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Skolsköterskans erfarenheter av hälsosamtal med nyanlända elever på gymnasieskola.: En kvalitativ studie
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The school nurse´s experiences of health conversation with newly arrived foreign students in high school. : A Qualitative study (English)
Abstract [sv]

Syfte med studien var att belysa skolsköterskors erfarenheter av hälsosamtal med nyanlända elever som kommit till Sverige tillsammans med sina familjer. En kvalitativ design med induktiv ansats och semistrukturerade intervjuer tillämpades. Totalt inkluderades sju skolsköterskor från olika skolor i Västernorrlands län och i Stockholms län. Intervjumaterialet bearbetades genom innehållsanalys. Resultatet av studien visade på ett tema

"Att vara mer än bara skolsköterska" med tre huvudkategorier;

"Att utmanas i sin yrkesroll som skolsköterska i hälsosamtalet"

"Att berikas i sin yrkesprofession i samband med hälsosamtalet"

"Att inte räcka till i hälsosamtalet som skolsköterska"

Vidare bildades 14 stycken subkategorier. Samtliga skolsköterskor betonade att mötet med nyanlända elever i samband med hälsosamtal innebar att vara mer än bara skolsköterska, baserat på både positiva och negativa faktorer. Hälsosamtal med nyanlända elever innebar olika typer av utmaningar som ofta var relaterade till avsaknad av riktlinjer, kunskapsbrist, tidsbrist och resursbrist. Trots de utmaningar som framkom i studien uppgav skolsköterskorna att de hankade sig fram.

Vidare uppgav skolsköterskorna att de berikades i sin yrkesroll i samband med hälsosamtalet vilket skapade en känsla av tillfredsställelse och ett engagemang av att vilja hjälpa och finnas där för dessa elever på ett djupare plan.

De beskrev också en känsla av att inte räcka till i hälsosamtalet med eleven, vilket väckte känslor som osäkerhet, frustration och maktlöshet hos skolsköterskorna samt påverkade deras professionella förhållningssätt.

Alla deltagare i studien var överens om att det saknades riktlinjer för bemötande av nyanlända elever på gymnasienivå och att det fanns kunskapsluckor hos skolsköterskorna gällande kulturella skillnader. Deltagarna efterfrågade också handledning i arbetet med nyanlända elever.

Abstract [en]

The aim of this study was to investigate and disclose the experiences that school nurses encounter, in regard to health consultations, with newly arrived foreign students. The study had a qualitative design and was composed of semi structured interviews with an applied inductive approach. In total, seven interviews were performed with separate school nurses from the counties of Västernorrland and Stockholm. The interview material was processed through a content analysis. The results from the study indicated a theme of "

being more than a school nurse" was composed of three main constituents;

"To be challenged in one´s profession as a school nurse in health consultations"

"To be enriched in one's profession in regard to health consultations"

"To be inadequate in the health consultations as a school nurse"

Based on both positive and negative factors, all school nurses affirmed that the meeting with the newly arrived foreign students, in regard to health consultations, resulted in being more than a school nurse. Health consultations with the students involved different types of challenges that consisted of inadequate guidelines, knowledge, time and resources. In spite of the challenges posed by the findings in this report, the school nurses asserted that they inched forward.

The school nurses argued that they were enriched in their role in relation to the health consultations, which resulted in a sense of satisfaction and a commitment of wanting to help and be there for these students on a deeper level.

The nurses reported a feeling of being inadequate during the consultations with the students, which brought forth feelings of insecurity, frustration and helplessness with the nurses. They reported that even their professional disposition had been affected.

All participants in this study agreed that current high school health consultation guidelines were inadequate and confirmed that they lacked some knowledge in regard to cultural differences. The participants also requested guidance in their work involving newly arrived foreign students.

Place, publisher, year, edition, pages
2017.
Keywords [en]
school nurse, health consultation, newly arrived foreign students, experiences, high school
Keywords [sv]
skolsköterska, hälsosamtal, nyanlända elever, erfarenheter, gymnasiet
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-27320OAI: oai:DiVA.org:du-27320DiVA, id: diva2:1186019
Available from: 2018-02-27 Created: 2018-02-27

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CiteExportLink to record
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Citation style
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