Man vinner ingenting på att vara för tuff – Skolsköterskors erfarenheter av att kommunicera med föräldrar till barn med övervikt

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Sammanfattning: Background: The prevalence of overweight has increased among both children and adults.Today every fifth child in Sweden is overweight. Overweight leads to an increased risk for anumber of non communicable diseases, such as diabetes and cardiovascular diseases. In theirdaily work, school nurses meet overweight children and their parents. Since overweight canbe a sensitive topic it is important how it is communicated. Results from previous researchcontains negative aspects of this communication but there is a lack of studies pointing towardspositive factors, when it comes to communication.Aim: The aim of this study was to highlight school nurses experiences of communicatingwith parents of overweight children from preschool class up to 6th grade.Method: A qualitative study design was chosen and data were collected using semistructuredinterviewing. Eight school nurses in the Gothenburg area was interviewed. With focus on themanifest content the data were analyzed using qualitative content analysis.Result: Five subcategories and two categories unfolded during data analyzing. The firstcategory, The dialogue between the school nurse and parents, shows which ways ofcommunication are used, communication skills of the school nurse and obstacles incommunication. The second category, To adjust interventions for the family, exemplifies theinformation collected and which questions parents are being asked, to be able to plan andimplement interventions.Conclusion: Overweight is a sensitive topic to discuss with parents. Therefore, it is importantthat the school nurse is responsive and gentle. For interventions to be adjusted after thefamilys needs the dialogue between the school nurse and parents is crucial.Keywords: Communication, family centered care, overweight, parents, school nurse.

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