The school environment in the experience of children with special health needs: a qualitative study.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0215en
Álida Maria de Oliveira Andreato, Eliane Tatsch Neves, Maiara Rodrigues Dos Santos, Maria Angélica Marcheti, Maira Deguer Misko
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Abstract

Objective: To understand the experience of children with special health needs at school.

Method: Qualitative research using Symbolic Interactionism as a theoretical framework and assumptions of Grounded Theory as a methodological framework. Data collected in a pediatric outpatient clinic of a teaching hospital in an inland city of the state of São Paulo. The following collection strategies were used: participant observation, drawing, and semi-structured interviews. Twenty-two school-age children with special health needs participated in the research, all of whom attended school.

Results: Three categories were constructed representing the experience of children with special health needs at school: Experiencing the school environment, Identifying obstacles, and Finding ways to move forward despite the illness. These children's experiences at school allowed us to understand their difficulties, their need for adaptation and their actions in the face of the process related to their development.

Conclusion: The need for acceptance, safety, and trust in the school environment and in the people who make it up was identified, which are fundamental factors for the children to be able to continue their development and learning, despite the illness.

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特殊健康需要儿童在学校环境中的体验:一项定性研究。
目的:了解有特殊健康需要儿童的在校经历。方法:以符号互动主义为理论框架,以扎根理论的假设为方法论框架,进行定性研究。数据收集于圣保罗州内陆城市一所教学医院的儿科门诊。采用了以下收集策略:参与观察、绘图和半结构化访谈。22名有特殊健康需要的学龄儿童参加了这项研究,他们都上学了。结果:构建了代表特殊健康需要儿童在学校体验的三个类别:体验学校环境、识别障碍和寻找克服疾病的方法。这些孩子在学校的经历让我们了解了他们的困难,他们对适应的需要以及他们在面对与他们发展相关的过程时的行动。结论:确定了对学校环境和组成学校的人的接受、安全和信任的需求,这些是儿童能够继续发展和学习的基本因素,尽管患有疾病。
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