survey questionnaire was analyzed using descriptive statistics and qualitative data using manifest content analysis. Participants (n = 127/133, 96%) agreed that they had an important role in ensuring that students’ mental health needs are met on time. Around one-third reported training needs for mental health interventions (n = 42/115, 36%), and a similar proportion (n = 42/136, 31%) indicated lacking adequate knowledge and skills for supporting mental health among culturally diverse students. Identified barriers for students getting help were a lack of options for sending students to mental health services (n = 92/134, 69%) and a lack of adequate training (n = 81/134, 68%). School nurses are key in providing early mental health support to students. Therefore, the availability of intervention education and training on assessing and supporting students’ mental health is needed and should be improved.

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“…Access to health care is also vital in promoting equity in health [ 42 ]. Still, being a child of foreign origin is related to having a higher risk of experiencing difficulties in accessing a school nurse [ 43 ], and they also report difficulties in keeping appointments [ 11 ]. However, that the school nurses in this study describe availability as important for children of foreign origin suggests that these school nurses might be aware of the impact that availability and access have on these children’s participation in health visits and also on promoting equity in health.…”

Section: Discussionmentioning

confidence: 99%

Adjusting and doing the same: school nurses’ descriptions of promoting participation in health visits with children of foreign origin

et al. 2021

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Background School nurses in the school health services are assigned to promote health and participation among children when conducting health visits. Still, for children of foreign origin this promotion of participation might be hampered by challenges related to cultural diversity and language barriers. Therefore, knowledge needs to be developed regarding how these children’s participation can be promoted, to support them in sharing and describing matters important for their health. The aim was to investigate school nurses’ descriptions of promoting participation for children of foreign origin in health visits. Methods A content analysis of 673 Swedish school nurses’ answers to eight open-ended questions regarding promotion of participation for children of foreign origin was conducted. The open-ended questions were part of a larger web-based cross-sectional survey distributed to school nurses in Sweden. Results The results show that school nurses use three main approaches during the health visit: adjusting according to the child’s proficiency in Swedish and/or cultural or national background, adjusting according to the child’s individual needs, and doing the same for all children regardless of their origin. Yet, adjustments according to the child’s proficiency in Swedish and/or cultural or national background were the most common. Conclusions By combining the approaches of adjusting, a child-centered care that contributes to children’s participation in health visits and equity in health could be provided.

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Access to a school health nurse and adolescent health needs in the universal school health service in Finland

Cited by 19 publications

References 21 publications

The Determinants of Access to Adolescent- Friendly Health Service: A Case Control Study

The Determinants of Access to Adolescent- Friendly Health Service: A Case Control Study

Supporting Student’s Mental Health: A Cross-Sectional Survey for School Nurses

Adjusting and doing the same: school nurses’ descriptions of promoting participation in health visits with children of foreign origin

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