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Experiences of interprofessional collaboration in a special school programme for adolescents who struggle with school life: an explorative study
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).ORCID iD: 0000-0002-9105-2791
County Council of Värmland, Sweden.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
Inland Norway University of Applied Science, Norway.
2019 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 33, no 6, p. 706-713Article in journal (Refereed) Published
Abstract [en]

A growing proportion of adolescents struggle with school life and could benefit from special school programmes. School could be an arena for supporting such adolescents and, to meet these challenges, interprofessional collaboration (IPC) has been recommended for better health. The aim of the present study was to explore the experience of IPC in a special school programme offered to adolescents who struggle with school life–from the perspective of the professionals involved. Focus group interviews were carried out with four groups and fourteen participants, and the focus groups included two to five participants each. The focus group interviews were analysed using qualitative content analysis. The analyses from this study resulted in a main theme: IPC in the special school programme is unpredictable. Five categories emerged from the data, including: variations in initiative, significance of individual characteristics, informal and formal contact, lack of criteria and goals, and different obligations. The participants described IPC as differing from case to case, with a lack of criteria and goals for adolescents in the special school programme. They experienced the random nature of whoever took the initiative to collaborate, and that confidentiality and the different documentation requirements could affect IPC.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2019. Vol. 33, no 6, p. 706-713
Keywords [en]
Adolescent, interprofessional collaboration, qualitative content analysis, school absence, school programme, secondary school, article, clinical article, confidentiality, content analysis, documentation, female, high school, human, human experiment, interview, male
National Category
Pedagogy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Education; Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-71276DOI: 10.1080/13561820.2019.1565755ISI: 000493764900013Scopus ID: 2-s2.0-85060213212OAI: oai:DiVA.org:kau-71276DiVA, id: diva2:1290794
Note

In press 21 feb 2019

Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-12-12Bibliographically approved
In thesis
1. Mental health problems among adolescents: Public health nurses' work and interprofessional collaboration within the school health service
Open this publication in new window or tab >>Mental health problems among adolescents: Public health nurses' work and interprofessional collaboration within the school health service
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim with this thesis was to study adolescents with mental health problems, factors that are associated with mental health problems, visits to the public health nurse (PHN), and how PHNs and other professionals experience the collaboration in school and school health services related to mental health problems.

 

Methods: Qualitative and quantitative methods were used. Study I included cross-sectional data from Ungdata, with 8052 adolescents. Descriptive statistics and hierarchical regression were used to analyse the data. Study II included individual interviews with 12 boys and qualitative content analysis was used. In study III, four focus group interviews were conducted and analysed with qualitative content analysis. In study IV, 18 PHNs were individually interviewed and a phenomenographic approach was used to analyse the interviews.

Results: Gender differences were seen in the symptoms of depression, family conflicts and economics, lifestyle habits, school satisfaction and use of school health services with girls reporting in a higher proportion than boys. Boys described barriers such as finding the PHN inaccessible, difficulty talking about mental health problems and uncertainty about confidentiality when visiting the PHN. Interprofessional collaboration (IPC) is important for identifying adolescents with mental health problems. Accessibility, having different obligations, lack of criteria and goals and being dependent on others were described as affecting IPC.

Conclusion: There are differences in boys and girls with girls reporting more mental health problems and visiting the school health service more often than boys. Boys described several barriers to visiting the PHN, but, when these barriers were crossed, the boys experienced the visit as positive. Several factors affected IPC in schools and the school health services. There were variations in the collaboration experienced, but when it worked it was experienced as positive.

Abstract [en]

Mental health problems among adolescents are increasing and are a major public health issue worldwide. The aim of this thesis was to study adolescents with mental health problems, factors that are associated with mental health problems, the visit to the public health nurse (PHN), and how PHNs and other professionals experience interprofessional collaboration (IPC) in school and school health services related to mental health problems. Gender differences in mental health problems, as well as in help-seeking behavior, were identified. Boys visit the PHN to a smaller extent than girls and they experienced barriers such as finding the PHN inaccessible, difficulty talking about their problems with the PHN and uncertainty about confidentiality. When the PHN was trustworthy, confident and supportive, the visit was described as positive.

The PHN in the school health service is in a position to identify mental health problems among adolescents In this setting IPC is essential. Factors such as lack of criteria and goals, different obligations, accessibility and being dependent on others were affecting collaboration. When the professionals and the PHN were included in the IPC, it was experienced as positive.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2019. p. 81
Series
Karlstad University Studies, ISSN 1403-8099 ; 2019:24
Keywords
adolescents, interprofessional collaboration, mental health problems, public health nurse, secondary school
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-74366 (URN)978-91-7867-043-7 (ISBN)978-91-7867-048-2 (ISBN)
Public defence
2019-10-04, 1A 305, Lagerlöfsalen, Karlstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2019-09-11 Created: 2019-08-16 Last updated: 2019-09-11Bibliographically approved

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Granrud, MarieAnderzen-Carlsson, Agneta

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