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Att uppmärksamma barn som far illa i hemmet: En svår uppgift för skolsköterskan
2023 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Identifying children at risk of harm at home (English)
Abstract [sv]

Barn som far illa i hemmet kan innebära både fysiskt och psykiskt våld, sexuella övergrepp och omsorgssvikt vilket kan leda till att barnets utveckling tar skada, både psykiskt och fysiskt. Skolsköterskan har här en viktig roll genom att identifiera och se till att barnen och eleverna får stöd och hjälp. 1 av 10 barn i Sverige utsätts regelbundet för fysiskt och/eller psykiskt våld från föräldrar eller annan vårdnadshavare i åldern 0–18 år. Syftet med studien är att beskriva skolsköterskans upplevelse av att möta barn, 6–18 år som far illa i hemmet. En litteraturöversikt med en deskriptiv design gjordes. Metod utefter Bettany-Saltikov har använts för dataanalys. Dataanalysen har utförts i nio steg. Resultatet visade att skolsköterskorna hamnade ibland i svåra situationer som kunde beröra dem. De kände ofta en frustration över ensamarbete vilket kunde bidra till sårbarhet. Dåligt samvete tyngde ofta skolsköterskorna vid misstanke om att ett barn for illa. De visste att enligt lag skulle en anmälan göras, men då det var brister i samarbetet till socialtjänsten gjordes inte alltid anmälningarna. För att kunna hjälpa barnen på bästa sätt krävdes att samarbetet mellan de olika professionerna inom skola och socialtjänst fungerade Skolsköterskan upplevde att yrkeserfarenhet var en tillgång för att uppmärksamma de barn som på något sätt for illa i hemmet. Hälsosamtalen var en viktig del i när skolsköterskan identifierade ett barn som for illa. Det framkom att skolsköterskan arbetade hälsofrämjande och förebyggande vilket bidrog till att hållbar utveckling främjades och att elevernas trygghet och säkerhet tillgodosågs.

Abstract [en]

Children who get hurt at home can involve both physical and psychological violence, sexual abuse and neglect, which can lead to damage to the child's development, both psychologically and physically. The school nurse has an important role here by identifying and ensuring that the children and students receive support and help. 1 in 10 children in Sweden are regularly exposed to physical and/or psychological violence from parents or other guardians aged 0–18. The purpose of the study is to describe the school nurse's experience of meeting children, aged 6–18, who are having trouble at home. A literature review with a descriptive design was done. The Bettany-Saltikov method has been used for data analysis. The data analysis has been carried out in nine steps. The results showed that the school nurses sometimes ended up in difficult situations that could affect them. They often felt a frustration with working alone, which could contribute to vulnerability. A bad conscience often weighed on the school nurses when they suspected that a child was ill. They knew that according to law a report had to be made, but when there were shortcomings in the cooperation with the social service, the reports were not always made. To be able to help the children in the best way, it was required that the cooperation between the various professions within school and social services worked. The school nurse felt that professional experience was an asset to pay attention to the children who were in some way bad at home. The health talks were an important part of when the school nurse identified a child who was unwell. It emerged that the school nurse worked in health promotion and prevention, which contributed to sustainable development being promoted and the pupils' safety and security being catered for.

Place, publisher, year, edition, pages
2023. , p. 43
Keywords [en]
School nurse, children who are abused at home, experiences, literature review, frustration, experience, cooperation
Keywords [sv]
Skolsköterska, barn som far illa i hemmet, upplevelser, litteraturöversikt, frustration, erfarenhet, samarbete
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-30863OAI: oai:DiVA.org:hb-30863DiVA, id: diva2:1812832
Subject / course
Vårdvetenskap - Specialistsjuksköterska
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Examiners
Available from: 2023-11-17 Created: 2023-11-17 Last updated: 2023-11-17Bibliographically approved

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