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It's time for a rethink.

Doreen Crawford1

  • 1De Montfort University in Leicester.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|June 12, 2016
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Summary
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A child was referred to obesity services by a school nurse, despite the family perceiving them as healthy and normal-sized. This highlights potential discrepancies in health assessments and the need for clear referral criteria.

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Area of Science:

  • Pediatrics
  • Public Health
  • Childhood Obesity

Background:

  • School nurses play a crucial role in identifying potential health concerns in children.
  • Referrals to specialist services can significantly impact a child's life and family's perception of health.
  • There may be differing perspectives between healthcare professionals and families regarding a child's health status.

Purpose of the Study:

  • To explore the reasons behind a child's referral to specialist obesity services.
  • To investigate the discrepancy between a school nurse's referral and a family's assessment of their child's health.
  • To understand the criteria and processes involved in referring children to weight management services.

Main Methods:

  • Case study analysis of a child's referral.
  • Review of school health assessment protocols.
  • Family interviews to understand their perception of the child's health.
  • Analysis of specialist obesity service referral guidelines.

Main Results:

  • The referral was made by a school nurse based on specific health indicators.
  • The family perceived the child as fit, healthy, happy, and of normal size.
  • A significant gap was identified between the clinical assessment and the family's perception.

Conclusions:

  • Discrepancies in health perception between healthcare providers and families can lead to unnecessary referrals.
  • Clearer communication and standardized assessment tools are needed for school-based health referrals.
  • Further research is required to understand the impact of such referrals on children and families.