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      Health education provided by nurses to children and young people: parents’ assessment

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          Abstract

          Background

          Healthy literacy is a determinant key children/teenager’s health and health outcomes. The aim of this study to identify the parents’ assessment about Health Education practice to children and teenagers.

          Methods

          We opted for a descriptive, quantitative and cross-sectional research, with a non-probabilistic convenience sample. The inclusion criteria were: being a parent who uses attending children health appointments in primary health care; being a parent who has a child hospitalized and is accompanying him/her in the pediatric hospital inpatient ward. A questionnaire survey was built with three sections: sample characterization, Health Education practices performed by nurses (5 questions) and a scale that measured Health Education Assessment Scale (HEAS), which contained 48 items and was validated. It was applied from September to December 2018.

          Results

          The survey was filled in by 113 parents. The results showed that 100% ( n = 113) of the parents feel comfortable to talk with nurses about children/teenagers health; 79.6% ( n = 90) consider that nurses have time availability for the doubts clarification; 61.9% ( n = 70) point out that nurses identify child/teenager needs; Healthy eating” (60.2%; n = 68), the “National Vaccination Plan” (53.1%; n = 60) and “Harmful behaviors prevention” (46.9%; n = 53) are the most important topics; 56.6% ( n = 64) of the parents, when in doubt, turn first to the pediatrician, and 66.4% ( n = 75) considered that this practice was equal important, compared with other nursing interventions.

          Discussion

          This study shows that Health Education provided by nurses is based on the need’s identification, with a perspective of involvement and participation, promoting health and conscious changes which reinforces the nurses’ position as health educators.

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          Most cited references27

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          Enhancing global health communication during a crisis: lessons from the COVID-19 pandemic

          The understanding and practice of public health crisis communication are improved through the study of responses to past crises, but require retooling for present challenges. The 'Addressing Ebola and other outbreaks' checklist contains guiding principles built upon maxims developed from a World Health Organization consultation in response to the mad cow (bovine spongiform encephalopathy) crisis that were later adopted for Ebola. The purpose of this article is to adapt the checklist for the health communication challenges and public health practices that have emerged during the coronavirus disease 2019 (COVID-19) pandemic. The communication challenges of promoting vaccine acceptance are used to illustrate a key area that requires strengthened communication. Type of program or service: Effective communication principles for application during the COVID-19 pandemic.
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            Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey

            Background Health literacy (HL) is closely associated with leading health indicators such as engaging in healthy behaviours and experiencing a healthy social environment. Parents represent a critical subgroup among the adult population since they are not only responsible for their own health but also for the health of their children. Previous research suggests that parents with low HL are less likely to meet the preventive and health care needs of their children but there are gaps in the available information and there is not any data available yet for the German context. Methods In preparation of an implementation study, a cross-sectional survey was conducted in 28 elementary and secondary schools in Germany. The parent questionnaire was completed by 4217 parents and included the short form of the European Health Literacy Survey Questionnaire (HLS-EU-Q16). The child questionnaire examined children’s health knowledge, behaviours and outcomes. For children between 6 and 10 years, a parent reported on behalf of their children (N = 1518). Students 11 years and older completed a self-administered questionnaire (N = 2776). Bivariate and multivariate analyses were carried out. Spearman’s Rho correlations assess the relationships between household characteristics, parental HL and the health behaviour and outcomes in children. Results Among the participating parents, 45.8% showed problematic or inadequate HL. The major determinants of high parental HL were high socio-economic status (SES) (r = .088***, 95% CI [.052, .124]), living in West Germany (r = .064***, 95% CI [.032, .096]) and older parental age (r = .057**, 95% CI [.024, .090]). In the multivariate model, only SES remained significant. High parental HL was associated with positive health behaviours in children including healthier nutrition, regular tooth brushing and more physical activity. The relationships between parental HL and smoking, alcohol, sexual activity among children and children’s weight were not significant. Conclusions The results confirm a relationship between low parental HL, SES and some child health behaviours likely to negatively impact their health and wellbeing including less healthy nutrition and less exercise. Strengthening the health knowledge and competencies of parents may contribute to improved child outcomes particularly in the areas of nutrition, exercise and dental health.
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              Planting a seed - child health care nurses’ perceptions of speaking to parents about overweight and obesity: a qualitative study within the STOP project

