Navigating Role Challenges in School Healthcare Partnerships With Families: A Qualitative Study

Area of Science:

• Pediatric Endocrinology
• School Health Management
• Diabetes Care Education

Background:

• Type 1 Diabetes (T1D) management in schools presents significant challenges for health teachers in South Korea.
• Despite legal frameworks, issues like role ambiguity, resource limitations, and evolving care needs hinder effective T1D management.

Purpose of the Study:

• To explore school health teachers' experiences and perceptions in managing T1D.
• To examine the role of partnerships with parents and students in T1D management through the lens of role theory.

Main Methods:

• A qualitative study involving 22 school health teachers.
• Semi-structured interviews were conducted and analyzed using inductive content analysis.

Main Results:

• Teachers identified with their roles in collaborative care but experienced role insufficiency regarding advanced diabetes management.
• Role consensus was found in family-school coordination, yet role ambiguity persisted due to complex care needs and unclear guidelines.
• Participants highlighted needs for updated guidelines, tailored training, and legal protection.

Conclusions:

• School health teachers play a vital role in T1D management, facing significant challenges.
• Institutional support, professional development, and improved teacher-parent collaboration are essential for effective T1D care.
• Findings suggest the potential for web-based partnership programs to improve school-based T1D management.