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What Barriers and Facilitators Do School Nurses Experience When Implementing an Obesity Intervention?

Krista Schroeder1, Arlene Smaldone2

  • 11 University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|November 8, 2017
PubMed
Summary

School nurses faced significant barriers, including workload and stigma, hindering obesity intervention implementation. Addressing these challenges and fostering teamwork are crucial for future success in school-based health programs.

Keywords:
childhood obesitynursingqualitativeschool health

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Area of Science:

  • Public Health
  • Pediatric Nursing
  • Health Intervention Research

Background:

  • School nurse-led obesity interventions are vital for child health.
  • A recent intervention showed a low 5% implementation rate, necessitating further investigation.

Purpose of the Study:

  • To explore school nurses' perceived barriers and facilitators to implementing an obesity intervention.
  • To understand factors contributing to the low implementation rate of school-based obesity programs.

Main Methods:

  • Semi-structured individual interviews were conducted with 19 school nurses.
  • Content analysis and heat mapping were used to analyze qualitative data.

Main Results:

  • Key barriers included parental/administrative gatekeeping, heavy workload, obesogenic environments, and obesity stigma.
  • Facilitators involved teamwork with parents and school staff.
  • Nurses emphasized cultural considerations and the need for tailored interventions.

Conclusions:

  • Addressing identified barriers is essential before implementing school nurse-led obesity interventions.
  • Successful implementation requires acknowledging and mitigating challenges like workload and stigma.
  • Tailoring interventions to specific school contexts and populations is critical for effectiveness.