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Missed Work Among Caregivers of Children With a High Body Mass Index: Child, Parent, and Household Characteristics 高体重指数儿童照顾者的工作缺失:儿童、父母和家庭特征
Pub Date : 2019-09-12 DOI: 10.1177/1059840519875506
Jiwoo Lee, M. Kubik, J. Fulkerson
An underexamined consequence of childhood obesity is caregivers’ missed work attributed to child absence from school due to a health condition. This secondary analysis (N = 123) reported the frequency of missed work among caregivers of children with a body mass index (BMI) at or above the 75th percentile and examined associations with select child, parent, and household characteristics. Caregivers missed work 1.3 (SD = 1.2) times in the past year with 41% reporting 2 or more times. A child visiting a health-care provider 2 or more times in the past year and parent perception of their child’s health as good/fair/poor were significantly associated with caregivers’ missing work 2 or more times in a year (OR = 5.8 and OR = 3.0, respectively). A significant association between children’s physical and psychosocial well-being and caregivers’ missed work emphasizes the school nurse role working with children with high BMI and families to address student absenteeism and caregivers’ missed work.
儿童肥胖的一个未被充分研究的后果是,由于儿童健康问题缺课,照顾者错过了工作。这一次要分析(N = 123)报告了身体质量指数(BMI)等于或高于第75百分位数的儿童的看护者旷工的频率,并检查了与选定的儿童、父母和家庭特征的关联。在过去的一年里,护理人员旷工1.3次(SD = 1.2), 41%的人旷工2次或更多。在过去一年中,儿童就诊2次或2次以上,以及父母对其子女健康状况的看法为好/一般/差,与照料者在一年中旷工2次或2次以上显著相关(or = 5.8和or = 3.0分别)。儿童身体和心理健康与照顾者缺勤之间的重要联系强调了学校护士与高BMI儿童及其家庭一起解决学生缺勤和照顾者缺勤问题的作用。
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引用次数: 3
Migration, School Nursing, and School Health Services 移民、学校护理和学校保健服务
Pub Date : 2019-09-03 DOI: 10.1177/1059840519866531
Eva K. Clausson, J. Cowell
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引用次数: 4
Effectiveness of School-Based Smoking Prevention Education Program (SPEP) Among Nonsmoking Adolescents: A Quasi-Experimental Study 学校预防吸烟教育计划在非吸烟青少年中的有效性:一项准实验研究
Pub Date : 2019-08-27 DOI: 10.1177/1059840519871641
M. S. Nurumal, Siti Hajar Mohamed Zain, M. H. Mohamed, S. Shorey
Preventing smoking among adolescents is critical. This study evaluated the effectiveness of the Smoking Prevention Education Program among nonsmoking adolescents. A quasi-experimental study design was used. Data were collected from Year 5 students (n = 140) from four government primary schools in the Kuantan and Pahang districts of Malaysia. The participating schools were randomly assigned into the intervention and control groups. Questionnaires and exhaled carbon monoxide (CO) levels were used to collect data at the baseline and at 3 months postintervention. At 3 months postintervention, the percentage of nonsmokers remained 100% in the intervention group, while 2.9% of the participants in the control group reported to have smoked in past 7 days. Comparatively, the mean scores of attitudes, subjective norms, and nonsmoking intentions of the intervention group improved significantly. The intervention was effective in preventing smoking initiations among Malaysian adolescents; however, further evaluation of this intervention is needed among varied populations.
预防青少年吸烟至关重要。本研究评估了非吸烟青少年预防吸烟教育计划的有效性。采用准实验研究设计。数据收集自马来西亚关丹和彭亨地区四所公立小学的五年级学生(n = 140)。参与的学校被随机分为干预组和对照组。调查问卷和呼出的一氧化碳(CO)水平用于收集基线和干预后3个月的数据。干预后3个月,干预组中不吸烟者的比例保持100%,而对照组中2.9%的参与者报告在过去7天内吸烟。相比之下,干预组的态度、主观规范和不吸烟意向的平均得分有显著提高。干预措施在防止马来西亚青少年开始吸烟方面是有效的;然而,需要在不同人群中进一步评估这种干预措施。
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引用次数: 4
Individual and Organizational Characteristics Associated With Workplace Bullying of School Nurses in Virginia 与弗吉尼亚学校护士职场欺凌相关的个人和组织特征
Pub Date : 2019-08-27 DOI: 10.1177/1059840519871606
Shashi Sharma, Katherine N. Scafide, R. Dalal, Erin D. Maughan
The prevalence and contributing factors of workplace bullying (WPB) are unknown among school nurses (SNs) in kindergarten to 12th grade programs. The aim of this cross-sectional study was to examine individual and organizational characteristics of WPB in a sample of SNs in Virginia. Based on the Short-Negative Acts Questionnaire, 40% of nurses did not experience bullying behavior, 34.8% of nurses faced occasional bullying (now and then or monthly), and 25.3% of nurses were frequently bullied (weekly or daily). Backward stepwise regression demonstrated the predictor variables of being non-White, a licensed practical nurse, or not involved in student individual education plans were significantly associated with being bullied. Administrators/supervisors need to be aware of the existence of WPB.
