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Introduction: Primary care placement for nursing and medical students is vital for developing the competence to accommodate the increasing number of patients with multimorbid and complex conditions. Prior studies have suggested that interaction quality in primary care placement empowers learning. However, research mapping interaction quality in primary care placements in municipal emergency care units is lacking. This study aimed to systematically map interaction quality for nursing and medical students in primary care placement in two municipal emergency care units. Materials and methods: This study adopted a systematic descriptive observational design. Systematic observations (n = 201 cycles) of eight nursing students (n = 103 cycles) and six medical students (n = 98 cycles) were used to map interaction quality across six learning situations between March and May 2019. Observations were coded using the Classroom Assessment Scoring System-Secondary (CLASS-S). Data were analyzed using descriptive statistics and Spearman correlations. Results: Interaction quality is described in three domains: (I) emotional support, (II) framework for learning, and (III) instructional support, and the overall measure, student engagement. The results indicated middle-quality interactions in the emotional and instructional support domains and high quality in the framework for learning domain and student engagement. Correlations exhibited similar patterns and ranged from non-significant to strong correlations. Conclusion: The interaction qualities indicated a generally positive and supportive learning environment contributing to nursing and medical students’ learning and active participation in work tasks related to their professional roles. Thus, this new form for primary care placement for nursing and medical students in the municipal emergency care units was found to be a positive learning arena. These results may enhance nursing and medical education programs in countries with simil

The purpose of the study is to contribute to knowledge about physical education teachers' understanding of health and how the view of health can be related to theories about health. The theories used in the study are the salutogenic and pathogenic perspective and KASAM. Four physical education teachers participated in a qualitative interview study. The result showed that the physical education teachers have similar views on health in the current society. However, the view on health has changed since the teachers' upbringing until today. The result showed that students today are more sedentary than before, and spontaneous sports have almost disappeared. The physical education teachers hung out with friends while doing physical activity during their upbringing, and therefore did not consider that physical activity has a positive effect on health. The physical education teachers spoke of a salutogenic perspective on health when describing their upbringing and used a more pathogenic language about their health today and about young people today. The physical education teachers want to teach about and in health to prevent health-related diseases. The results showed that health in physical education is often defined as theoretical, and that the purpose of the physical part of physical education is to improve fitness and reduce the students' sedentary behavior., Syftet med studien är att bidra med kunskap om idrottslärares förståelse av hälsa och hur hälsosynen kan relateras till teorier om hälsa. Teorierna som används i studien är det salutogena och patogena perspektivet och KASAM. Fyra idrottslärare deltog i undersökningen genom en kvalitativ intervjustudie. En idrottslärare arbetar på låg- och mellanstadiet, två på högstadiet och en på ett gymnasium. Resultatet påvisade att idrottslärarna har en snarlik syn på hälsa i det nuvarande samhället. Synen på hälsa har dock förändrats sedan lärarnas uppväxt tills idag. Resultatet påvisade att eleverna i dagens samhälle är mer stillasittande än förr och att spontanidrotten nästintill har försvunnit. Idrottslärarna umgicks med vänner samtidigt som de utövade fysisk aktivitet under deras uppväxt, och tänkte därför inte på att den fysiska aktiviteten gjorde gott för hälsan. Idrottslärarna talade om ett salutogent perspektiv på hälsa när de beskrev sina uppväxter och använde ett mer patogent språk om deras hälsa idag och om ungdomar i dagens samhälle. Idrottslärarna vill undervisa om och i hälsa för att förebygga hälsorelaterade sjukdomar. Resultatet påvisade att hälsoundervisningen ofta definieras som teoretisk och att den fysiska delen undervisningen är till för att förbättra konditionen och minska elevernas stillasittande.

Introduction: Primary care placement for nursing and medical students is vital for developing the competence to accommodate the increasing number of patients with multimorbid and complex conditions. Prior studies have suggested that interaction quality in primary care placement empowers learning. However, research mapping interaction quality in primary care placements in municipal emergency care units is lacking. This study aimed to systematically map interaction quality for nursing and medical students in primary care placement in two municipal emergency care units. Materials and methods: This study adopted a systematic descriptive observational design. Systematic observations (n = 201 cycles) of eight nursing students (n = 103 cycles) and six medical students (n = 98 cycles) were used to map interaction quality across six learning situations between March and May 2019. Observations were coded using the Classroom Assessment Scoring System-Secondary (CLASS-S). Data were analyzed using descriptive statistics and Spearman correlations. Results: Interaction quality is described in three domains: (I) emotional support, (II) framework for learning, and (III) instructional support, and the overall measure, student engagement. The results indicated middle-quality interactions in the emotional and instructional support domains and high quality in the framework for learning domain and student engagement. Correlations exhibited similar patterns and ranged from non-significant to strong correlations. Conclusion: The interaction qualities indicated a generally positive and supportive learning environment contributing to nursing and medical students’ learning and active participation in work tasks related to their professional roles. Thus, this new form for primary care placement for nursing and medical students in the municipal emergency care units was found to be a positive learning arena. These results may enhance nursing and medical education programs in countries with simil

The purpose of the study is to contribute to knowledge about physical education teachers' understanding of health and how the view of health can be related to theories about health. The theories used in the study are the salutogenic and pathogenic perspective and KASAM. Four physical education teachers participated in a qualitative interview study. The result showed that the physical education teachers have similar views on health in the current society. However, the view on health has changed since the teachers' upbringing until today. The result showed that students today are more sedentary than before, and spontaneous sports have almost disappeared. The physical education teachers hung out with friends while doing physical activity during their upbringing, and therefore did not consider that physical activity has a positive effect on health. The physical education teachers spoke of a salutogenic perspective on health when describing their upbringing and used a more pathogenic language about their health today and about young people today. The physical education teachers want to teach about and in health to prevent health-related diseases. The results showed that health in physical education is often defined as theoretical, and that the purpose of the physical part of physical education is to improve fitness and reduce the students' sedentary behavior., Syftet med studien är att bidra med kunskap om idrottslärares förståelse av hälsa och hur hälsosynen kan relateras till teorier om hälsa. Teorierna som används i studien är det salutogena och patogena perspektivet och KASAM. Fyra idrottslärare deltog i undersökningen genom en kvalitativ intervjustudie. En idrottslärare arbetar på låg- och mellanstadiet, två på högstadiet och en på ett gymnasium. Resultatet påvisade att idrottslärarna har en snarlik syn på hälsa i det nuvarande samhället. Synen på hälsa har dock förändrats sedan lärarnas uppväxt tills idag. Resultatet påvisade att eleverna i dagens samhälle är mer stillasittande än förr och att spontanidrotten nästintill har försvunnit. Idrottslärarna umgicks med vänner samtidigt som de utövade fysisk aktivitet under deras uppväxt, och tänkte därför inte på att den fysiska aktiviteten gjorde gott för hälsan. Idrottslärarna talade om ett salutogent perspektiv på hälsa när de beskrev sina uppväxter och använde ett mer patogent språk om deras hälsa idag och om ungdomar i dagens samhälle. Idrottslärarna vill undervisa om och i hälsa för att förebygga hälsorelaterade sjukdomar. Resultatet påvisade att hälsoundervisningen ofta definieras som teoretisk och att den fysiska delen undervisningen är till för att förbättra konditionen och minska elevernas stillasittande.

In Indonesia the unmet need for family planning in 2017 reached 10.6%, Riau 25.6% (2021) while the national target (5%). The public's low level of knowledge or understanding about family planning and the reluctance of PUS to visit health services are the main problems. In order to simplify the family planning counseling process, in 2022 the government created the "KlikKB" application as a family planning communication medium for people throughout Indonesia, but utilization is not evenly distributed. The aims to increase public knowledge and understanding about family planning through outreach and introduction of the Contraception Counseling Movement using the KlikKB application. The activity was carried out at RT 02/RW 08, West Sidomulyo, Pekanbaru. The counseling method is health education, questions and answers and filling out questionnaires about family planning knowledge. Participants are given pre and post tests while practicing the KlikKB application through observation with a checklist sheet. The number of participants was 35 people. The average pre-test value for family planning knowledge is 45%. The post test score increased with an average of 72.3%. The majority of the KlikKB application practice assessments were in the "unable to" category (46.2%), the "with help" category (38%) and the "proficient" category was only 15.8%. Providing education about family planning can increase mothers' knowledge. Meanwhile, to socialize the contraceptive counseling movement with the KlikKB Application, continuous assistance and collaboration with the local community health center is needed, Di Indonesia angka unmet need KB pada tahun 2017 mencapai 10,6%, Riau 25,6% (2021) sedangkan target nasional adalah 5%. Masih rendahnya pengetahuan atau pemahaman masyarakat tentang KB dan keengganan PUS untuk berkunjung ke layanan kesehatan merupakan masalah utama. Guna mempermudah proses konseling KB maka tahun 2022 pemerintah membuat aplikasi “KlikKB” sebagai media komunikasi KB bagi masyarakat seluruh Indonesia hanya saja pemanfaatan belum merata. Kegiatan bertujuan untuk meningkatkan pengetahuan dan pemahaman masyarakat tentang KB melalui penyuluhan dan pengenalan Gerakan Konseling Kontrasepsi penggunaan aplikasi KlikKB. Kegiatan dilakukan di RT 02/RW 08 Kelurahan Sidomulyo Barat Pekanbaru. Metode penyuluhan ceramah, tanya jawab dan mengisi kuisioner tentang pengetahuan KB. Peserta diberi pre dan post test sedangkan praktik aplikasi KlikKB melalui observasi dengan lembar ceklist. Jumlah peserta 35 orang. Nilai pre test pengetahuan KB rerata 45%. Nilai post test terjadi peningkatan dengan rerata 72,3%. Penilaian praktik aplikasi KlikKB mayoritas pada kategori “belum mampu” (46,2%), kategori “dengan bantuan” (38%) dan kategori “mahir” hanya 15,8%. Pemberian penyuluhan tentang KB mampu meningkatkan pengetahuan ibu. Sedangkan untuk sosialisasi gerakan konseling kontrasepsi dengan Aplikasi KlikKB perlu diberikan pendampingan berkelanjutan dan bekerjasama dengan Puskesmas wilayah setempat.

