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Mental health work in school health services and school nurses’ involvement and attitudes, in a Norwegian context

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  • Hege Skundberg‐Kletthagen
  • Øyfrid Larsen Moen

Abstract

Aims and objectives To explore school nurses’ experiences with and attitudes towards working with young people with mental health problem in the school health services. Background Worldwide, 10%–20% of children and adolescents are affected by mental health problems. When these occur during youth, they constitute a considerable burden and are one of the main causes of disability among adolescents. School nurses are at the forefront of care for children and adolescents, identifying pupils struggling with physical, mental, psychosocial or emotional issues. Design A qualitative, explorative study was performed based on open‐ended questions in a cross‐sectional study of 284 school nurses in Norway. Inclusion criteria were as follows: working as a school nurse in the school health services with children and adolescents between the ages of 11–18 years. A qualitative inductive content analysis was conducted. Results Three generic categories emerged: perception of their role and experiences with mental health: the school nurses acknowledge their important role in work with adolescents focusing on their mental health. Perception of their professional competence: the school nurses described a lack of confidence and unmet training needs concerning mental health problems. Experiences with collaboration: the school nurses requested more knowledge about inter‐ and multidisciplinary cooperation regarding follow‐up of pupils with mental health problems. Conclusions The school nurses lacked knowledge and confidence in respect of working with children and adolescents suffering from mental health problems. This may be a barrier to giving pupils adequate aid. Relevance to clinical practice Nurses need to acquire more knowledge about mental health problems among children and adolescents as this is a growing public health issue. Educational programmes for school nurses need to be revised to achieve this.

Suggested Citation

  • Hege Skundberg‐Kletthagen & Øyfrid Larsen Moen, 2017. "Mental health work in school health services and school nurses’ involvement and attitudes, in a Norwegian context," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5044-5051, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:5044-5051
    DOI: 10.1111/jocn.14004
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    References listed on IDEAS

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    1. Steven Pryjmachuk & Tanya Graham & Mark Haddad & Andre Tylee, 2012. "School nurses’ perspectives on managing mental health problems in children and young people," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(5‐6), pages 850-859, March.
    2. Unni Moksnes & Audhild Løhre & Monica Lillefjell & Don Byrne & Gørill Haugan, 2016. "The Association Between School Stress, Life Satisfaction and Depressive Symptoms in Adolescents: Life Satisfaction as a Potential Mediator," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 125(1), pages 339-357, January.
    3. Anne Kjersti Myhrene Steffenak & Gun Nordström & Ingeborg Hartz & Bodil Wilde‐Larsson, 2015. "Public health nurses’ perception of their roles in relation to psychotropic drug use by adolescents: a phenomenographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(7-8), pages 970-979, April.
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    1. Marie Dahlen Granrud & Agneta Anderzèn‐Carlsson & Birgitta Bisholt & Anne Kjersti Myhrene Steffenak, 2019. "Public health nurses' perceptions of interprofessional collaboration related to adolescents' mental health problems in secondary schools: A phenomenographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2899-2910, August.
    2. Linda Horne Mæland & Bjørg Frøysland Oftedal & Margareth Kristoffersen, 2021. "Self‐realisation—What does this mean for school nurses to remain in nursing practice?," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 655-663, March.
    3. Minna Anttila & Milla Ylitalo & Marjo H. Kurki & Kirsi Hipp & Maritta Välimäki, 2020. "School Nurses’ Perceptions, Learning Needs and Developmental Suggestions for Mental Health Promotion: Focus Group Interviews," IJERPH, MDPI, vol. 17(24), pages 1-14, December.

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