How to Support Child Healthcare Nurses in Sweden to Promote Healthy Lifestyle Behaviors from the Start of Life

Ersson, Matilda; Henström, Maria; Almquist‐Tangen, Gerd; Hesketh, Kylie; Nyström, Christine Delisle

doi:10.3390/children8080696

Cited by 4 publications

(6 citation statements)

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“…Parents in this period are particularly concerned about their child's nutrition, and many parents experience worries related to diet or eating behaviours (Almqvist‐Tangen et al, 2017 ; Henström et al, 2020 ; Norlyk et al, 2019 ). Studies exploring PHNs' experiences have documented that counselling about food and feeding practices typically becomes challenging when the child reaches weaning age and begins to eat the same food as the rest of the family (Ersson et al, 2021 ; Holmberg Fagerlund et al, 2016 ). Our results further support the importance of reaching first‐time parents.…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers

Helle

Hillesund

Øverby

2023

Maternal & Child Nutrition

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In Norway, public health nurses (PHNs) are responsible for giving parents nutritional knowledge, but limited research describes how they perceive this task. This study explores PHNs' perceptions and experiences on nutritional guidance for parents of infants and toddlers. Semistructured interviews with six PHNs were conducted and transcribed verbatim. Data were subjected to thematic analysis. Five main themes were identified: (1) Dietary guidance for parents is central to the work; (2) PHNs perceive they have parents' trust, and parents are in general open to nutrition counselling; (3) food and meals must be seen in light of the family context; (4) The dialogue must be adapted to the individual family; and (5) PHNs have expertise on nutrition; however, updating knowledge is difficult. Nutritional guidance was perceived by PHNs as a core activity. They felt that they had parents' trust, and that parents were particularly open to nutritional guidance during the first 2 years. Counselling was generally well received, but conversations on overweight were perceived as difficult. PHNs strove to tailor their guidance to individual needs. However, providing guidance on a wide range of issues in different families and cultures could be challenging. They acknowledged a need for updating knowledge but the offer of courses was sparse. Our findings suggest a discrepancy between how nutrition is prioritized in the education of PHNs and what they encounter in clinical practice. In the future, this should be given more attention given the PHNs' unique position to promote healthy eating and long‐term health.

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Section: Discussionmentioning

confidence: 99%

“…A Norwegian study of nutrition counselling towards immigrant mothers found similar results (Holmberg Fagerlund et al, 2016 ). In a more recent Swedish study, the PHNs reported an increased need for support among today's parents on lifestyle issues, including nutrition‐related topics (Ersson et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers

Helle

Hillesund

Øverby

2023

Maternal & Child Nutrition

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“…In Sweden, approximately 25% of children have a migrant background [ 27 ] and at visits within CHC anyone that does not speak Swedish has the right to an interpreter. A study by Ersson et al [ 8 ] with Swedish CHC nurses has previously found that communication through an interpreter may affect how messages are delivered. As the Saga Stories in health talks intervention’s focus is the health dialogue between the nurse, parent(s), and child we have only included Swedish speaking participants to ensure the intervention is delivered as intended.…”

Section: Discussionmentioning

confidence: 99%

“…Descriptive statistics will be used for the questionnaires and checklists. Semi-structured interviews with CHC nurses will be recorded (audio) and transcribed verbatim following the process described by Ersson et al [ 8 ]. Data will be analyzed using inductive thematic analysis [ 20 , 21 ].…”

Section: Methodsmentioning

confidence: 99%

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Study protocol for an effectiveness-implementation hybrid trial to evaluate a health promotion intervention in parents and their 5-year-old child: Saga Stories in health talks in Swedish child healthcare

et al. 2022

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Background Unhealthy lifestyle behaviours such as a poor diet, inadequate physical activity, and excessive screen time have been shown to be established in childhood and track into adulthood, demonstrating the need for health promotion interventions in the pre-school years. The overall aim of this project is to: (i) evaluate the effectiveness of `Saga Stories in health talks´ within child healthcare (CHC) on parental self-efficacy to promote healthy diet, physical activity, and screen time behaviours in their child; children’s intake of key dietary indicators and screen time and (ii) evaluate and explore the implementation of `Saga Stories in health talks´ with regards to acceptability, appropriateness, feasibility, fidelity, adoption, sustainability, satisfaction, and usage. Methods A hybrid type I effectiveness-implementation trial will be conducted. A cluster randomized controlled trial will be used to assess the effectiveness of `Saga Stories in health talks´ in 42 CHC centers across six regions in Sweden. `Saga Stories in health talks´ consists of material for CHC nurses to use to facilitate the health talk with both the child and parent(s) and is complemented with take-home material. Parent and child dyads are recruited (n = 450) from participating CHC centers when they attend their 5-year routine visit. The intervention group receives the health talk using Saga Stories and take-home material, whereas the control group receives the standard health talk. The primary outcome is parental self-efficacy to promote healthy diet, physical activity, and screen time behaviours in their child and secondary outcomes include children’s intake of key dietary indicators and screen time. All outcomes are assessed at baseline and 2-months post-intervention. The implementation outcomes that will be assessed are: acceptability, appropriateness, feasibility, satisfaction, usage, fidelity, adoption, and sustainability (assessed quantitatively and qualitatively). Discussion The Swedish National Board of Health and Welfare have identified the need of more material, education, and working methods for promoting healthy lifestyle behaviours in CHC. Following this trial `Saga Stories in health talks´ has great potential to be implemented in CHC across Sweden to aid nurses to promote and support healthy lifestyle behaviours in pre-school children and their families. Trial registration ClinicalTrials.gov, NCT05237362. Registered 2 February 2022.

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Child healthcare nurses’ experience of communication with 4‐year‐old children during their visit to the child health care center

Lind,

Wigert,

Jenholt Nolbris

et al. 2024

Public Health Nursing

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ObjectiveTo illuminate child healthcare nurses’ experiences of communication with 4‐year‐old children during their visit to the child healthcare center.DesignA qualitative method, using data collected from individual interviews.SampleFifteen semistructured interviews with nurses working in a child healthcare center.MeasurementsThe results were analyzed using reflexive thematic analysis.ResultsThe analysis resulted in three themes and eight subthemes: Adapting to the child in the conversation, based on the subthemes Preparing for the visit, Listening in and observing, and Creating a welcoming environment; Combining strategies for the conversation, based on the subthemes Engaging the child, Using visual tools, and Parental involvement; and Challenges due to language barriers, based on the subthemes Using an interpreter and Parent acts as interpreter.ConclusionChild healthcare nurses focus on the child when communicating and strive to create joy and a welcoming environment. The communication strategies employed during the visit include engaging the child directly, involving parents in the conversation, and balancing the parental involvement. Communication challenges related to language barriers are addressed, particularly during interpreter‐assisted conversations. The study indicates a need for tailored strategies, collaboration, and sensitivity to ensure a child‐centered approach.

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How to Support Child Healthcare Nurses in Sweden to Promote Healthy Lifestyle Behaviors from the Start of Life

Cited by 4 publications

References 24 publications

A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers

A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers

Study protocol for an effectiveness-implementation hybrid trial to evaluate a health promotion intervention in parents and their 5-year-old child: Saga Stories in health talks in Swedish child healthcare

Child healthcare nurses’ experience of communication with 4‐year‐old children during their visit to the child health care center

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