Perceptions of School Nurses in Addressing Student Mental Health Concerns: An Integrative Review

Mental health disorders in school-aged children are on the rise. The need for mental health care is well recognized, and the provision of this care in schools is recommended. An integrative review explored how school nurses view their role in addressing students’ mental health. Fourteen articles were identified, eleven using a qualitative design and three using a quantitative design. Findings suggest that school nurses see their role as trusted members of the school community. They perceive upholding standards of practice as an integral part of their position and recognize competence in mental health care to be highly important. Practice recommendations include providing school nurses with evidence-based training on managing the mental health needs of students, as well as ensuring access to school nurses who can provide mental health supervision in the community.

The balance between professional autonomy and organizational obligations in resilient management of specialized health care: A Norwegian document study

BACKGROUND: Adverse events in hospitals may jeopardize the safety of patients. Failure in professional autonomy, organizational learning or in the contact between these two factors may explain the occurrence of injurious incidents in hospitals. OBJECTIVE: To study reasons for failure in contact between professional autonomy and organizational learning in resilient management of specialized health care through document analysis. METHODS: A total of 20 reports from the Norwegian Board of Health Supervision were evaluated by a retrospective in-depth document analysis. In the analysis of adverse events, we applied the Braut model to identify function or failure of 1. Professional autonomy, 2. Organizational learning and 3. Contact between professional autonomy and organizational learning. RESULTS: Multivariable regression analysis showed that ‘Failure in organizational learning’ was the only explanatory variable for ‘Failure in contact between doctors and nurses’ autonomy and organizational learning’. ‘Failure in organizational learning’ had the strongest effect on ‘Failure in contact between doctors and nurse’s autonomy and organizational learning’ (B = 1.69; 95% CI = 0.45 to 2.92). ‘Failure in professional autonomy’ showed no significant effect on this contact. CONCLUSIONS: ‘Failure in organizational learning’ is associated with ‘Failure in contact between professional autonomy and organizational learning’. ‘Failure in professional autonomy’ did not influence this contact.

PENYULUHAN KESEHATAN MASYARAKAT: PENGETAHUAN MENGENAI BABS, PENGELOLAAN SAMPAH RUMAH TANGGA, DAN COVID-19

ABSTRAKKesehatan lingkungan merupakan aspek kesehatan masyarakat yang memperhatikan bentuk kehidupan dan kondisi sekeliling manusia yang menekankan pada pengawasan kesehatan terhadap berbagai faktor lingkungan. Untuk mewujudkan perilaku masyarakat yang higienis dan saniter secara mandiri dalam rangka meningkatkan derajat kesehatan masyarakat yang setinggi-tingginya maka dibuatlah program Sanitasi Total Berbasis Masyarakat (STBM). Tujuan diadakannya kegiatan ini adalah memberikan pendidikan kepada masyarakat tentang 2 pilar STBM, yaitu BABS dan sampah agar masyarakat mengetahui bahaya perilaku membuang air besar dan membuang sampah secara sembarangan. Metode kegiatan adalah penyampaian tidak langsung menggunakan perangkat dalam jaringan (daring) yaitu grup WhatsApp selama 9 hari. Hasil kegiatan diperoleh peningkatan pengetahuan masyarakat yaitu pengetahuan babs meningkat dari rata-rata 77 menjadi 97, pengetahuan sampah meningkat dari rata-rata 71 menjadi 94, pengetahuan covid-19 meningkat dari rata-rata 51 menjadi 83. Masyarakat desa disarankan sebaiknya lebih proaktif meningkatkan pengetahuan tentang kesehatan lingkungan melalui aktif dan hadir dalam penyuluhan mengenai BABS, pentingnya jamban sehat, pengelolaan sampah rumah tangga dan Covid-19 serta masalah-masalah kesehatan yang terjadi. Kata kunci: pengetahuan; BABS; sampah; covid-19 ABSTRACTEnvironmental health is an aspect of public health that pays attention to the life form and conditions surrounding humans that emphasize health supervision of various environmental factors. To realize hygienic and sanitary community behavior independently to improve the highest level of public health, a Community-Based Total Sanitation (STBM) program was created. The purpose of this activity is to provide education to the community about the 2 pillars of STBM, namely open defecation and garbage so that the public knows the dangers of the behavior of throwing large water and littering indiscriminately. The method of activity is indirect delivery using online devices, namely WhatsApp groups for 9 days. The results of the activities obtained increased public knowledge, namely knowledge open defecation increased from an average of 77 to 97, garbage knowledge increased from an average of 71 to 94, knowledge covid-19 increased from an average of 51 to 83. Villagers are advised to be more proactive in improving knowledge about environmental health through being active and present in counseling on open defecation, the importance of healthy latrines, household waste management, and Covid-19 as well as health problems that occur. Keywords: knowledge; defecate carelessly; waste; covid-19

Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011–2018

Background Physicians who perform unsafe practices and harm patients may be disciplined. In Norway, there are five types of disciplinary action, ranging from a warning for the least serious examples of malpractice to loss of licence for the most serious ones. Disciplinary actions always involve medical malpractice. The aims of this study were to investigate the frequency and distribution of disciplinary actions by the Norwegian Board of Health Supervision for doctors in Norway and to uncover nation-wide patient safety issues. Methods We retrospectively investigated all 953 disciplinary actions for doctors given by the Board between 2011 and 2018. We categorized these according to type of action, recipient’s profession, organizational factors and geographical location of the recipient. Frequencies, cross tables, rates and linear regression were used for statistical analysis. Results Rural general practitioners received the most disciplinary actions of all doctors and had their licence revoked or restricted 2.1 times more frequently than urban general practitioners. General practitioners and private specialists received respectively 98.7 and 91.0 disciplinary actions per 1000 doctors. Senior consultants and junior doctors working in hospitals received respectively 17.0 and 6.4 disciplinary actions per 1000 doctors. Eight times more actions were received by primary care doctors than secondary care doctors. Doctors working in primary care were given a warning 10.6 times more often and had their licence revoked or restricted 4.6 times more often than those in secondary care. Conclusion The distribution and frequency of disciplinary actions by the Norwegian Board of Health Supervision clearly varied according to type of health care facility. Private specialists and general practitioners, especially those working in rural clinics, received the most disciplinary actions. These results deserve attention from health policy-makers and warrant further studies to determine the factors that influence medical malpractice. Moreover, the supervisory authorities should assess whether their procedures for reacting to malpractice are efficient and adequate for all types of physicians working in Norway.

The 2020 Rourke Baby Record release: A time for reflection and looking forward

The Rourke Baby Record (RBR) is a health supervision guide for providing care and anticipatory guidance to children aged 0 to 5 years in Canada. First developed in 1979, it has been revised regularly to ensure that it remains current and evidence-informed. The RBR has a longstanding relationship with the Canadian Paediatric Society (CPS), and relies on this organization for its expertise to inform the RBR guide’s content. The 2020 edition of the RBR includes many recommendations based on evidence provided in current CPS position statements. The RBR Working Group is planning to develop app-based resources and an adapted RBR for clinical care provision in this challenging pandemic time to ensure that Canadian infants and children continue to receive high-quality care.

Multidisciplinary mental health supervision in a rural context: An exploratory study of experiences in northern British Columbia

The purpose of this study was to better understand how multidisciplinary mental health supervision might work in rural remote settings. There is a need for supervisory approaches that address the unique contextual challenges in rural and remote multidisciplinary service delivery, such as management approaches, isolation, and lack of support. This study focused on three areas linked to multidisciplinary mental health supervision: challenges and opportunities, role perception, and differences in approaches. This study also attempted to reconcile the core supervisory requirements with the contextual challenges. The few studies on rural remote supervision have primarily focused on general internal and external factors facing rural remote professionals. Despite its importance, knowledge of how multidisciplinary rural remote supervisors perceive and/or appreciate their roles is limited. This study was informed by social construction and symbolic interaction theories, and guided by three research questions: 1) What challenges and opportunities do mental health supervisors experience in northern British Columbia? 2) How do frontline workers, supervisors, and senior managers perceive the roles and activities of mental health supervisors in northern British Columbia? 3) How are supervisory approaches in various mental health disciplines different or similar in northern British Columbia? The research methodology was qualitative and the study design adopted an interpretive, social interactionist approach. Source triangulation enhanced both the credibility and transferability of the findings. The sources included three participant groups: frontline mental health workers, mental health supervisors, and senior mental health managers. Another triangulation source was the context and setting review of BC’s complex mental health jurisdictions. Triangulation was also achieved by interviewing participants who worked in different settings, organizations, and geographic locations. Thematic analysis was used for data analysis resulting in 11 manifest themes and the following five latent themes: Difficult, overwhelming responsibilities; stressful, complicated decision making; the endless campaign for professional leadership support; mentorship in remote practice; and a struggle in collaborative plurality. Most of the participants expressed the wish for more support in their professional work. The findings from this study provide employers with new insights into multidisciplinary supervisory work and also emphasize the need for practical and specific ideas for much needed support for rural remote supervisors.

Evaluation of School Health Status, Explanatory Study

Background: Schools are one of the best settings-based approach to promote health. Schools remain for many years been recognized as an important settings for health promotion for the community. The study provides description of schools health status in the city, concerning the activities and services components of school health and the deficiencies, accordingly the requested procedures and processes to improve that health situation, assuming that improvement of schools health status will lead the improvement of health status of the overall community. Objectives: The study aims to assess schools health status in Makkah city. Introduction: The study conducted to evaluate schools health status and services provided in Makkah city, 20 schools selected randomly for this purpose. Methodology: Descriptive study had been implemented, simple random sampling used, (20) schools selected for the evaluation of the six components of school health services and activities, data collected through checklist and interviews. Results: The study clarified that most schools in Makkah have a health supervisor, health supervision plan and a committee, but only 32% of schools have healthy foods provided. Conclusion: The study concluded that, health supervision was active, but there were weaknesses in the food services, unhealthy foods and drinks were available in schools. Recommendations: The study recommends for motivating schools health supervisors for the extra efforts they are providing beside their teaching responsibilities, in addition to that, periodic health education sessions for students is requested to raise their awareness on different health risks especially in school environment.