Introduction. The urinary incontinence is a symptom resulting from a dysfunction in the elimination pattern, defined as the involuntary loss of urine. In Spain its prevalence is estimated at 16%, affecting mostly women. The main objective is to investigate how urinary incontinence is addressed in Primary Care Nursing consultations within the Araba Health Service. Secondary objectives include determining the level of assessment in the elimination domain, analyzing prevention and early intervention practices for urinary incontinence, examining the compliance with record-keeping in the elimination domain, assessing the level of training among primary care nursing professionals, and identifying the challenges faced in addressing this issue. Methodology. To address these objectives, a descriptive cross-sectional study was conducted in urban healthcare centers within the Araba Health Service. Results. The analysis involved 4,728 individuals, with 13% of them presenting urinary incontinence, of which 73% were women. Complete assessments of the elimination domain were conducted in only 17% of the cases, appropriate interventions were observed in just 4.7% of cases, and adequate record-keeping was found in 15% of the total. Discussion. The study revealed that urinary incontinence is the most common urinary symptom in the studied population; however, the assessment, intervention, and record-keeping related to the elimination domain are limited, with a gender gap disadvantaging women. More than half of the nursing professionals perceive their training in this area as "scarce," and one-third find it challenging to address urinary incontinence. The lack of training and time constraints during consultations were identified as the primary difficulties encountered in addressing this issue., Introducción. La incontinencia urinaria (IU) es un síntoma derivado de una disfunción del patrón de eliminación definido como la pérdida de orina de manera involuntaria. En España se estima su prevalencia en un 16%, afectando mayoritariamente a mujeres. El objetivo principal es conocer el abordaje de la IU en las consultas de Enfermería de Atención Primaria en la OSI Araba. Los objetivos secundarios pretenden determinar el nivel de evaluación del área de eliminación, analizar la prevención y actuación precoz ante la IU, examinar el cumplimiento del registro del dominio de eliminación, evaluar el nivel de formación de Enfermería e identificar las dificultades para su abordaje. Metodología. Se realizó un estudio transversal descriptivo en los centros de salud urbanos de la OSI Araba. Resultados. Se analizó el registro de 4728 personas, el 13% de ellas presentaban IU, siendo el 73% mujeres. La valoración completa del área de eliminación se realizó en el 17% de los casos, la intervención adecuada en solo el 4.7% y el registro fue adecuado en el 15% del total. Discusión. El estudio reveló que la IU es el síntoma urinario más común en la población estudiada, sin embargo, la evaluación del área de eliminación es parcial y existe una brecha de género en la valoración, intervención y registro, en detrimento de las mujeres. Más de la mitad de las enfermeras consideran tener una formación "escasa" en este tema y un tercio encuentra difícil abordarlo. La falta de formación es la principal dificultad, seguida de la limitación de tiempo en consulta.

Introduction: The incorporation of information and communication technologies (TIC by its acronym in Spanish) in health care processes is relevant, given the need to facilitate access, opportunity and resolution of health problems. Objective: Design a website where evaluation and intervention tools are available in digital physiotherapy to favor the development of competencies of physiotherapy students and professionals in the application of telehealth modalities for user care. Methodology: It was developed in stages; in the first place, the planning stage, where project requirements, target audience, delivery format and accessible support tools were identified; posteriorly, a creation stage, in which conceptual and visual design, organization scheme, multimedia, and interaction elements, prototyping of the site’s operation and navigation interface were performed; and finally, an internal and external validation stage. Results: The website: www.fisiouisdigital.com consists of 8 sections and includes ICT tools that respond to the needs expressed for the development of telehealth modalities in physiotherapy. The website was validated by 5 experts who considered that it meets the requirements related to navigability, accessibility, attractiveness and novelty. The adjustments suggested were implemented before allowing public access to the page. Discussion: The contributions and limitations of the physical therapist in the development of this proposal are recognized. It is suggested in the future to develop a robust platform for the development of the digital physical therapy practice. Conclusions: Due to the restrictions derived from the pandemic of COVID 19, the Fisiouisdigital website responds to a real need by providing support tools for the professional practice of the physical therapist., Introducción: la incorporación de tecnologías de información y comunicación (TIC) en procesos de atención en salud es relevante, dada la necesidad de facilitar el acceso, la oportunidad y la resolución de problemas de salud. Objetivo: diseñar un sitio web en donde se dispongan herramientas de evaluación e intervención en fisioterapia digital que favorezcan el desarrollo de competencias de estudiantes y profesionales de fisioterapia en la aplicación de modalidades de telesalud para la atención de usuarios. Metodología: se desarrolló por etapas, en primer lugar la etapa de planificación, donde se identificaron los requerimientos del proyecto, publico objetivo, tipo de formato y herramientas de apoyo accesibles; posteriormente la de creación, en la cual se llevó a cabo el diseño conceptual, visual, esquema de organización, elementos de interacción, multimedia, elaboración de prototipos de la interfaz de funcionamiento y navegación del sitio. Finalmente, se realizó la etapa de validación interna y externa. Resultados: la página web: www.fisiouisdigital.com consta de ocho secciones e incluye herramientas TIC como respuesta a las necesidades manifestadas para el desarrollo de modalidades de telesalud en fisioterapia. La página web fue validada por cinco expertos que consideraron que cumple con requisitos relacionados con navegabilidad, accesibilidad, atractivo y novedad. Los ajustes sugeridos fueron implementados antes de permitir el acceso público a la página. Discusión: se reconocen los aportes y limitaciones del fisioterapeuta en el desarrollo de esta propuesta. Se sugiere a futuro desarrollar una plataforma robusta para el desarrollo de la práctica de fisioterapia digital. Conclusiones: debido a las restricciones derivadas por la pandemia de COVID-19, la página web Fisiouisdigital responde a una necesidad real brindando herramientas de apoyo para el ejercicio profesional del fisioterapeuta.

Objective: To identify health education interventions that have demonstrated improvements in the visual and ocular health of computer-using workers with Computer Vision Syndrome. Method: Bibliographic review of original articles in Spanish and English, published between 2017 and June 2022 in PubMed, Scopus, MEDLINE (EBSCO), Redalyc, and Ovid databases. Results: Out of 1,695 articles, 11 complied with the protocol. Of these, 90.90% were published from 2020 to June 2022 and India had the highest number of publications (27.27%). Most of the studies were experimental or quasi-experimental (36.36%), and for the qualitative synthesis they were classified in educational interventions with technology 54.54% (n=6) and those that handled traditional education 45.45% (n=5). Conclusion: Health education interventions were shown to contribute to the improvement of visual and ocular health of computer users with Computer Vision Syndrome. It is necessary to investigate and divulge results about the topic, which contribute to the processes of promotion of visual and ocular health, as well as in the prevention of Computer Vision Syndrome in the workplace., Objetivo: Identificar intervenções de educação em saúde que demonstraram melhorias na saúde visual e ocular de trabalhadores usuários de computador com Síndrome de Visão de Computa-dor. Método: Revisão bibliográfica de artigos originais em espanhol e inglês, publicados entre 2017 e junho de 2022 nas bases de dados PubMed, Scopus, MEDLINE (EBSCO), Redalyc e Ovid. Resultados: Dos 1.695 artigos, 11 estavam de acordo com o protocolo. Destes, 90,90% foram publicados de 2020 a junho de 2022 e a Índia apresentou o maior número de publicações (27,27%). A maioria dos estudos foi experimental ou quase-experimental (36,36%), e para a síntese qualitativa foram classificados em intervenções educativas com tecnologia 54,54% (n=6) e aquelas que tratavam da educação tradicional 45,45% (n=5). Conclusão: As intervenções de educação em saúde demonstraram contribuir para a melhoria da saúde visual e ocular de usuários de computador com Síndrome de Visão de Computador. É preciso investigar e divulgar resulta-dos sobre o tema, que contribuam nos processos de promoção da saúde visual e ocular, bem como na prevenção da Síndrome da Visão do Computador no ambiente de trabalho., Objetivo: Identificar intervenciones de educación para la salud que hayan demostrado me-joras en la salud visual y ocular de trabajadores usuarios de computadoras con Síndrome de Visión por Computador. Método: Revisión bibliográfica de artículos originales en español e inglés, publicados entre 2017 y junio de 2022 en las bases de datos PubMed, Scopus, MEDLINE (EBSCO), Redalyc y Ovid. Resultados: De 1.695 artículos, 11 cumplieron con el protocolo. De estos, el 90,90% se publicaron desde 2020 hasta junio de 2022 y la India tuvo el mayor número de publicaciones (27,27%). La mayoría de los estudios fueron ex-perimentales o cuasi-experimentales (36,36%), y para la síntesis cualitativa se clasificaron en intervenciones educativas con tecnología 54,54% (n=6) y las que manejaban educación tradicional 45,45% (n=5). Conclusión: Se demostró que las intervenciones de educación en salud contribuyen a la mejora de la salud visual y ocular de los usuarios de computadora con Síndrome de Visión por Computador. Es necesario investigar y divulgar resultados sobre el tema, que contribuyan a los procesos de promoción de la salud visual y ocular, así como en la prevención del Síndrome de Visión por Computador en el ámbito laboral

Background: Ethnic minority students pursuing advanced practice nursing degrees often face unique challenges that hinder their academic success and persistence, such as limited mentorship opportunities that address their cultural considerations. A lack of culturally informed mentorship (CIM) may contribute to feelings of isolation, lower self-efficacy, and reduced retention rates among ethnic minority advanced practice registered nursing (APRN) students. Through cultural competency, CIM programs are emerging as a promising approach to address these challenges and support the needs of historically underrepresented ethnic minority (HUEM) students. The underrepresentation of HUEM APRN students in graduate nursing education and advanced nursing practice is a persistent issue that must be addressed using targeted, evidence-based interventions. This project sought to elucidate this gap by implementing a semi-structured mentorship program tailored to support and empower HUEM APRN students. Objectives: This project demonstrated the implementation of a ten-week culturally informed mentorship program to improve the satisfaction and academic resiliency of HUEM APRN students. A semi-structured mentorship program was based on a culturally informed framework, using evidence from current literature, considering the unique needs, challenges, and experiences of HUEM APRN students. The CIM program’s principal objective was to provide student mentees with mentorship, guidance, support, and advice for academic resources tailored to their unique cultural backgrounds and needs to enhance mentee students’ satisfaction with their educational experience and bolster academic resiliency. Methods: This study utilized a single-group pre-test, post-test, and quasi-experimental project design. A convenience sample of six first-year APRN students, self-identifying as ethnic minorities, was recruited as study participants and paired with individual mentors of their choice. Mentees and mentors compl

Background: Weight stigma is pervasive in healthcare, and it discourages patients from seeking medical care, exacerbating health conditions among patients with obesity. Primary care physicians (PCPs) assess, discuss, and refer patients with obesity to weight management programs (WMP) when these are discussed during office visits. The challenge is initiating the discussion on weight interventions without patients feeling stigmatized. As the first point of contact in screening patients, this project utilizes the primary care staff (PCS: nurses and medical assistants) to provide opportunities for patients to discuss WMPs with their PCPs. Objectives: This quasi-experimental project aimed to educate PCSs about obesity stigma, mitigate it, and integrate weight assessments and WMP referrals during office visits with the patients’ PCPs. Implementation: The project compared two primary care clinics within a health maintenance organization (HMO). In the intervention clinic, 40 PCS received a 50-minute Obesity Sensitivity Training (OST) and pre-and 12 weeks post-Fat Attitude Assessment Toolkit (FAAT) with subscales on empathy, critical health, and complexity. The comparison clinic did not receive OST or FAAT. Data on WMP referrals were collected from both intervention and comparison clinics. Analysis: A one-sided paired t-test was used to analyze the means of pre- and post-intervention FAAT scores. For the second outcome, patient referrals from physicians from both clinics were collected, and ratios and chi-square analysis were calculated. Outcomes: The PCS in the intervention clinic had statistical significance in the empathy and critical health subscales (p-value .038 and .046, respectively) but not in the general complexity subscale (p-value =0.15). Referral to PCP ratio from the intervention clinic was 17.85 versus the comparison clinic 10.2; the chi-square statistic is 3.9467 with a p-value of 0.046964, significant at p<0.05. Conclusion: Primary care clinic visits are