              Background Nurses in child health care (CHC) centers in Sweden play a key role in the early detection and management of childhood overweight/obesity, through meeting families early, regularly and over many years. However, research focusing on CHC nurses’ perceptions of their role in childhood overweight/obesity management is scarce. As part of the EU-funded project “Science and Technology in childhood Obesity Policy” (STOP), this study examines CHC nurses’ perceptions of speaking to parents about children’s overweight/obesity and of their role in referring children to treatment for overweight/obesity. Methods All registered CHC nurses in Stockholm County (n = 442) received an email invitation letter explaining the study. Individual face-to-face visits (n = 15) in selected centers, and phone calls (n = 24) to nurses working in these centres were also conducted. In total, 17 CHC nurses (all female, average work experience 6.7 years (SD ± 4.9 years)) from 10 municipalities (including four of the top five municipalities with the highest prevalence of overweight and obesity) in Stockholm County were interviewed. The interviews were conducted by phone, transcribed and analyzed using thematic analysis. Results Two main themes were developed through the analysis: 1) The relationship between the nurse and the parent and 2) Glitch in the system. Under the first theme, nurses reported that weight-related discussions were facilitated by building and maintaining trust with parents. However, nurses also said they were reluctant to address children’s weights if this could compromise parents’ trust. Under the second theme, nurses highlighted several organizational barriers to addressing a child’s weight with parents, including insufficient cooperation with other healthcare providers and limited time for visits. Nurses also identified lack of sufficient knowledge about what to offer the family and lack of confidence in their communication skills as additional barriers. Conclusions We found that pediatric nurses perceive relational and organizational factors as barriers to address childhood obesity with parents. To improve care, it is necessary to provide nurses with continuing education about obesity and communication skills and organizational support to improve communication within the healthcare system. Trial registration ClinicalTrials.gov NCT03800823; 11 Jan 2019, prospectively registered.
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                Author and article information

                Contributors
                afpereira@esecvpaltotamega.com
                jescola@utad.pt
                calmeida@utad.pt
                vmcpr@utad.pt
                Journal
                BMC Nurs
                BMC Nurs
                BMC Nursing
                BioMed Central (London )
                1472-6955
                25 August 2023
                25 August 2023
                2023
                : 22
                : 287
                Affiliations
                [1 ]Higher School of Health, Portuguese Red Cross Alto Tâmega, Chaves, Portugal
                [2 ]GRID grid.12341.35, ISNI 0000000121821287, Institute of Philosophy of the University of Porto, School of Human and Social Sciences, , University of Trás-os-Montes e Alto Douro, ; Vila Real, Portugal
                [3 ]GRID grid.12341.35, ISNI 0000000121821287, Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD Clinical Academic Center of Trás-os-Montes e Alto Douro Doctor Nuno Grande-CACTMAD Vila Real, , School of Health, University of Trás-os-Montes e Alto Douro, ; Vila Real, Portugal
                [4 ]GRID grid.12341.35, ISNI 0000000121821287, Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Clinical Academic Center of Trás-os-Montes e Alto Douro Doctor Nuno Grande-CACTMAD Vila Real, , School of Health, University of Trás-os-Montes e Alto Douro, ; Vila Real, Portugal
                Author information
                http://orcid.org/0000-0002-8588-0814
                http://orcid.org/0000-0002-6676-6928
                http://orcid.org/0000-0002-2795-685X
                http://orcid.org/0000-0002-4497-4267
                Article
                1447
                10.1186/s12912-023-01447-x
                10463446
                37626341
                334a65c2-49fe-4e11-adca-94bc96e82c43
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 1 June 2023
                : 14 August 2023
                Funding
                Funded by: Foundation for Science and Technology
                Award ID: UID04045/2020
                Award ID: UID04045/2020
                Award ID: UID04045/2020
                Award ID: UID04045/2020
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Nursing
                child,health education,health promotion,nursing
                Nursing
                child, health education, health promotion, nursing

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