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The relation between school nurses' professional role, jurisdictions and health promotion in Finnish compulsory
Frida Gädda1, Christel Sundqvist2,3, Anna K Forsman4
1Doctoral Researcher in Health Sciences, The Faculty of Science and Engineering, Department of Natural and Health Sciences, Åbo Akademi University, Vasa, Finland.
Background:
School nurses are a vital part of school healthcare; however, research on the experiences of the profession in relation to health promotion is limited. A deeper understanding of school nurses' professional remits could uncover new approaches to school-based health promotion - with implications for student healthcare services.
Aim:
This study explored school nurses' experiences regarding their professional role and responsibilities in relation to health promotion in Finnish compulsory school settings.
Methods:
Adopting a qualitative design, 13 school nurses from Finland were interviewed. Data analysis followed qualitative content analysis, progressing from manifest to latent content, explored through Abbott's theory of system of professions.
Results:
The main categories: The practical application of laws and regulations shaping preventative actions; Societal changes and resources demanding continuous adaptation; School nurses providing accessible, holistic support and health promotion; and Individual autonomy, interests and visions influencing the work, pinpoint the school nurses' experiences regarding their jurisdictions related to health promotion, impacting the school nursing services.
Conclusion:
School nurses' jurisdictions in health promotion are shaped across legal, workplace and public arenas. An additional individual-level arena was found, where ethics guide practice. Structural constraints require school nurses to adapt as demands extend beyond traditional boundaries to meet students' needs.
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