OBJECTIVES: Long-term benzodiazepine use is common despite known risks. In the original Eliminating Medications Through Patient Ownership of End Results (EMPOWER) Study set in Canada, patient education led to increased rates of benzodiazepine cessation. We aimed to determine the effectiveness of implementing an adapted EMPOWER quality improvement (QI) initiative in a US-based healthcare system. DESIGN: We used a pre-post design with a non-randomised control group. SETTING: A network of primary care clinics. PARTICIPANTS: Patients with ≥60 days supply of benzodiazepines in 6 months and ≥1 risk factor (≥65 years of age, a concurrent high-risk medication prescribed or a diazepam equivalent daily dose ≥10) were eligible. INTERVENTION: In March 2022, we engaged 22 primary care physicians (PCPs), and 308 of their patients were mailed an educational brochure, physician letter and flyer detailing benzodiazepine risks; the control group included 4 PCPs and 291 of their patients. PRIMARY AND SECONDARY MEASURES: The primary measure was benzodiazepine cessation by 9 months. We used logistic regression and a generalised estimating equations approach to control for clustering by PCP, adjusting for demographics, frailty, number of risk factors, and diagnoses of arthritis, depression, diabetes, falls, and pain. RESULTS: Patients in the intervention and control groups were comparable across most covariates; however, a greater proportion of intervention patients had pain-related diagnoses and depression. By 9 months, 26% of intervention patients (81 of 308) had discontinued benzodiazepines, compared with 17% (49 of 291) of control patients. Intervention patients had 1.73 greater odds of benzodiazepine discontinuation compared with controls (95% CI: 1.09, 2.75, p=0.02). The unadjusted number needed to treat was 10.5 (95% CI: 6.30, 34.92) and the absolute risk reduction was 0.095 (95% CI: 0.03 to 0.16). CONCLUSIONS: Results from this non-randomised QI initiative indicate that patient e

BACKGROUND: Reducing malnutrition is a key priority for governments in low- and middle-income countries given its lasting effects on child development, health, income, and economic growth. Strategies to improve recommended infant and young child feeding (IYCF) practices, especially during the first two years of life, are considered among the most effective. METHODS: In this paper, we evaluate the long-run impacts of an innovative education strategy based on interactive play and performing arts implemented in El Alto, Bolivia on caregivers IYCF knowledge and practices. Two thousand and fifteen households were randomly assigned to intervention and control groups. Two rounds of data were collected approximately 30 and 42 months after baseline. We estimate short-term (30 month) and longer-term (42 month) intent-to-treat effects using multivariate linear regression analysis, with and without controlling for covariates. RESULTS: The program significantly increased caregiver IYCF knowledge by 0.13 SDs in the short run, and this effect grew over time. The program also improved adherence to recommended IYCF practices by 0.23 standard deviations (SDs) in the short term, but the effect on practices dissipated over time, and no longer-term impacts were detected. Caregivers with above median baseline knowledge, number of children, and age appear to have benefited most from the program. CONCLUSIONS: Our findings suggest that entertainment-education interventions are a promising model for improving and maintaining IYCF knowledge. However, their ability to sustain more permanent changes in IYCF practices is less certain. Further evidence is needed to identify other avenues for producing long-term, sustainable behavior change, especially among indigenous populations in Latin America, where literature on education and behavior-change interventions related to IYCF practices is limited.

Background: Traumatic brain injuries (TBIs) represent a significant global health burden, affecting millions of individuals annually and leading to substantial morbidity, mortality, and healthcare costs worldwide. These injuries, caused by sudden trauma to the brain, are associated with disparities in prevalence based on factors such as gender, race/ethnicity, military service, intimate partner violence, and poverty. Despite their increasing prevalence and devastating consequences, including long-term physical, cognitive, and emotional impairments, research progress and funding for TBIs have been limited, prompting calls to address this "silent epidemic" through concerted efforts in prevention, clinical care, and research. Despite the growing research on TBIs, notable gaps within the literature include the lack of studies on adults aged 18–64, gender disparities in clinical trial recruitment and outcomes, limited literature on the mechanisms of injury and TBI severity levels, and insufficient focus on moderate TBIs, which are often combined with mild or severe categories despite their significant consequences. These gaps demonstrate the need for more comprehensive and targeted research in these areas.Methods: This cross-sectional analysis uses data from the National Trauma Data Bank (NTDB) and includes data from 747 trauma designated hospitals nationwide. For the first aim, we used multinomial logistic regression to examine associations between mechanism of injury (MOI) and TBI severity. In the second aim, we focused on individuals with moderate TBI, using multinomial logistic regression to understand associations between MOI and discharge disposition and survival modeling to understand associations between MOI and hospital length of stay. To determine the influence of each independent variable more precisely, both studies accounted for relevant sociodemographic factors and health-related covariates. Results: Aim 1 analysis finds that transportation-related TBIs are

As the global population ages rapidly, there's a growing need for tailored digital solutions to ensure that this population receives the healthcare, social connections, and daily assistance it deserves. Menopause is an unspoken chapter of a woman's life, inadequately addressed by researchers. Despite a growing population of women working past the age of menopause, research on support tools available remains inadequate. This gap calls for evaluation and redesigning of the digital support tools available to empower women to navigate through this phase of life with ease. This study investigates the design and impact of digital women's wellness programs, with a particular focus on programs targeting menopausal women. Using a snowball technique, a 26-question survey was distributed across the University of California, Davis staff and students. The survey findings identified lower awareness of menopause-specific wellness programs compared to general wellness programs. Stigma and time constraints emerged as significant barriers, particularly for working women, while digital literacy posed no obstacle. Despite limited engagement with wellness program designers, this research provides valuable insights into user preferences and the current program landscape. The findings highlight the need for increased awareness and accessibility of menopause-specific digital wellness programs. The current program landscape revealed that interactive online content, telehealth consultations, and non-interactive online content were the most popular delivery methods used. While awareness of digital wellness programs is growing, participants expressed a desire for programs that combine interactive online content with in-person interactions with support group members. A comprehensive approach to content was emphasized, including general wellness education, menopause-specific information, symptom management tools, and information on alternative therapies. The preference for collaboration with hea

Objective: To evaluate the content and usability of a new direct observation tool for assessing competency in delivering person-centred care based on the Gothenburg Centre for Person-Centred Care (gPCC) framework. Design: This is a qualitative study using think-aloud techniques and retrospective probing interviews and analyzed using deductive content analysis. Setting: Sessions were conducted remotely via Zoom with participants in their homes or offices. Participants: 11 participants with lengthy experience of receiving, delivering and/or implementing gPCC were recruited using purposeful sampling and selected to represent a broad variety of stakeholders and potential end-users. Results: Participants generally considered the content of the four main domains of the tool, that is, person-centred care activities, clinician manner, clinician skills and person-centred care goals, to be comprehensive and relevant for assessing person-centred care in general and gPCC in particular. Some participants pointed to the need to expand person-centred care activities to better reflect the emphasis on eliciting patient resources/capabilities and psychosocial needs in the gPCC framework. Think-aloud analyses revealed some usability issues primarily regarding difficulties or uncertainties in understanding several words and in using the rating scale. Probing interviews indicated that these problems could be mitigated by improving written instructions regarding response options and by replacing some words. Participants generally were satisfied with the layout and structure of the tool, but some suggested enlarging font size and text spacing to improve readability. Conclusion: The tool appears to satisfactorily cover major person-centred care activities outlined in the gPCC framework. The inclusion of content concerning clinician manner and skills was seen as a relevant embellishment of the framework and as contributing to a more comprehensive assessment of clinician performance in the d

O presente estudo refere-se a uma pesquisa de revisão integrativa sobre as ações e os resultados que a estratégia da Educação Popular em Saúde tem ofertado às populações em articulação com as propostas do campo da Promoção da Saúde no Brasil. Houve uma busca online em três bases de dados: SUMÁRIOS.ORG, DOAJ, SCIELO. Descritores elencados: educação popular em saúde e promoção da saúde. Foram selecionados 22 estudos. A pesquisa apresentou para análise três categorias temáticas: ‘Metodologias ativas do processo ensino e aprendizagem na construção de ações de educação popular em saúde’; ‘Ações de educação popular em saúde em articulação com a Política Nacional de Promoção da Saúde (PNPS)’; ‘A estratégia da educação popular em saúde em consonância com a Agenda 2030 e os Objetivos de Desenvolvimento Sustentável’, gerando o planejamento de propostas envolvendo populações e comunidades, profissionais de saúde, contexto escolar, e conexões com os temas prioritários do projeto promoção da saúde e da PNPS. A partir dos resultados conclui-se que a estratégia da educação popular em saúde é uma importante ferramenta de ação, por promover o empoderamento dos indivíduos e da sociedade, além de favorecer o desenvolvimento de habilidades pessoais e coletivas. No entanto, ainda há desafios a serem enfrentados quanto à criação e ampliação de práticas inovadoras e educativas em saúde., The present study refers to an integrative review research on the actions and results that the Popular Health Education strategy has offered to populations in integration with proposals from the field of Health Promotion in Brazil. There was an online search in three databases: SUMÁRIOS.ORG, DOAJ, SCIELO. Listed descriptors: popular health education and health promotion. 22 studies were selected. The research presented three thematic categories for analysis: 'Active methodologies of the teaching and learning process in the construction of popular education actions in health'; 'Popular health education actions in conjunction with the National Health Promotion Policy (PNPS)'; ‘The strategy of popular health education in line with the 2030 Agenda and the Sustainable Development Goals’, generating the planning of proposals involving populations and communities, health professionals, the school context, and connections with the priority themes of the health promotion project and the PNPS. From the results it is concluded that the strategy of popular health education is an important action tool, as it promotes the empowerment of individuals and society, in addition to favoring the development of personal and collective skills. However, there are still challenges to be faced regarding the creation and expansion of innovative and educational practices in health., El presente estudio se refiere a una investigación de revisión integradora sobre las acciones y resultados que la estrategia de Educación Popular en Salud ha ofrecido a las poblaciones en conjunto con propuestas del campo de la Promoción de la Salud en Brasil. Se realizó una búsqueda online en tres bases de datos: SUMÁRIOS.ORG, DOAJ, SCIELO. Descriptores listados: educación popular para la salud y promoción de la salud. Se seleccionaron 22 estudios. La investigación presentó tres categorías temáticas para el análisis: ‘Metodologías activas del proceso de enseñanza y aprendizaje en la construcción de acciones de educación popular en salud’; ‘Acciones de educación popular en salud en conjunto con la Política Nacional de Promoción de la Salud (PNPS)’; 'La estrategia de educación popular en salud en línea con la Agenda 2030 y los Objetivos de Desarrollo Sostenible', generando la planificación de propuestas que involucran a las poblaciones y comunidades, a los profesionales de la salud, al contexto escolar y a las conexiones con los temas prioritarios del proyecto de promoción de la salud y la PNPS. De los resultados se concluye que la estrategia de educación popular en salud es una importante herramienta de acción, ya que promueve el empoderamiento de los individuos y de la sociedad, además de favorecer el desarrollo de habilidades personales y colectivas. Sin embargo, aún quedan desafíos por enfrentar en cuanto a la creación y expansión de prácticas innovadoras y educativas en salud.