在幼儿园至12年级的学校护士中,工作场所欺凌(WPB)的患病率及其影响因素尚不清楚。本横断面研究的目的是检查弗吉尼亚州SNs样本中WPB的个人和组织特征。根据短期负面行为问卷,40%的护士没有遭受过欺凌行为,34.8%的护士偶尔遭受欺凌(偶尔或每月),25.3%的护士经常遭受欺凌(每周或每天)。后向逐步回归显示,非白人、执业护士或未参与学生个人教育计划的预测变量与被欺负显著相关。管理员/主管需要意识到WPB的存在。
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引用次数: 6
The Double Bind of School Nurses and Policy Implementation: Intersecting the Street-Level Bureaucracy Framework and Teaching Sexual Health Education 学校护士与政策执行的双重束缚:跨街官僚框架与性健康教育教学
Pub Date : 2019-08-22 DOI: 10.1177/1059840519868764
E. Dickson, C. Brindis
As described in the Framework for 21st Century School Nursing Practice, school nurses bridge the realities of health and education policy within the school community every day. This role is inclusive of helping teach sexual health education (SHE) to students. We were interested in characterizing how school nurses navigate requirements of health education policy to provide their students with the SHE content that they need. Using data from a larger study, we organized a subset of school nurse data within the street-level bureaucracy framework to better understand the many challenges school nurses face in implementing SHE policy. School nurses’ involvement in SHE policy implementation was congruent with characteristics of the framework. This included using their professional discretion to manage dilemmas, working with inadequate resources, unclear policy expectations, lack of support, and ambiguous policy goals. Trusted relationships with teachers and students helped school nurses with their SHE policy implementation responsibilities.
正如《21世纪学校护理实践框架》所述,学校护士每天都在学校社区内协调卫生和教育政策的现实。这一角色包括帮助向学生传授性健康教育。我们感兴趣的是描述学校护士如何引导健康教育政策的要求,为学生提供他们需要的SHE内容。利用来自一项更大规模研究的数据,我们在街道一级官僚机构框架内组织了学校护士数据子集,以更好地了解学校护士在实施SHE政策时面临的许多挑战。学校护士参与健康卫生政策的实施符合框架的特点。这包括利用他们的专业自由裁量权来处理困境,在资源不足、政策预期不明确、缺乏支持和政策目标不明确的情况下工作。与教师和学生之间的信任关系有助于学校护士履行SHE政策的执行责任。
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引用次数: 23
The Relationships Among School Nurse to Student Ratios, Self-Efficacy, and Glycemic Control in Adolescents With Type 1 Diabetes 学校护士与青少年1型糖尿病学生比例、自我效能感和血糖控制的关系
Pub Date : 2019-08-19 DOI: 10.1177/1059840519870314
L. Wilt
Adolescents with Type 1 diabetes (T1D) experience unique self-management challenges, which can lead to poor glycemic control and sequelae. School nurses may impact student self-efficacy behaviors for T1D management in adolescents. The purpose of this study was to determine the relationships among school nurse staffing patterns, measured by school nurse to student ratios, self-efficacy, and glycemic control in adolescents with T1D. The sample consisted of 89 parent–adolescent dyads. Adolescents aged 10–16 years old with T1D completed the Self-Efficacy for Diabetes Self-Management (SEDM) Scale. Parents completed a demographic questionnaire. Higher school nurse to student ratios correlated with better glycemic control and older age. Higher SEDM scores correlated with older age, and females scored significantly higher. Findings contribute new knowledge to the paucity of literature on school nursing and adolescents with T1D, with implications for nursing practice, education, research, and policy.
