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”Det är en enormt stor fråga”: En kvalitativ intervjustudie kring skolsköterskors uppfattningar om behovet av fysioterapeuter inom elevhälsan, samt vad de anser ha betydelse för att främja fysisk aktivitet i skolan
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
: A qualitative interview study about how school nurses perceive the need for a physiotherapist in the school health services, and what they consider to play a significant role in promoting physical activity in school (English)
Abstract [sv]

Bakgrund 

Fysisk aktivitet under skoltid är av stor vikt då barn och ungdomar rör sig allt mindre. Skolans elevhälsa, däribland skolsköterskor, arbetar med främjandet av fysisk aktivitet i skolan. Studier kring hur en fysioterapeut kan verka inom elevhälsan är idag begränsade. Hur skolsköterskor uppfattar att en fysioterapeut kan bidra i skolhälsoarbetet var därför av intresse att undersöka.

Syfte 

Att undersöka skolsköterskors uppfattning om behovet av en fysioterapeut inom skolverksamheten, samt undersöka vad de anser har betydelse för att främja fysisk aktivitet i skolan. 

Metod

Studien var av kvalitativ design. Fem skolsköterskor intervjuades genom enskilda semistrukturerade intervjuer. Kvalitativ innehållsanalys användes för bearbetning av data.  

Resultat 

Utifrån insamlade data identifierades nio kategorier med sammanlagt trettiotvå underkategorier. Kategorier om behovet av en fysioterapeut inom skolverksamheten var ”Efterfrågad kompetens”, ”Hänvisar till extern kompetens” och ”Osäkerhet kring fysioterapeutens roll”. Kategorier om främjandet av fysisk aktivitet var ”Individanpassat”, ”Hemsituationen påverkar”, ”Gemensamma organiserade aktiviteter”, ”Aktivitetsfrämjande miljöer”, ”Gemensamt förhållningssätt” och ”Utmaningar att förhålla sig till”. 

Konklusion 

Samtliga skolsköterskor ger uttryck för att det finns ett behov av en fysioterapeut, samtidigt framkommer det att de är osäkra kring hur rollen skulle se ut inom skolverksamheten. Främjandet av fysisk aktivitet i skolan ansågs påverkas av skolans organisation, personal, föräldrar och elever. Utmaningar i arbetet med fysisk aktivitet beskrivs bero på tidsbrist och bristande kunskaper inom området.

Abstract [en]

Background 

Physical activity during school hours is of great importance since children and adolescents move less and less. The school health services, including school nurses, is working to promote physical activity in school. Studies who aim to examine how a physiotherapist can contribute to the school health services are limited. To examine how school nurses perceive the need for a physiotherapist in the school health services was therefore of interest to investigate. 

Purpose

To examine how school nurses perceive the need for a physiotherapist in the school health services, as well as examining what they consider to play a significant role in promoting physical activity in school.

Method 

The study was of qualitative design. Five school nurses were interviewed through individual semi-structured interviews. Qualitative content analysis was used to analyzing the data.  

Result

A total of nine categories and thirty-two subcategories was identified from the collected data. Categories about the need for a physiotherapist were “Requested expertise”, “Refers to external competence”, “Uncertainty about the role of the physiotherapist”. Categories about the promotion of physical activity were “Individualized”, “Home situation affects”, “Organized activities”, “The environment affects physical activity”, “Common approach” and “Challenges to relate to”. 

Conclusion 

The school nurses perceive that there is a need for a physiotherapist within the school health services. At the same time, it appears that they are a bit unsure about the physiotherapists’ role. The promotion of physical activity in school is considered to be affected by the schools’ organization, school staff, pupils and parents. The work with physical activity in school has certain challenges which is described to depend on shortage of time and lack of knowledge in the area.

Place, publisher, year, edition, pages
2020. , p. 38
Keywords [en]
Physical activity, physiotherapy, school, school health services, professional role
National Category
Neurosciences
Identifiers
URN: urn:nbn:se:uu:diva-402784OAI: oai:DiVA.org:uu-402784DiVA, id: diva2:1386871
Educational program
Physiotherapy programme
Supervisors
Examiners
Available from: 2020-01-20 Created: 2020-01-20 Last updated: 2020-01-20Bibliographically approved

Open Access in DiVA

F. Norén, E. Jarefors(641 kB)18 downloads
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