O presente estudo refere-se a uma pesquisa de revisão integrativa sobre as ações e os resultados que a estratégia da Educação Popular em Saúde tem ofertado às populações em articulação com as propostas do campo da Promoção da Saúde no Brasil. Houve uma busca online em três bases de dados: SUMÁRIOS.ORG, DOAJ, SCIELO. Descritores elencados: educação popular em saúde e promoção da saúde. Foram selecionados 22 estudos. A pesquisa apresentou para análise três categorias temáticas: ‘Metodologias ativas do processo ensino e aprendizagem na construção de ações de educação popular em saúde’; ‘Ações de educação popular em saúde em articulação com a Política Nacional de Promoção da Saúde (PNPS)’; ‘A estratégia da educação popular em saúde em consonância com a Agenda 2030 e os Objetivos de Desenvolvimento Sustentável’, gerando o planejamento de propostas envolvendo populações e comunidades, profissionais de saúde, contexto escolar, e conexões com os temas prioritários do projeto promoção da saúde e da PNPS. A partir dos resultados conclui-se que a estratégia da educação popular em saúde é uma importante ferramenta de ação, por promover o empoderamento dos indivíduos e da sociedade, além de favorecer o desenvolvimento de habilidades pessoais e coletivas. No entanto, ainda há desafios a serem enfrentados quanto à criação e ampliação de práticas inovadoras e educativas em saúde., The present study refers to an integrative review research on the actions and results that the Popular Health Education strategy has offered to populations in integration with proposals from the field of Health Promotion in Brazil. There was an online search in three databases: SUMÁRIOS.ORG, DOAJ, SCIELO. Listed descriptors: popular health education and health promotion. 22 studies were selected. The research presented three thematic categories for analysis: 'Active methodologies of the teaching and learning process in the construction of popular education actions in health'; 'Popular health education actions in conjunction with the National Health Promotion Policy (PNPS)'; ‘The strategy of popular health education in line with the 2030 Agenda and the Sustainable Development Goals’, generating the planning of proposals involving populations and communities, health professionals, the school context, and connections with the priority themes of the health promotion project and the PNPS. From the results it is concluded that the strategy of popular health education is an important action tool, as it promotes the empowerment of individuals and society, in addition to favoring the development of personal and collective skills. However, there are still challenges to be faced regarding the creation and expansion of innovative and educational practices in health., El presente estudio se refiere a una investigación de revisión integradora sobre las acciones y resultados que la estrategia de Educación Popular en Salud ha ofrecido a las poblaciones en conjunto con propuestas del campo de la Promoción de la Salud en Brasil. Se realizó una búsqueda online en tres bases de datos: SUMÁRIOS.ORG, DOAJ, SCIELO. Descriptores listados: educación popular para la salud y promoción de la salud. Se seleccionaron 22 estudios. La investigación presentó tres categorías temáticas para el análisis: ‘Metodologías activas del proceso de enseñanza y aprendizaje en la construcción de acciones de educación popular en salud’; ‘Acciones de educación popular en salud en conjunto con la Política Nacional de Promoción de la Salud (PNPS)’; 'La estrategia de educación popular en salud en línea con la Agenda 2030 y los Objetivos de Desarrollo Sostenible', generando la planificación de propuestas que involucran a las poblaciones y comunidades, a los profesionales de la salud, al contexto escolar y a las conexiones con los temas prioritarios del proyecto de promoción de la salud y la PNPS. De los resultados se concluye que la estrategia de educación popular en salud es una importante herramienta de acción, ya que promueve el empoderamiento de los individuos y de la sociedad, además de favorecer el desarrollo de habilidades personales y colectivas. Sin embargo, aún quedan desafíos por enfrentar en cuanto a la creación y expansión de prácticas innovadoras y educativas en salud.

Anemia is one of the most frequent complications associated with pregnancy. Normal physiological changes in pregnancy affect hemoglobin (Hb) and there is a relative or absolute decrease in Hb concentration. Anemia adversely affects maternal and fetal well-being and is associated with increased fetal morbidity and mortality. Adverse perinatal outcomes includeintrauterine growth retardation (IUGR), prematurity and low birth weight are significant risks of death, especially in developing countries. This service to society is of a natureeducational persuasive by providing health education in the form of health education about anemia in pregnancy through classes for pregnant women using media in the form of a pocket book to prevent anemia in pregnancy. The characteristics of pregnant women who took part in this community service activity included an average age of 29.13 years, most of them had low and middle education, did not work, were multigravida and most were in the third trimester of pregnancy. The average knowledge score of pregnant women before receiving health education using a pocket book to prevent anemia in pregnancy was 56 and after the education was carried out there was an increase in the knowledge score of 86 so that the pocket book could be an alternative use of health education media to increase the knowledge of pregnant women.

Anemia is one of the most frequent complications associated with pregnancy. Normal physiological changes in pregnancy affect hemoglobin (Hb) and there is a relative or absolute decrease in Hb concentration. Anemia adversely affects maternal and fetal well-being and is associated with increased fetal morbidity and mortality. Adverse perinatal outcomes includeintrauterine growth retardation (IUGR), prematurity and low birth weight are significant risks of death, especially in developing countries. This service to society is of a natureeducational persuasive by providing health education in the form of health education about anemia in pregnancy through classes for pregnant women using media in the form of a pocket book to prevent anemia in pregnancy. The characteristics of pregnant women who took part in this community service activity included an average age of 29.13 years, most of them had low and middle education, did not work, were multigravida and most were in the third trimester of pregnancy. The average knowledge score of pregnant women before receiving health education using a pocket book to prevent anemia in pregnancy was 56 and after the education was carried out there was an increase in the knowledge score of 86 so that the pocket book could be an alternative use of health education media to increase the knowledge of pregnant women.

Kejadian TB paru salah satunya dipengaruhi oleh lingkungan. Maka dari itu, pemilihan model keperawatan yang sesuai dengan situasi pasien TB paru. Berbagai model teori keperawatan, salah satunya yaitu model teori keperawatan Florence Nightingale yang dikenal dengan environmental theory dimana dalam teori ini pasien dipandang dalam konteks lingkungan secara keseluruhan di dalam perawatan orang sakit baik dari lingkungan fisik, lingkungan psikologis dan lingkungan sosial. Tujuan dari pengabdian ini untuk mengetahui memberikan edukasi peningkatan kemandirian keluarga pasien TB dengan menggunakan teori Florence nightingale di Wilayah Kerja Puskesmas Paguyaman. Hasil dari pengabdian ini didapatkan kemandirian keluarga sebelum penerapan teori Florence Nightingale pada keluarga pasien TB mayoritas tidak mandiri sebanyak 9 responden (60%) dan setelah penerapan teori Florence Nightingale pada keluarga pasien TB di Wilayah Kerja Puskesmas Paguyaman seluruhnya memiliki keluarga mandiri tingkat IV sebanyak 15 responden (100%).

Kejadian TB paru salah satunya dipengaruhi oleh lingkungan. Maka dari itu, pemilihan model keperawatan yang sesuai dengan situasi pasien TB paru. Berbagai model teori keperawatan, salah satunya yaitu model teori keperawatan Florence Nightingale yang dikenal dengan environmental theory dimana dalam teori ini pasien dipandang dalam konteks lingkungan secara keseluruhan di dalam perawatan orang sakit baik dari lingkungan fisik, lingkungan psikologis dan lingkungan sosial. Tujuan dari pengabdian ini untuk mengetahui memberikan edukasi peningkatan kemandirian keluarga pasien TB dengan menggunakan teori Florence nightingale di Wilayah Kerja Puskesmas Paguyaman. Hasil dari pengabdian ini didapatkan kemandirian keluarga sebelum penerapan teori Florence Nightingale pada keluarga pasien TB mayoritas tidak mandiri sebanyak 9 responden (60%) dan setelah penerapan teori Florence Nightingale pada keluarga pasien TB di Wilayah Kerja Puskesmas Paguyaman seluruhnya memiliki keluarga mandiri tingkat IV sebanyak 15 responden (100%).

‘Mooditj' known as ‘good' or ‘solid knowledge’ in Noongar language based in Western Australian, is an impact evaluated sexuality education program developed in 2002 by Sexual Health Quarters after an extensive consultation process with WA First Nations populations. The program uses interactive activities designed to educate 11–14–year–old First Nations youth about sexual health, life and relationship skills. In conjunction with local and Indigenous leaders within hilltribe communities, Borderless Friendship Foundation (BFF) and Borderless Friendship WA (BFWA) adapted the Mooditj training program to a hilltribe youth audience. Hilltribe people are the Indigenous culture of Thailand, typically living in remote villages that often have little to no electricity, access to safe water, health services or education. Hilltribe youth are at risk of entering the sex trade due to multiple vulnerabilities as a population and education is recommended to reduce risky sexual behaviours. This paper explores the acceptability of Mooditj program content and delivery to suit the cultural contexts and need of hilltribe communities.

The aim of this paper is to identify the dominant discourses of health and wellbeing that are offered in health education in Swedish schools. Issues of health and wellbeing are covered mainly in four school subjects in Sweden: physical education and health, home and consumer studies, biology, and social studies, and therefore, we interviewed teachers from those subjects to generate data. Six interrelated health discourses were identified from the data. All discourses were, however, also embedded within a health discourse with a comprehensive description of health as physical, psychological and social wellbeing. Results suggest that schools offer a Western and White discourse of health and that some content is overemphasised, and some is missing in relation to other non-dominant discourses of health and wellbeing.

Background: Sleep problems are common among infants and can have a serious impact on the health and wellbeing of both child and parents. To sustainably promote infant sleep on a population level, it is necessary to develop evidence-based programs that can be implemented on a large scale. The Youth Health Care setting, with its focus on prevention, child health promotion and services widely available for parents, can be a suitable setting to do so. Currently however, sleep health promotion in this setting seems to be suboptimal. To promote healthy infant sleep on a population level, programs need to be accessible and comprehensible for all parents, including parents with limited (health) literacy. Therefore, this study aims to develop, implement and evaluate a program called ‘Sleep on number 1’, that is tailored to Dutch Youth Health Care, to sustainably promote healthy sleep in 0-2-year-old infants. Methods: The program was developed based on co-creation with parents and Youth Health Care professionals, evidence-based behaviour change theories and sleep health promotion methods. Program effectiveness is investigated with a quasi-experimental study design comparing the program group with the care as usual control group. Participants consist of parents of 0-2-year-old children. Primary outcome is infant sleep quality at the age of 10 weeks and 6, 9, 14 and 24 months, measured with a sleep diary. The primary data analysis focuses on night awakenings at 9 months. Secondary outcomes focus on parental behaviour regarding infant sleep, related behavioural determinants and parental satisfaction with Youth Health Care sleep advice. Program effectiveness is analysed using a linear mixed-model in case of data clustering, and an independent samples T-test or linear regression in case no substantial clustering effects are found. A mixed methods process evaluation is performed with parents and Youth Health Care professionals, assessing program reach, adoption, implementation, mai

Purpose: The paper aims to explore how values and knowledge are expressed in student’s discussions about food and health. Design/methodology/approach: Food practices present a complex phenomenon extending beyond biomedical descriptions, including social dynamics of food in families and communities. Contextual conditions of social groups and settings have significant impacts on food choices and practices. Although values constitute a central part of educational goals, deliberate values education remains an often-neglected area, with a tendency in both curricula and educational practice to focus on knowledge and overlook how values intersect with knowledge. The paper utilises group interviews supported by participant observations to study the food and health practices as expressed in students' discussions. Findings: The paper’s findings show how values are expressed together with knowledge as value-knowledges around food and health within the social contexts of family, cultural identities and peer relationships. While moving through their lives, students draw on and utilise biomedical, social-cultural and sensory value-knowledges, simultaneously considering the nutrition and taste of foods, the value of connecting with family and peers in cultural settings as well as getting enough food to feel satiated. Originality/value: The paper presents an original approach around the necessity to consider and integrate cultural identities in discussions and education about food and health to empower students and their communities in a way that is socially just and equitable. This involves shifting discussions of health education away from students as (ir)rational obstacles but rather as partners in co-creating knowledge for sustainable food and health equity. © 2024, Emma Oljans, Tecklah Usai, Doroth Chinofunga and Martin Mickelsson.