青少年1型糖尿病(T1D)经历独特的自我管理挑战,这可能导致血糖控制不良和后遗症。学校护士在青少年T1D管理中可能会影响学生自我效能感行为。本研究的目的是确定学校护士人员配置模式之间的关系,通过学校护士与学生的比例、自我效能感和糖尿病青少年的血糖控制来衡量。样本包括89对父母-青少年的父子。10-16岁T1D青少年完成糖尿病自我管理自我效能感(SEDM)量表。家长们填写了一份人口调查问卷。学校护士与学生的比例越高,血糖控制越好,年龄越大。SEDM得分越高,年龄越大,女性得分明显越高。研究结果为缺乏关于学校护理和青少年T1D的文献提供了新的知识,对护理实践、教育、研究和政策具有重要意义。
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引用次数: 10
Teaching Adolescents to Manage Their Own Health Care 教育青少年管理自己的卫生保健
Pub Date : 2019-08-19 DOI: 10.1177/1059840519867363
Chelsea J. Aeschbach, William Burrough, Amy B. Olejniczak, Erica R. Koepsel
Many factors impact an adolescent’s willingness to appropriately use health-care services and intent to begin the health-care transition process. Published literature continues to show that the way adolescents experience and utilize health-care services is ineffective and has long-term impacts on individuals and systems. Building upon the success of an existing peer-to-peer workshop, a Toolkit was created to provide school-based health professionals the information and resources needed to deliver pertinent information to high school students in one lesson. Of 416 students, over two thirds reported that they plan to be more involved in their health care (69.8%), advocate for themselves in health-care settings (68.0%), talk openly and honestly with health-care providers (71.9%), and learn more about managing their own health care (68.6%). Integrating this information into existing health curricula provided a broader reach with minimal work and promising results that could improve overall health-care transition efforts.
许多因素影响青少年是否愿意适当地使用保健服务以及是否打算开始保健过渡进程。已发表的文献继续表明,青少年体验和利用保健服务的方式是无效的,并对个人和系统产生长期影响。在现有的点对点讲习班取得成功的基础上,创建了一个工具包,向学校卫生专业人员提供所需的信息和资源,以便在一堂课中向高中学生提供相关信息。在416名学生中,超过三分之二的人报告说,他们计划更多地参与自己的医疗保健(69.8%),在医疗保健机构中为自己辩护(68.0%),公开和诚实地与医疗保健提供者交谈(71.9%),并更多地学习如何管理自己的医疗保健(68.6%)。将这一信息纳入现有的保健课程,以最少的工作和有希望的结果提供了更广泛的覆盖范围,可以改善整个保健过渡工作。
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引用次数: 1
Comparison of Rural Childhood BMI Percentiles: Prevalence and Trends in a Midwest County, 2008–2016 农村儿童BMI百分位数比较:中西部某县2008-2016年患病率及趋势
Pub Date : 2019-08-15 DOI: 10.1177/1059840519868766
Janet Reilly, Lena Zhu, Megan J. Olson Hunt, Rebecca Hovarter, M. Brigid Flood
The number of children who are obese and overweight continues as a public health challenge despite decades of research. The purpose of this article is to describe trends in body mass index (BMI) percentile data collected from 11- to 14-year-old school children in 2008–2009 and 2015–2016 in rural Wisconsin. The BMI percentiles from 1,347 students were compared using time, gender, age, and school (public vs. parochial) as predictors. The trend over time indicated a decrease in students of healthy weight and an increase in those overweight or obese. Also noted was a significantly higher proportion of children who were overweight or obese in parochial compared to public schools. Discussed are the observed trends, community-wide initiatives implemented, as well as how schools can employ a more comprehensive approach to childhood obesity that first ensures community readiness and involves school, home, and community.
