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  • 1.
    Holmström, Malin
    et al.
    Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.
    Olofsson, Niclas
    Folkhälsocentrum, Landstinget Västernorrland, Härnösand, Sweden.
    Asplund, Kenneth
    Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.
    Exploring the development of school children´s health2012Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 7, nr 4, s. 189-197Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To explore the association between positive self-reported health (SRH) in pre-school and 4th grade SRH in a long–term prospective population-based study in Sweden.

    Methods: Data originated from the Health Dialogue (HD) a structured instrument used by school nurses. 1084 children participated. Odds ratios were analyzed.

    Results: In 10-year-old children’s SRH, comfort in school, normal BMI and absence of headaches were shown to be significantly important health indicators. Normal BMI showed to have a potentially causal effect on 10-year-old girls and absence of headaches showed a potentially causal effect among 10-year-old boys.

    Conclusion: Schools should be designed to meet the children’s needs so that they are perceived as comfortable, safe and secure places. Schools should advocate physical activity and play, serve healthy nutritious food in order to motivate, support and promote a healthy lifestyle. Schools are a unique arena for health promotion as they reach practically all school-age children.

  • 2.
    Holmström, Malin
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Olofsson, Niclas
    Folkhälsocentrum, Härnösand, Sweden.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Assessing the validity and reliability of the "Health Dialogue" in 10-year-olds2013Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 8, nr 8, s. 384-391Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim:

    The aim was to assess the concurrent, construct and convergent validity of the Health Dialogue questionnaire (HD) in 4th grade in compulsory school, through comparison of the HD questionnaire with Pediatric Quality Of Life Inventory (PedsQL), and Health Behavior in School-aged Children (HBSC).

    Methods:

    A sample was created from the HD n=1956, HBSC, n=1500 and PedsQL n=425. An exploratory factor analysis was performed in order to evaluate the construct validity of HD.

    Results:

    A majority of the questions show acceptable concurrent validity and the results support the HD as a valid 16-item three factorial model for school children aged 10 years old (grade 4). The HD's three factorial model's degree of explanation was 39% of the school children's health in school settings.

    Conclusion:

    The HD questionnaire is a valid instrument for measuring 10-year-old school children's self-reported-health and to identify positive health factors.

  • 3.
    Kristiansen, Lisbeth
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Karlström, Annika
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Rising Holmström, Malin
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Boman, Niklas
    Jonsson, Cathrin
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Olofsson, Niclas
    Avdelningen för hälsovetenskap, Mittuniversitetet, Sundsvall.
    A health promotion intervention strengthening Swedish high school students' wellbeing: A feasibility study2018Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, nr 6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The majority of Swedish school children enjoy a general good health. Still, mental health problems are increasing among young people in Sweden. According to Swedish law all school staff members (teachers and student health professionals) have mutual responsibility to provide a safe school environment and health. Since 2010, there is an emphasis on health promotion in schools. The aim of this study is to describe the feasibility and pilot outcomes of a health promoting intervention targeting healthy high school students (the Strengthening Adolescent Wellbeing [SAW] project).

    A descriptive design was used with an intervention group that was assessed before and after the implementation of the programme using quantitative methods. The study was based on the Medical Research Council Framework. The study and the data collection were performed during the autumnof 2016 and the early spring of 2017.

    Public high school students' health professionals, that is school nurses, student counselors and specialist educators, facilitated a research-based intervention consisting of eight sessions with education and mind-body practices. Pre- and post-testing were carried out.

    The main findings showed enhanced levels of wellbeing among the participating students and the student-related measures all showed improvements.

    The intervention seems to have been feasible in this context. Findings from this study indicate that the SAW methodology contributed to an improvement in high school students' wellbeing. The study will provide a base for a full-scale evaluation study intended to evaluate the effect of this health-promoting programme.

  • 4.
    Kristiansen, Lisbeth Porskrog
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Mittuniversitetet.
    Willmer, Mikaela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Karlstrom, Annika
    Mid Sweden University.
    Strengthening adolescent well-being project - Qualitative outcomes from a pilot in a Swedish upper-secondary school2019Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 14, nr 8, s. 390-397Artikel i tidskrift (Refereegranskat)
  • 5.
    Rising Holmström, Malin
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Asplund, Kenneth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Promoting a relationship-based health practice: A challenge for school nurses2013Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 8, nr 1, s. 30-38Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    School nurses have a unique opportunity to promote health when they meet school children during the Health Dialogue. The Health Dialogue concept is used by all the school nurses in a county in Mid Sweden.

    Aim:

    To describe school nurses' experiences of the Health Dialogue concept.

    Methods:

    A qualitative descriptive study with latent content analysis of interviews performed during February–April 2012, where 16 school nurses participated.

    Findings:

    The school nurses experienced the Health Dialogue concept as a useful tool to work with school children's health in a relationship-based, child focused, structured, and systematic way, which was reflected in one overarching theme: 'To be in a relationship-based, health-promoting practice.' However, school nurses also experienced loneliness and frustration from the many difficult situations with school children, and they indicated needs for further collaboration.

    Conclusions:

    The Health Dialogue concept is child-focused, systematic and structured, but it requires further development and continuing work on statistical feedback. School nurses indicated a need for collaboration with teachers, parents, and other health professionals, as well as professional-reflective supervision.

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