Bakgrund Barn med övervikt löper större risk att utveckla obesitas i vuxen ålder. Världshälsoorganisationen(WHO) definierar obesitas som ”onormal eller överdriven ansamling av fettväv som utgör en riskför hälsan”. Distriktssköterskan har ansvar för både hälsofrämjande och sjukdomsförebyggande åtgärder inom primärvården och barnavårdscentraler (BVC), målet är att främja god hälsa och på så vis höja barnets livskvalitet. Syfte Syftet var att belysa BVC-sjuksköterskors erfarenheter av hälsosamtal med föräldrar till barn med övervikt. Metod Kvalitativ litteraturöversikt med systematisk ansats användes, baserad på 14 vetenskapliga artiklar. Vetenskapliga originalartiklar hämtades från databaserna Cinahl Complete, Pubmed samt PsycINFO. Data analyserades i enlighet med Thomas & Hardens (2008) tematiska syntes som baseras på artiklar med en kvalitativ analysmetod. Resultat Analysen av materialet resulterade i tre temaområden och åtta subteman. Temaområden som presenteras är: BVC-sjuksköterskans utmaningar vid hälsosamtal, BVC-sjuksköterskans syn på sin yrkesroll och Brist på resurser vid hälsosamtal. Subteman som presenteras är: Övervikt och obesitas, ett känsligt ämne att tala om, Brist på kunskap hos BVC-sjuksköterskan, Brist på kunskap hos föräldrar, Ansvar vid upptäckt av överviktiga barn, Brist på resurser vid hälsosamtal, Brist på tid, Brist på kontinuitet och Brist på kunskap. Slutsats BVC-sjuksköterskans hälsofrämjande arbete för barn med övervikt eller obesitas var begränsat på grund av brist på tid, utbildning och kontinuitet. För att BVC-sjuksköterskan ska kunna utföra hälsosamtal med föräldrar till barn med övervikt behöver hon kunna bemöta föräldrar på ett personcentrerat sätt och stärka empowerment för livsstilsförändringar hos familjerna. Därför behöver BVC-sjuksköterskor kontinuerlig utbildning och avsatt tid för att uppnå ett positivt hälsosamtal med föräldrar som resulterar i en bättre hälsa samt livskvalitet för barn med övervikt och obesitas. BVC-sju, Background Children who are overweight are at greater risk of developing obesity in adulthood. The World Health Organization (WHO) defines obesity as "abnormal or excessive accumulation of adipose tissue that poses a risk to health". The district nurse is responsible for both health promotion and disease prevention measures within primary care and child health care, the goal is to promote good health and thus increase the child's quality of life. Aim The aim was to shed light on child health care nurses' experiences of health talks with parents of overweight children. Methods A qualitative literature review with a systematic approach was used, based on 14 scientific articles. Original scientific articles were retrieved from the Cinahl Complete, Pubmed and PsycINFO databases. Data were analyzed in accordance with Thomas & Harden's (2008) thematic synthesis, which is based on articles using a qualitative analysis method. Results The analysis of the material resulted in three theme areas and eight subthemes. Theme areas that are presented are: the BVC nurse's challenges during health consultations, the BVC nurse's view of her professional role and Lack of resources during health consultations. The sub-themes that are presented are: Overweight and obesity, a sensitive topic to talk about, Lack of knowledge on the part of the BVC nurse, Lack of knowledge on the part of parents, Responsibility when detecting overweight children, Lack of resources for health talks, Lack of time, Lack of continuity and Lack of knowledge. Conclusions The health care nurse's work was limited, among other things, due to lack of time, training and continuity. In order for the health care nurse to carry out a caring conversation, the health care nurse needs to respond to the parents in an individualized way and strengthen empowerment for lifestyle changes in the families. Therefore, health care nurses need continuous training and more allocated time, in order to achieve a positive conversati

Bakgrund: Barn och ungdomars hälsa och utveckling påverkas av deras levnadsvanor. Sunda levnadsvanor är grundläggande för att uppnå en god fysisk, psykisk och socialt välbefinnande för alla individer. Skolsköterskor spelar en central roll i arbetet för att främja och uppmuntra elevers redan hälsosamma levnadsvanor och uppmärksamma och vägleda när osunda levnadsvanor hos elever identifieras. Syfte: Syftet är att undersöka skolsköterskors erfarenheter av hälsofrämjande arbete inriktat mot att främja elevers levnadsvanor. Metod: I studien användes en kvalitativ design med en induktiv ansats. Datainsamlingen genomfördes med semistrukturerade intervjuer och analyserades genom kvalitativ innehållsanalys. Tio skolsköterskor deltog i studien. Resultat: Resultatet av analysen genererade tre kategorier och 10 underkategorier. I resultatet beskrivs skolsköterskornas erfarenhet av hälsofrämjande arbete inriktat mot att främja elevers levnadsvanor. Konklusion: Studiens resultat visar att skolsköterskors arbete med att främja elevers levnadsvanor sker både individuellt och i grupp, och präglas av samverkan både inom och utanför skolan. Resultatet tydliggör att skolsköterskors hälsofrämjande arbete kring levnadsvanor fokuserar på att alla elever har rätt till att uppnå bästa möjliga hälsa och att den personcentrerade vården genomsyrar arbetet., Background: Children and adolescents' health and development are affected by lifestyle habits. Healthy lifestyle habits are fundamental for achieving good physical, mental, and social well-being for all individuals. School nurses play a central role in promoting and encouraging students' already healthy lifestyle habits and in identifying and guiding when unhealthy lifestyle habits are identified in students. Aim: The aim is to investigate school nurses' experiences of health promotion work aimed at promoting students' lifestyles. Method: A qualitative design with an inductive approach was used in the study. The data collection was carried out with semi-structured interviews and then analyzed according to qualitative content analysis. Ten school nurses participated. Findings: The result of the analysis generated three categories and 10 subcategories. The results describe the school nurses' experience of health promotion work aimed at promoting students' lifestyles. Conclusion: The results of the study show that school nurses' work in promoting students' lifestyles takes place both individually and in groups, the work takes place both inside and outside the school. The result makes it clear that school nurses' health promotion work around lifestyle focuses on the students right to achieve the best possible health and that the person-centred care permeates the school nurses’ work.

Bakgrund Kvinnor i åldersgrupp 45-59 år har ofta kommit in i klimakteriet och cirka 70 procent av dem upplever klimakteriebesvär. Perioden kan vara utmanande och medför tillhörande fysiska och psykosociala förändringar som markerar slutet på reproduktivt liv. Vid mötet med kvinnor i klimakteriet har sjuksköterskan en viktig undervisande funktion som kännetecknas av personcentrerat förhållningssätt. Hälsolitteracitet påverkar kvinnornas förmåga att ta emot hälsoundervisning, men också förutsättningar för sjukvårdpersonal att förmedla kunskapen. Det finns behov att närmare titta på rollen av hälsoundervisning under klimakteriet. Syfte Syftet var att belysa hälso- och sjukvårdens hälsoundervisning till kvinnor under klimakteriet. Metod En icke-systematisk litteraturöversikt har genomförts som bygger på 14 kvalitetsgranskade artiklar. Artiklar omfattar kvalitativ, kvantitativ och mixad ansats. Sökningar genomfördes i databaser PubMed och CINAHL. Integrerad dataanalys användes som analysmodell vid sammanställning av resultat. Resultat Genom dataanalysen identifierades tre huvudkategorier: Kvinnornas förkunskaper, Hälsoundervisningens faciliterande faktorer och hälsoundervisningens hämmande faktorer. De huvudfynden visade att kvinnorna hade svårigheter i att känna igen klimakteriesymptom och hade bristande uppfattning om menopausala hälsokonsekvenser. Bristen på information och utbildning hos kvinnor och vårdpersonal, samt låg hälsolitteracitet, hindrade hälsoundervisningen. Dåliga förkunskaper påverkade livskvaliteten och ledde till negativa föreställningar under klimakteriet. Litteraturöversiktens resultat diskuterades med utgångspunkten i Meleis transitionsteori med fokus på både kvinnors och vårdpersonalens perspektiv. Slutsats Det finns ett behov av ökad utbildning och informationsspridning om klimakteriet, dess symtom och hälsokonsekvenser för att förbättra hälsofrämjande och sjukdomsförebyggande arbete. Sjuksköterskor kan spela en viktig roll i detta genom att uppt, Background Women aged 45-59 have often entered climacteric period and around 70 percent of them experience menopausal symptoms. The period can be challenging and brings associated physical and psychosocial changes that mark the end of the reproductive life. When meeting climacteric women, the nurse has an important teaching function characterized by person-centered approach. Health literacy can affect women's ability to receive health education, but also the conditions for healthcare personnel to pass on the knowledge. There is a need to look more closely about the role of health education in climacteric women. Aim The aim was to shed light on the health care system's health education for women during climacteric. Method A non-systematic literature review was conducted based on 14 articles. Articles include qualitative, quantitative, and mixed approaches. Searches were conducted in databases PubMed and CINAHL. Integrated data analysis was used as an analysis model when compiling results. Results Through the data analysis, three major categories were identified: The women's prior knowledge, Facilitating factors for health education and Inhibiting factors for health education. The main findings showed that women had difficulty recognizing menopausal symptoms and had a low perception of menopausal health consequences. The lack of information and education among women and healthcare providers, as well as low health literacy, hindered health education. Poor prior knowledge affected quality of life and led to negative beliefs during menopause. The results from the literature review were discussed based on Meleis' transition theory with a focus on both women's and healthcare providers' perspectives. Conclusions There is a need for increased education and dissemination of information about the symptoms and health consequences of climacteric to improve health promotion. Nurses can play an important role in this by identifying knowledge gaps, providing women with the necessar