尽管进行了数十年的研究,但肥胖和超重儿童的数量仍然是一个公共卫生挑战。本文的目的是描述2008-2009年和2015-2016年威斯康星州农村11- 14岁学龄儿童的体重指数(BMI)百分位数数据的趋势。对1347名学生的BMI百分位数进行比较,使用时间、性别、年龄和学校(公立学校与教区学校)作为预测因素。随着时间的推移,这种趋势表明健康体重的学生减少,超重或肥胖的学生增加。同样值得注意的是,与公立学校相比,教区学校超重或肥胖儿童的比例明显更高。讨论了观察到的趋势,社区范围内实施的举措,以及学校如何采用更全面的方法来应对儿童肥胖,首先确保社区做好准备,并涉及学校,家庭和社区。
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引用次数: 0
Self-Perceptions and Factors Associated With Being Put Down at School Among Middle and High School Students 初高中学生的自我认知及在学校被贬低的相关因素
Pub Date : 2019-08-07 DOI: 10.1177/1059840519864144
Ashley Bowman, Jennifer M. Knack, A. Barry, A. Merianos, K. Wilson, E. McKyer, Matthew Lee Smith
This study assessed the prevalence of verbally being put down by others and intrapersonal and normative factors associated with being put down by others among middle and high school students. Students (N = 1,027) completed the Adolescent Health Risk Behavior Survey. Over 16% of participants reported being put down at school. Students who identified with the negative words confused, unattractive, dull, and careless and identified less with the positive words popular, smart, considerate, cool, and self-confident reported being put down by others. High school students were less likely to be put down. As students scored higher on the Negative Self-Description Scale, their odds of being put down increased. As students scored higher on the Positive Self-Description Scale, their odds of being put down decreased. Students who perceived their friends drinking alcohol regularly were less likely to be put down. Strategies to enhance self-perceptions to raise self-awareness and form healthy/positive identities are needed.
本研究旨在评估初高中学生言语被他人贬低的普遍程度,以及与言语被他人贬低相关的内省和规范因素。学生(N = 1,027)完成了青少年健康风险行为调查。超过16%的参与者报告说他们在学校被欺负过。那些认同“困惑”、“不吸引人”、“迟钝”和“粗心”等负面词汇的学生,对“流行”、“聪明”、“体贴”、“酷”和“自信”等正面词汇的认同程度较低,他们被其他人贬低了。高中生不太可能被贬低。学生在消极自我描述量表上得分越高,他们被贬低的几率就越大。学生在积极自我描述量表上得分越高,他们被贬低的几率就越低。发现自己的朋友经常喝酒的学生不太可能被贬低。需要加强自我认知、提高自我意识和形成健康/积极身份的战略。
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引用次数: 1
Sleep in Parental Caregivers and Children With Type 1 Diabetes 父母照顾者和1型糖尿病儿童的睡眠
Pub Date : 2019-07-31 DOI: 10.1177/1059840519865942
C. Feeley, S. Sereika, E. Chasens, L. Siminerio, D. Charron-Prochownik, R. Muzumdar, Pushpa Viswanathan
The purpose of this cross-sectional, descriptive, pilot study was to examine the correlations in sleep between caregivers (≥18 years) and young (6–12 years) children with type 1 diabetes. Sleep was measured in both parent and child over 7 days using actigraphy and a sleep diary. Parents completed questionnaires on sleep, stress, depressive symptoms, and demographics. Children completed pediatric anxiety and fatigue questionnaires, and A1C (Hemoglobin A1c) was documented at clinic. Descriptive statistics and Pearson correlations were used to analyze data. Parents (N = 18, mean age: 39.3 ± 5.4 years, 100% Caucasian, 83% mothers) and children (N = 18, mean age: 9.6 ± 2.4 years, diagnosed for mean 3.0 ± 2.4 years, 66% female, mean A1C: 7.5 ± 0.8%) were recruited. Strong to moderate correlations were found for several measures including sleep measures based on actigraphy: mean sleep duration (hours; 7.6 ± 0.7 for parents and 8.8 ± 0.8 for children; r = .638, p = .004), mean sleep efficiency (r = .823, p < .001), and mean daily wake after sleep onset (minutes; r = .530, p = .024).
这项横断面、描述性初步研究的目的是检查照顾者(≥18岁)和年幼(6-12岁)1型糖尿病儿童之间睡眠的相关性。使用活动记录仪和睡眠日记对父母和孩子7天的睡眠进行了测量。家长们完成了关于睡眠、压力、抑郁症状和人口统计的调查问卷。儿童完成儿童焦虑和疲劳问卷,并在诊所记录A1C(血红蛋白A1C)。采用描述性统计和Pearson相关分析数据。纳入父母(N = 18,平均年龄:39.3±5.4岁,100%白种人,83%母亲)和儿童(N = 18,平均年龄:9.6±2.4岁,平均诊断年龄3.0±2.4岁,66%女性,平均糖化血红蛋白:7.5±0.8%)。在包括基于活动记录仪的睡眠测量在内的几个测量中发现了强到中度的相关性:平均睡眠时间(小时);家长7.6±0.7,儿童8.8±0.8;R = .638, p = .004),平均睡眠效率(R = .823, p < .001),睡眠开始后平均每日醒来数(分钟;R = 0.530, p = 0.024)。
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引用次数: 9
期刊
The Academic nurse : the journal of the Columbia University School of Nursing
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