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School health services, health promotion and health outcomes: an investigation of the Health Promoting Schools approach as supported by school nurses

机译：学校卫生服务，健康促进和健康结果：在学校护士的支持下对健康促进学校方法的调查

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摘要

Health promotion interventions in schools have grown in popularity and have demonstrated varying degrees of effectiveness on the health of the school and its individuals. The School Based Youth Health Nurse (SBYHN) Program introduced in 1999 by Queensland Health into state secondary schools supports and encourages use of the Health Promoting Schools (HPS) approach in addressing health issues, in addition to providing individual health consultations to the school community. This Program is unique in that a health service is entering into the education system with a role of supporting implementation of a comprehensive approach to addressing health issues.The study investigates how SBYHNs support the implementation of the HPS approach in the secondary school setting and explores the health outcomes for the school community. A statewide survey of SBYHNs examines the variety of health promotion and HPS work being undertaken within schools and identifies key implementation and practice issues. Qualitative case studies of three schools further investigates the barriers faced by nurses in supporting HPS implementation, and explores the perceived outcomes of implementing the HPS approach that have begun to emerge within the school community.Results found that nurses have the capacity to support the implementation of whole-of-school health promotion, with the presence of enablers influencing the comprehensiveness with which schools address health issues or decide to adopt the HPS approach. The study also indicated several outcomes of nurse and school-supported, comprehensive school health promotion across three major areas corresponding with the HPS framework (curriculum, teaching and learning; school organisation, ethos and environment; partnerships and services) and the addition of outcomes in specific health issues.Implications for future developments in health promotion-orientated, school health service interventions and research into the evidence of effectiveness of the HPS approach are discussed.
机译：学校中的健康促进干预措施日益普及，并已显示出对学校及其个人健康的不同程度的有效性。昆士兰州卫生局于1999年将公立中学纳入学校青年健康护士（SBYHN）计划，除向学校社区提供个人健康咨询外，还支持并鼓励使用健康促进学校（HPS）的方法来解决健康问题。该计划的独特之处在于，卫生服务正在进入教育系统，其作用是支持实施解决卫生问题的综合方法。该研究调查了SBYHNs如何在中学环境中支持HPS方法的实施，并探索了对学校社区的健康结果。一项针对SBYHN的全国性调查研究了学校内正在进行的各种健康促进和HPS工作，并确定了关键的实施和实践问题。对三所学校进行的定性案例研究进一步调查了护士在支持HPS实施过程中面临的障碍，并探索了在学校社区内开始出现的实施HPS方法的预期结果。结果发现，护士具有支持实施HPS方法的能力。促进学校整体健康，而促成因素的存在会影响学校解决健康问题或决定采用HPS方法的全面性。该研究还表明，在与HPS框架相对应的三个主要领域（课程，教与学；学校组织，精神和环境；伙伴关系和服务）中，护士和学校支持的全面学校健康促进取得了若干成果，并增加了成果。讨论了对以健康促进为导向的未来发展，学校卫生服务干预措施以及HPS方法有效性证据的研究的意义。

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    Carlsson Dru;

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  • 年度 2005
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  • 正文语种 {"code":"en","name":"English","id":9}
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