Psychische Gesundheit von Lernende ist im Schulalltag eine Herausforderung, vor allem da seit der Covid-19-Pandemie die Akuteinlieferungen von Kindern und Jugendlichen in psychiatrische Kliniken in Österreich und Deutschland stark angestiegen ist. Daher ist es von Bedeutung, die psychische Gesundheit von Kindern und Jugendlichen präventiv zu fördern. Ausgehend von dieser Problematik hat Frau Prof. Katrin Sevecke mit ihrem Team eine Fortbildung zum Thema „Mentale Gesundheit“ bei Lernenden ins Leben gerufen. GetFit4MentalHealth ist ein umfangreiches, von der Tiroler Landesregierung gefördertes Projekt, das unter anderem auch eine Lehrer:innenfortbildung anbietet, welche darauf abzielt, präventive Maßnahmen im Unterrichtsalltag zu verankern. Einerseits werden Kenntnisse über die Krankheitsbilder und andererseits Methoden für das präventive Arbeiten mit Kindern und Jugendlichen an die Lehrpersonen vermittelt. Das Ziel dieser Masterarbeit ist es, die Erfahrungen, die Motivation sowie die Kompetenzwahrnehmungen der Lehrpersonen in Bezug auf die Förderung psychischer Gesundheit bei Kindern und Jugendlichen herauszuarbeiten. Weiters werden Strategien, welche sie bereits im Unterricht zur Prävention anwenden, dargestellt. Mit Hilfe eines leitfadengestützten Interviews werden die Daten erhoben. In Kombination mit der Methode einer passiv-teilnehmenden Beobachtung sollen die Ziele der Masterarbeit erreicht werden. Die erhobenen Daten werden anhand einer qualitativen Inhaltsanalyse nach Mayring (2022) aufgearbeitet und ausgewertet. Die Ergebnisse zeigen, dass die Lehrpersonen ihre eigene Kompetenz sowohl positiv als auch negativ einschätzen. Die negative Einschätzung ist durch die Herausforderungen geprägt, welche mit der Umsetzung von Prävention psychischer Erkrankungen im Schulalltag einhergehen. Durch die Fortbildung erhofft man sich, dass mit diesen Herausforderungen besser umgegangen werden kann. Eine Post-Befragung, die nicht mehr Teil dieser Arbeit ist, wird Ergebnisse z, The mental health of pupils is a challenge in everyday school life, especially since the Covid-19 pandemic has led to a sharp increase in acute admissions of children and young people. It is therefore important to promote mental health preventively. Based on this problem, Prof Katrin Sevecke and her team have launched a training course on mental health for schoolchildren. GetFit4MentalHealth is a large project that aims to anchor preventative measures in everyday teaching. On the one hand, knowledge about the clinical pictures and on the other hand, methods for prevention are imparted to the teachers. The aim of this master's thesis is to analyse the experiences, motivation and perceptions of competence of teachers in relation to the promotion of mental health in children and young people before they start this particular training course. In addition, the strategies that they already use in the classroom for prevention are to be presented. The guided interview is the method chosen to collect the data. In combination with participant observation, the aims of the master's thesis are to be achieved. The data collected was processed and analysed using a qualitative content analysis. The results show that the teachers assess their own competence both positively and negatively. The negative assessment is primarily characterised by the challenges associated with the implementation of mental health prevention in everyday school life. It is hoped that the further training will enable these challenges to be dealt with more effectively. An ongoing survey will provide results on this change. Furthermore, the results show that teachers are already using methods to reduce stress and promote resilience in the classroom. They also work with the helper system that is offered at the schools. However, they would need additional training and a more intensive exchange with experts to implement them. Whether a change could be achieved through further training in this area will also becom, Schlux Laura Magdalena, BEd, in englischer Sprache, Masterarbeit Universität Innsbruck 2024

Purpose: The paper aims to explore how values and knowledge are expressed in student’s discussions about food and health. Design/methodology/approach: Food practices present a complex phenomenon extending beyond biomedical descriptions, including social dynamics of food in families and communities. Contextual conditions of social groups and settings have significant impacts on food choices and practices. Although values constitute a central part of educational goals, deliberate values education remains an often-neglected area, with a tendency in both curricula and educational practice to focus on knowledge and overlook how values intersect with knowledge. The paper utilises group interviews supported by participant observations to study the food and health practices as expressed in students' discussions. Findings: The paper’s findings show how values are expressed together with knowledge as value-knowledges around food and health within the social contexts of family, cultural identities and peer relationships. While moving through their lives, students draw on and utilise biomedical, social-cultural and sensory value-knowledges, simultaneously considering the nutrition and taste of foods, the value of connecting with family and peers in cultural settings as well as getting enough food to feel satiated. Originality/value: The paper presents an original approach around the necessity to consider and integrate cultural identities in discussions and education about food and health to empower students and their communities in a way that is socially just and equitable. This involves shifting discussions of health education away from students as (ir)rational obstacles but rather as partners in co-creating knowledge for sustainable food and health equity. © 2024, Emma Oljans, Tecklah Usai, Doroth Chinofunga and Martin Mickelsson.

The aim of this paper is to identify the dominant discourses of health and wellbeing that are offered in health education in Swedish schools. Issues of health and wellbeing are covered mainly in four school subjects in Sweden: physical education and health, home and consumer studies, biology, and social studies, and therefore, we interviewed teachers from those subjects to generate data. Six interrelated health discourses were identified from the data. All discourses were, however, also embedded within a health discourse with a comprehensive description of health as physical, psychological and social wellbeing. Results suggest that schools offer a Western and White discourse of health and that some content is overemphasised, and some is missing in relation to other non-dominant discourses of health and wellbeing.

Objective: To evaluate the content and usability of a new direct observation tool for assessing competency in delivering person-centred care based on the Gothenburg Centre for Person-Centred Care (gPCC) framework. Design: This is a qualitative study using think-aloud techniques and retrospective probing interviews and analyzed using deductive content analysis. Setting: Sessions were conducted remotely via Zoom with participants in their homes or offices. Participants: 11 participants with lengthy experience of receiving, delivering and/or implementing gPCC were recruited using purposeful sampling and selected to represent a broad variety of stakeholders and potential end-users. Results: Participants generally considered the content of the four main domains of the tool, that is, person-centred care activities, clinician manner, clinician skills and person-centred care goals, to be comprehensive and relevant for assessing person-centred care in general and gPCC in particular. Some participants pointed to the need to expand person-centred care activities to better reflect the emphasis on eliciting patient resources/capabilities and psychosocial needs in the gPCC framework. Think-aloud analyses revealed some usability issues primarily regarding difficulties or uncertainties in understanding several words and in using the rating scale. Probing interviews indicated that these problems could be mitigated by improving written instructions regarding response options and by replacing some words. Participants generally were satisfied with the layout and structure of the tool, but some suggested enlarging font size and text spacing to improve readability. Conclusion: The tool appears to satisfactorily cover major person-centred care activities outlined in the gPCC framework. The inclusion of content concerning clinician manner and skills was seen as a relevant embellishment of the framework and as contributing to a more comprehensive assessment of clinician performance in the d

The aim of this paper is to identify the dominant discourses of health and wellbeing that are offered in health education in Swedish schools. Issues of health and wellbeing are covered mainly in four school subjects in Sweden: physical education and health, home and consumer studies, biology, and social studies, and therefore, we interviewed teachers from those subjects to generate data. Six interrelated health discourses were identified from the data. All discourses were, however, also embedded within a health discourse with a comprehensive description of health as physical, psychological and social wellbeing. Results suggest that schools offer a Western and White discourse of health and that some content is overemphasised, and some is missing in relation to other non-dominant discourses of health and wellbeing.

The overall aim of this thesis is to cultivate understandings of how meanings regarding food and health are made within the school subject home and consumer studies (HCS). The thesis builds on empirical data generated through a comprehensive case study, where 12 students from one school class and their two teachers were followed in HCS over the course of a school year. The methods used were observations, interviews, focus groups, and document collection. This work comprises four papers, where Paper I covers students’ meaning-making during cooking with a focus on aesthetic judgments. The results of Paper I illustrate different ways in which the students used aesthetic judgments, and how aesthetics became integral to meaning-making. Paper II investigates food for health as educational content, using qualification, socialization, and subjectification as an analytical framework. The results exemplify how these three educational functions can be operationalized empirically, and how a given educational content opens up for meaning-making that goes beyond learning facts and skills. In Paper III, thematic analysis is used to gain an overview of which aesthetic values were constituted in the studied practices, and how. Thus, the central roles of aesthetics in HCS food education were further illustrated. Lastly, Paper IV investigates use of the plate model as a food educational tool, using three planes of analysis as a framework. The results demonstrate how the plate model can be useful in food and health education, but also that it needs to be used with caution, for example to avoid conveying a rigid message of “right” and “wrong” dishes. Taken together, the results of the four papers show how food was a central transactant in the studied practices, i.e., how the food itself became an important co-actor in the meaning-making processes. Second, the discrepancy between the students’ focus on immediate food experiences and the teachers’ instrumental orientation is highlighted.

Structural and contextual factors such as limited work and housing opportunities negatively affect the health and well-being of newly settled refugee migrants in receiving high-income countries. Health promotion initiatives aiming at strengthening health and integration have been tried out within the Swedish Introduction program for refugee migrants. However, longitudinal evaluations of these interventions are rare. The aim of the current study was to compare the effectiveness of a regular and an extended civic orientation course with added health communication and examine whether the latter would improve self-rated health and psychological well-being, health literacy and social capital among newly settled refugee migrants in Sweden. Pre- and post-assessment questionnaires were collected from the intervention group receiving the extended course (n = 143) and a control group receiving the regular course (n = 173). Linear mixed models and chi-square analyses showed a significant increase with a small effect size (0.21) in health literacy in the intervention group. However, there were no significant changes in emotional and practical support, general self-rated health or psychological well-being. The findings indicate that added health communication provided embedded in the civic orientation course can increase health literacy. However, further longitudinal studies are needed to confirm the sustainability of the observed effect and examine whether these short-term improvements in health literacy translate to long-term advances in health and integration.

Purpose: The paper aims to explore how values and knowledge are expressed in student’s discussions about food and health. Design/methodology/approach: Food practices present a complex phenomenon extending beyond biomedical descriptions, including social dynamics of food in families and communities. Contextual conditions of social groups and settings have significant impacts on food choices and practices. Although values constitute a central part of educational goals, deliberate values education remains an often-neglected area, with a tendency in both curricula and educational practice to focus on knowledge and overlook how values intersect with knowledge. The paper utilises group interviews supported by participant observations to study the food and health practices as expressed in students' discussions. Findings: The paper’s findings show how values are expressed together with knowledge as value-knowledges around food and health within the social contexts of family, cultural identities and peer relationships. While moving through their lives, students draw on and utilise biomedical, social-cultural and sensory value-knowledges, simultaneously considering the nutrition and taste of foods, the value of connecting with family and peers in cultural settings as well as getting enough food to feel satiated. Originality/value: The paper presents an original approach around the necessity to consider and integrate cultural identities in discussions and education about food and health to empower students and their communities in a way that is socially just and equitable. This involves shifting discussions of health education away from students as (ir)rational obstacles but rather as partners in co-creating knowledge for sustainable food and health equity. © 2024, Emma Oljans, Tecklah Usai, Doroth Chinofunga and Martin Mickelsson.

Purpose: The paper aims to explore how values and knowledge are expressed in student’s discussions about food and health. Design/methodology/approach: Food practices present a complex phenomenon extending beyond biomedical descriptions, including social dynamics of food in families and communities. Contextual conditions of social groups and settings have significant impacts on food choices and practices. Although values constitute a central part of educational goals, deliberate values education remains an often-neglected area, with a tendency in both curricula and educational practice to focus on knowledge and overlook how values intersect with knowledge. The paper utilises group interviews supported by participant observations to study the food and health practices as expressed in students' discussions. Findings: The paper’s findings show how values are expressed together with knowledge as value-knowledges around food and health within the social contexts of family, cultural identities and peer relationships. While moving through their lives, students draw on and utilise biomedical, social-cultural and sensory value-knowledges, simultaneously considering the nutrition and taste of foods, the value of connecting with family and peers in cultural settings as well as getting enough food to feel satiated. Originality/value: The paper presents an original approach around the necessity to consider and integrate cultural identities in discussions and education about food and health to empower students and their communities in a way that is socially just and equitable. This involves shifting discussions of health education away from students as (ir)rational obstacles but rather as partners in co-creating knowledge for sustainable food and health equity. © 2024, Emma Oljans, Tecklah Usai, Doroth Chinofunga and Martin Mickelsson.

The aim of this paper is to identify the dominant discourses of health and wellbeing that are offered in health education in Swedish schools. Issues of health and wellbeing are covered mainly in four school subjects in Sweden: physical education and health, home and consumer studies, biology, and social studies, and therefore, we interviewed teachers from those subjects to generate data. Six interrelated health discourses were identified from the data. All discourses were, however, also embedded within a health discourse with a comprehensive description of health as physical, psychological and social wellbeing. Results suggest that schools offer a Western and White discourse of health and that some content is overemphasised, and some is missing in relation to other non-dominant discourses of health and wellbeing.

Objective: To evaluate the content and usability of a new direct observation tool for assessing competency in delivering person-centred care based on the Gothenburg Centre for Person-Centred Care (gPCC) framework. Design: This is a qualitative study using think-aloud techniques and retrospective probing interviews and analyzed using deductive content analysis. Setting: Sessions were conducted remotely via Zoom with participants in their homes or offices. Participants: 11 participants with lengthy experience of receiving, delivering and/or implementing gPCC were recruited using purposeful sampling and selected to represent a broad variety of stakeholders and potential end-users. Results: Participants generally considered the content of the four main domains of the tool, that is, person-centred care activities, clinician manner, clinician skills and person-centred care goals, to be comprehensive and relevant for assessing person-centred care in general and gPCC in particular. Some participants pointed to the need to expand person-centred care activities to better reflect the emphasis on eliciting patient resources/capabilities and psychosocial needs in the gPCC framework. Think-aloud analyses revealed some usability issues primarily regarding difficulties or uncertainties in understanding several words and in using the rating scale. Probing interviews indicated that these problems could be mitigated by improving written instructions regarding response options and by replacing some words. Participants generally were satisfied with the layout and structure of the tool, but some suggested enlarging font size and text spacing to improve readability. Conclusion: The tool appears to satisfactorily cover major person-centred care activities outlined in the gPCC framework. The inclusion of content concerning clinician manner and skills was seen as a relevant embellishment of the framework and as contributing to a more comprehensive assessment of clinician performance in the d

The aim of this paper is to identify the dominant discourses of health and wellbeing that are offered in health education in Swedish schools. Issues of health and wellbeing are covered mainly in four school subjects in Sweden: physical education and health, home and consumer studies, biology, and social studies, and therefore, we interviewed teachers from those subjects to generate data. Six interrelated health discourses were identified from the data. All discourses were, however, also embedded within a health discourse with a comprehensive description of health as physical, psychological and social wellbeing. Results suggest that schools offer a Western and White discourse of health and that some content is overemphasised, and some is missing in relation to other non-dominant discourses of health and wellbeing.

Purpose: The paper aims to explore how values and knowledge are expressed in student’s discussions about food and health. Design/methodology/approach: Food practices present a complex phenomenon extending beyond biomedical descriptions, including social dynamics of food in families and communities. Contextual conditions of social groups and settings have significant impacts on food choices and practices. Although values constitute a central part of educational goals, deliberate values education remains an often-neglected area, with a tendency in both curricula and educational practice to focus on knowledge and overlook how values intersect with knowledge. The paper utilises group interviews supported by participant observations to study the food and health practices as expressed in students' discussions. Findings: The paper’s findings show how values are expressed together with knowledge as value-knowledges around food and health within the social contexts of family, cultural identities and peer relationships. While moving through their lives, students draw on and utilise biomedical, social-cultural and sensory value-knowledges, simultaneously considering the nutrition and taste of foods, the value of connecting with family and peers in cultural settings as well as getting enough food to feel satiated. Originality/value: The paper presents an original approach around the necessity to consider and integrate cultural identities in discussions and education about food and health to empower students and their communities in a way that is socially just and equitable. This involves shifting discussions of health education away from students as (ir)rational obstacles but rather as partners in co-creating knowledge for sustainable food and health equity. © 2024, Emma Oljans, Tecklah Usai, Doroth Chinofunga and Martin Mickelsson.

The present study assessed older adults (≥ 45 years old) diabetes health literacy, diabetes numeracy, cognitive function, and its association with their Type 2 Diabetes Mellitus (T2DM) self-management outcomes. These factors are of concern as diabetes is a lifelong condition affecting the body’s conversion of food into energy and may lead to complications and comorbidities if this condition is not properly self-managed. Diabetes health literacy refers to having the necessary capabilities in finding and analyzing diabetes-related information to make informed decisions regarding their health. Numeracy in diabetes has to do with being able to compute diabetes-related math such as insulin and nutritional calculations. Diabetes self-management outcomes include insulin pump or continuous glucose monitor (CGM) use, medication adherence, physical activity, diet, and cooperation with one’s healthcare team. In this study, 88 participants completed an online questionnaire measuring their diabetes health literacy, diabetes numeracy, and cognitive function levels with the expectation there were positive correlations to T2DM self-management outcomes. The results confirmed the first and third hypotheses, there were statistically significant positive correlations between diabetes health literacy, cognitive function, and T2DM self-management outcomes respectively. The second hypothesis of diabetes numeracy being positively associated with T2DM self-management outcomes was not supported; however, the relationship was marginally significant at p = 0.055. For hypotheses 4 and 5, the overall models were found to be significant, however when the interaction is added the models do not significantly improve. The results of the present study exhibit diabetes health literacy, numeracy, and cognitive function are positively associated with T2DM self-management outcomes demonstrating the importance of these factors; this aligns with existing literature purporting 95% of diabetes care is throug

Bakgrund Barn med övervikt löper större risk att utveckla obesitas i vuxen ålder. Världshälsoorganisationen(WHO) definierar obesitas som ”onormal eller överdriven ansamling av fettväv som utgör en riskför hälsan”. Distriktssköterskan har ansvar för både hälsofrämjande och sjukdomsförebyggande åtgärder inom primärvården och barnavårdscentraler (BVC), målet är att främja god hälsa och på så vis höja barnets livskvalitet. Syfte Syftet var att belysa BVC-sjuksköterskors erfarenheter av hälsosamtal med föräldrar till barn med övervikt. Metod Kvalitativ litteraturöversikt med systematisk ansats användes, baserad på 14 vetenskapliga artiklar. Vetenskapliga originalartiklar hämtades från databaserna Cinahl Complete, Pubmed samt PsycINFO. Data analyserades i enlighet med Thomas & Hardens (2008) tematiska syntes som baseras på artiklar med en kvalitativ analysmetod. Resultat Analysen av materialet resulterade i tre temaområden och åtta subteman. Temaområden som presenteras är: BVC-sjuksköterskans utmaningar vid hälsosamtal, BVC-sjuksköterskans syn på sin yrkesroll och Brist på resurser vid hälsosamtal. Subteman som presenteras är: Övervikt och obesitas, ett känsligt ämne att tala om, Brist på kunskap hos BVC-sjuksköterskan, Brist på kunskap hos föräldrar, Ansvar vid upptäckt av överviktiga barn, Brist på resurser vid hälsosamtal, Brist på tid, Brist på kontinuitet och Brist på kunskap. Slutsats BVC-sjuksköterskans hälsofrämjande arbete för barn med övervikt eller obesitas var begränsat på grund av brist på tid, utbildning och kontinuitet. För att BVC-sjuksköterskan ska kunna utföra hälsosamtal med föräldrar till barn med övervikt behöver hon kunna bemöta föräldrar på ett personcentrerat sätt och stärka empowerment för livsstilsförändringar hos familjerna. Därför behöver BVC-sjuksköterskor kontinuerlig utbildning och avsatt tid för att uppnå ett positivt hälsosamtal med föräldrar som resulterar i en bättre hälsa samt livskvalitet för barn med övervikt och obesitas. BVC-sju, Background Children who are overweight are at greater risk of developing obesity in adulthood. The World Health Organization (WHO) defines obesity as "abnormal or excessive accumulation of adipose tissue that poses a risk to health". The district nurse is responsible for both health promotion and disease prevention measures within primary care and child health care, the goal is to promote good health and thus increase the child's quality of life. Aim The aim was to shed light on child health care nurses' experiences of health talks with parents of overweight children. Methods A qualitative literature review with a systematic approach was used, based on 14 scientific articles. Original scientific articles were retrieved from the Cinahl Complete, Pubmed and PsycINFO databases. Data were analyzed in accordance with Thomas & Harden's (2008) thematic synthesis, which is based on articles using a qualitative analysis method. Results The analysis of the material resulted in three theme areas and eight subthemes. Theme areas that are presented are: the BVC nurse's challenges during health consultations, the BVC nurse's view of her professional role and Lack of resources during health consultations. The sub-themes that are presented are: Overweight and obesity, a sensitive topic to talk about, Lack of knowledge on the part of the BVC nurse, Lack of knowledge on the part of parents, Responsibility when detecting overweight children, Lack of resources for health talks, Lack of time, Lack of continuity and Lack of knowledge. Conclusions The health care nurse's work was limited, among other things, due to lack of time, training and continuity. In order for the health care nurse to carry out a caring conversation, the health care nurse needs to respond to the parents in an individualized way and strengthen empowerment for lifestyle changes in the families. Therefore, health care nurses need continuous training and more allocated time, in order to achieve a positive conversati

Hälsoundervisningen och dess utrymme i idrott och hälsa har sedan det gavs en tydligare plats i den svenska kursplanen varit under lupp. Eleverna i svenska skolor behöver få samtala om olika aspekter av hälsa, reflektera över hur de påverkar varandra och lära sig ta ansvar för sin egen hälsa och livsstil med ett holistiskt hälsoperspektiv som utgångspunkt. Detta genom såväl teoretiska som praktiska moment. Syftet med studien är att genom semistrukturerade intervjuer med sex stycken lärare få förståelse för hur högstadielärare i idrott och hälsa gör hälsoundervisning i relation till sin tolkning av kursplanen. Lärarnas tolkning av kursplanen, vilket perspektiv på hälsa, alternativt någon aspekt av hälsa som ges mer utrymme i deras undervisning och hur de skapar undervisning om hälsa har under studien varit i fokus. Metoden skapar goda förutsättningar för djupare förståelse där data är informantens ord även om detta sedan tolkas av forskaren. Samtliga informanter visar medvetenhet om vikten av hälsoundervisning och att olika aspekter av hälsa ges utrymme i undervisningen. Omfattningen och förutsättningar för att beröra olika delar utifrån till exempel elevers mognad varierar mellan informanterna. Innehållet och metoderna skiljer sig även de åt bland flera av dem. Undervisningen anpassas inte bara till kursplanens innehåll utan även till individer och klasser utifrån kollegiala samtal och egna reflektioner. Lärare kan alltså utifrån samma kursplan planera, genomföra och reflektera olika i fråga om undervisning när hälsa berörs i ämnet idrott och hälsa., Health education and its place in physical education have been scrutinized since it was given a clearer place in the Swedish curriculum. Students in Swedish schools need to be given opportunities to discuss different aspects of health, reflect on how those aspects influence each other and learn how to take responsibility for their own health and lifestyle from a holistic health perspective. This should be done with both theoretical and practical elements. The purpose of this study is to understand how teachers in physical education teach about health in relation to their interpretation of the curriculum. This is done through semi-structured interviews with six different teachers. The focus of this study is on the teacher´s interpretations of the curriculum, what health perspective or aspects of health are given more space in their teaching, and how they create their health education. The method provides good conditions for a deeper understanding, where the collected data consists of the informants’ words, even though it is interpreted by the researcher. All of the informants have shown awareness of the importance of health education and that different aspects of health are given space in their teaching. The extent and conditions for addressing different parts based on, for example, students’ maturity, vary among the informants. The content and methods also differ among the informants. The teaching is not only adapted to the content of the curriculum but also to individuals and classes based on collegial conversations and their own reflections. Teachers can therefore, based on the same curriculum, plan, implement, and reflect differently regarding teaching when health is addressed in the subject Physical Education.

Bakgrund: Barn och ungdomars hälsa och utveckling påverkas av deras levnadsvanor. Sunda levnadsvanor är grundläggande för att uppnå en god fysisk, psykisk och socialt välbefinnande för alla individer. Skolsköterskor spelar en central roll i arbetet för att främja och uppmuntra elevers redan hälsosamma levnadsvanor och uppmärksamma och vägleda när osunda levnadsvanor hos elever identifieras. Syfte: Syftet är att undersöka skolsköterskors erfarenheter av hälsofrämjande arbete inriktat mot att främja elevers levnadsvanor. Metod: I studien användes en kvalitativ design med en induktiv ansats. Datainsamlingen genomfördes med semistrukturerade intervjuer och analyserades genom kvalitativ innehållsanalys. Tio skolsköterskor deltog i studien. Resultat: Resultatet av analysen genererade tre kategorier och 10 underkategorier. I resultatet beskrivs skolsköterskornas erfarenhet av hälsofrämjande arbete inriktat mot att främja elevers levnadsvanor. Konklusion: Studiens resultat visar att skolsköterskors arbete med att främja elevers levnadsvanor sker både individuellt och i grupp, och präglas av samverkan både inom och utanför skolan. Resultatet tydliggör att skolsköterskors hälsofrämjande arbete kring levnadsvanor fokuserar på att alla elever har rätt till att uppnå bästa möjliga hälsa och att den personcentrerade vården genomsyrar arbetet., Background: Children and adolescents' health and development are affected by lifestyle habits. Healthy lifestyle habits are fundamental for achieving good physical, mental, and social well-being for all individuals. School nurses play a central role in promoting and encouraging students' already healthy lifestyle habits and in identifying and guiding when unhealthy lifestyle habits are identified in students. Aim: The aim is to investigate school nurses' experiences of health promotion work aimed at promoting students' lifestyles. Method: A qualitative design with an inductive approach was used in the study. The data collection was carried out with semi-structured interviews and then analyzed according to qualitative content analysis. Ten school nurses participated. Findings: The result of the analysis generated three categories and 10 subcategories. The results describe the school nurses' experience of health promotion work aimed at promoting students' lifestyles. Conclusion: The results of the study show that school nurses' work in promoting students' lifestyles takes place both individually and in groups, the work takes place both inside and outside the school. The result makes it clear that school nurses' health promotion work around lifestyle focuses on the students right to achieve the best possible health and that the person-centred care permeates the school nurses’ work.

A imunização é uma das principais estratégias para garantir a proteção de seres humanos contra determinadas doenças infectocontagiosas. Sabe-se que a indução artificial de imunidade humana contra enfermidades ocorre desde os primeiros dias de vida, exigindo, portanto, a participação efetiva dos pais de recém nascidos nesse processo de proteção. Nesse contexto, destaca-se, expressivamente, a atuação das figuras maternas, o que confere a necessidade de se promover ações educativas as quais induzem e instruem figuras paternas a terem maior contato com a vacinação de seus descendentes. O presente artigo tem o objetivo de relatar a vivência de estudantes de medicina ao promoverem um momento educativo para figuras paternas acerca de sua participação na vacinação de seus filhos. Trata-se de um relato de experiência, que expõe a percepção de estudantes de Medicina ao planejarem e executarem um evento educativo-extensionista. Tal acontecimento embasou-se na distribuição de panfletos e apresentação de banners, os quais continham informações acerca da necessidade da participação paterna na imunização infantil, bem como acerca do reaparecimento de doenças erradicadas. Após as atividades educativas, percebeu-se que a ação foi bem sucedida, que o público alvo aceitou e envolveu-se nessa proposta de comunicação em saúde e que as informações foram passadas de forma eficiente. Ainda, ficou claro que muitos personagens paternos convivem com muitas dúvidas acerca da importância da imunização e admitem não serem atuantes na imunização de seus filhos., Immunization is one of the main strategies to ensure the protection of human beings against certain infectious diseases. It is known that artificial induction of human immunity against diseases occurs from the first days of life, thus requiring the effective participation of parents of newborns in this process of protection. In this context, the role of maternal figures is significantly highlighted, which gives the need to promote educational actions that induce and instruct father figures to have greater contact with the vaccination of their descendants. This article aims to report the experience of medical students to promote an educational moment for father figures about their participation in the vaccination of their children. This is an experience report, which exposes the perception of medical students when planning and executing an educational-extensionist event. This event was based on the distribution of pamphlets and presentation of banners, which contained information about the need for paternal participation in childhood immunization, as well as about the reappearance of eradicated diseases. After the educational activities, it was noticed that the action was successful, that the target audience accepted and was involved in this health communication proposal and that the information was passed efficiently. Still, it was clear that many paternal characters live with many doubts about the importance of immunization and admit not being active in the immunization of their children., La inmunización es una de las principales estrategias para garantizar la protección de los seres humanos contra determinadas enfermedades infectocontagiosas. Se sabe que la inducción artificial de inmunidad humana contra enfermedades ocurre desde los primeros días de vida, exigiendo, por lo tanto, la participación efectiva de los padres de recién nacidos en este proceso de protección. En ese contexto, se destaca, expresivamente, la actuación de las figuras maternas, lo que confiere la necesidad de promover acciones educativas las cuales inducen e instruyen figuras paternas a tener mayor contacto con la vacunación de sus descendientes. El presente artículo tiene el objetivo de relatar la vivencia de estudiantes de medicina al promover un momento educativo para figuras paternas acerca de su participación en la vacunación de sus hijos. Se trata de un relato de experiencia, que expone la percepción de estudiantes de Medicina al planificar y ejecutar un evento educativo-extensionista. Este acontecimiento se basó en la distribución de folletos y la presentación de pancartas, que contenían información sobre la necesidad de la participación paterna en la inmunización infantil, así como sobre la reaparición de enfermedades erradicadas. Después de las actividades educativas, se percibió que la acción fue exitosa, que el público objetivo aceptó y se involucró en esa propuesta de comunicación en salud y que las informaciones fueron transmitidas de forma eficiente. Aún, quedó claro que muchos personajes paternos conviven con muchas dudas acerca de la importancia de la inmunización y admiten no ser actuantes en la inmunización de sus hijos.

Bakgrund Kvinnor i åldersgrupp 45-59 år har ofta kommit in i klimakteriet och cirka 70 procent av dem upplever klimakteriebesvär. Perioden kan vara utmanande och medför tillhörande fysiska och psykosociala förändringar som markerar slutet på reproduktivt liv. Vid mötet med kvinnor i klimakteriet har sjuksköterskan en viktig undervisande funktion som kännetecknas av personcentrerat förhållningssätt. Hälsolitteracitet påverkar kvinnornas förmåga att ta emot hälsoundervisning, men också förutsättningar för sjukvårdpersonal att förmedla kunskapen. Det finns behov att närmare titta på rollen av hälsoundervisning under klimakteriet. Syfte Syftet var att belysa hälso- och sjukvårdens hälsoundervisning till kvinnor under klimakteriet. Metod En icke-systematisk litteraturöversikt har genomförts som bygger på 14 kvalitetsgranskade artiklar. Artiklar omfattar kvalitativ, kvantitativ och mixad ansats. Sökningar genomfördes i databaser PubMed och CINAHL. Integrerad dataanalys användes som analysmodell vid sammanställning av resultat. Resultat Genom dataanalysen identifierades tre huvudkategorier: Kvinnornas förkunskaper, Hälsoundervisningens faciliterande faktorer och hälsoundervisningens hämmande faktorer. De huvudfynden visade att kvinnorna hade svårigheter i att känna igen klimakteriesymptom och hade bristande uppfattning om menopausala hälsokonsekvenser. Bristen på information och utbildning hos kvinnor och vårdpersonal, samt låg hälsolitteracitet, hindrade hälsoundervisningen. Dåliga förkunskaper påverkade livskvaliteten och ledde till negativa föreställningar under klimakteriet. Litteraturöversiktens resultat diskuterades med utgångspunkten i Meleis transitionsteori med fokus på både kvinnors och vårdpersonalens perspektiv. Slutsats Det finns ett behov av ökad utbildning och informationsspridning om klimakteriet, dess symtom och hälsokonsekvenser för att förbättra hälsofrämjande och sjukdomsförebyggande arbete. Sjuksköterskor kan spela en viktig roll i detta genom att uppt, Background Women aged 45-59 have often entered climacteric period and around 70 percent of them experience menopausal symptoms. The period can be challenging and brings associated physical and psychosocial changes that mark the end of the reproductive life. When meeting climacteric women, the nurse has an important teaching function characterized by person-centered approach. Health literacy can affect women's ability to receive health education, but also the conditions for healthcare personnel to pass on the knowledge. There is a need to look more closely about the role of health education in climacteric women. Aim The aim was to shed light on the health care system's health education for women during climacteric. Method A non-systematic literature review was conducted based on 14 articles. Articles include qualitative, quantitative, and mixed approaches. Searches were conducted in databases PubMed and CINAHL. Integrated data analysis was used as an analysis model when compiling results. Results Through the data analysis, three major categories were identified: The women's prior knowledge, Facilitating factors for health education and Inhibiting factors for health education. The main findings showed that women had difficulty recognizing menopausal symptoms and had a low perception of menopausal health consequences. The lack of information and education among women and healthcare providers, as well as low health literacy, hindered health education. Poor prior knowledge affected quality of life and led to negative beliefs during menopause. The results from the literature review were discussed based on Meleis' transition theory with a focus on both women's and healthcare providers' perspectives. Conclusions There is a need for increased education and dissemination of information about the symptoms and health consequences of climacteric to improve health promotion. Nurses can play an important role in this by identifying knowledge gaps, providing women with the necessar

The overall aim of this thesis is to cultivate understandings of how meanings regarding food and health are made within the school subject home and consumer studies (HCS). The thesis builds on empirical data generated through a comprehensive case study, where 12 students from one school class and their two teachers were followed in HCS over the course of a school year. The methods used were observations, interviews, focus groups, and document collection. This work comprises four papers, where Paper I covers students’ meaning-making during cooking with a focus on aesthetic judgments. The results of Paper I illustrate different ways in which the students used aesthetic judgments, and how aesthetics became integral to meaning-making. Paper II investigates food for health as educational content, using qualification, socialization, and subjectification as an analytical framework. The results exemplify how these three educational functions can be operationalized empirically, and how a given educational content opens up for meaning-making that goes beyond learning facts and skills. In Paper III, thematic analysis is used to gain an overview of which aesthetic values were constituted in the studied practices, and how. Thus, the central roles of aesthetics in HCS food education were further illustrated. Lastly, Paper IV investigates use of the plate model as a food educational tool, using three planes of analysis as a framework. The results demonstrate how the plate model can be useful in food and health education, but also that it needs to be used with caution, for example to avoid conveying a rigid message of “right” and “wrong” dishes. Taken together, the results of the four papers show how food was a central transactant in the studied practices, i.e., how the food itself became an important co-actor in the meaning-making processes. Second, the discrepancy between the students’ focus on immediate food experiences and the teachers’ instrumental orientation is highlighted.

Sex education can be described as an important part of health education in school and one way of strengthening health education could be a collaboration between different professionals in the school team. The aim of this study was to describe teachers' and school nurses' experiences and perspectives with regard to sex education among students aged 11-12 years and to explore potential influencing factors. We employed a qualitative design, and the teachers and school nurses were interviewed individually. A thematic analysis was conducted on the interviews and the results showed that the classroom was considered to be the teacher's arena. Tradition and attitudes between professionals could be obstacles that affect collaboration between teachers and nurses and the study showed that there remains much to be done before collaboration at the same level between the groups can be established.