Significance of action plans in the development of occupational well-being in the schools of Finland and Estonia

This article is part of a long term project “Promoting the Occupational Well-Being of School Staff—Action Research Project in Finland and Estonia, 2009–2014.” The purpose of this article is to describe the significance of action plans in the promotion of the occupational well-being of primary and upper secondary school staff in Finland and Estonia from 2010 to the turn of the year 2011–2012. An electronic open questionnaire was sent to occupational well-being groups in Finland (N = 18) and in Estonia (N = 39). In Finland, the questionnaire was responded to by 16 (n = 16) occupational well-being groups, and in Estonia, by 38 (n = 38) groups. The qualitative data were analyzed using the inductive-deductive method and content analysis. The obtained results indicate that the schools had named goals for action plans in all aspects of the promotion of occupational well-being in schools (worker and work, working conditions, professional competence, working community) and that these goals were mainly realized in the schools in a systematic way. Schools felt that the action plan for occupational well-being helped them to set goals for occupational well-being and that the planned actions were realized in a more systematic way than before.     

Providing context to the implementation of health promoting schools: A case study

PurposeIssues related to program context are important components of population health interventions and particularly among complex, adaptive initiatives in schools. Health Promoting Schools (HPS) is a global approach to support early development of healthy behaviors among children and youth. The purpose of this study was to explicate the practical and contextual processes that influenced implementation of HPS in schools in Nova Scotia (Canada).MethodsUsing a case-study approach, data was collected using interviews (n = 14) with principals, teachers and parents, observations collected during school visits and document review in five diverse schools.ResultsCase study schools reported a variety of HPS practices and three key themes emerged that provided context to the processes that facilitated their implementation. The results suggest that although school characteristics (theme 1), like staff allocation, physical location and resources, are important, these barriers can be mitigated by building organizational capacity (theme 2) and establishing a supportive school community culture (theme 3).ConclusionsThe study provided insight to the variability in implementation by describing how contextual barriers were experienced and mitigated by schools. Establishing a broad system to support HPS, with collaboration across health and education sectors, could help to progress adoption, implementation and sustainability of HPS.     

Health promotional education: differences between school nurses' health counselling and teachers' health instruction in the finnish ENHPS

The purpose of the study was to describe school nurses' (N=24) and teachers' (N=25) opinions of how the health‐related goals in their counselling and instruction were attained and to find out the possible differences between the two groups in the Finnish European Network of Health Promoting Schools. The data were collected by a questionnaire and analysed statistically. Some significant differences existed. School nurses ranked non‐intoxicant use, human growth and development and life control highest in their health counselling, whereas teachers underlined health maintenance and well‐being, respect for other people and non‐intoxicant use. School nurses' health counselling covered disease prevention and treatment better compared to teachers' health instruction, whereas health maintenance and well‐being, environmental health, first aid and safety and respect for other people were covered better in teachers' health instruction. Teachers were more promotional and community‐oriented, while school nurses emphasised a more preventive and individually oriented approach.     

Understanding the factors that influence health promotion evaluation: The development and validation of the evaluation practice analysis survey

The demand for improved quality of health promotion evaluation and greater capacity to undertake evaluation is growing, yet evidence of the challenges and facilitators to evaluation practice within the health promotion field is lacking. A limited number of evaluation capacity measurement instruments have been validated in government or non-government organisations (NGO), however there is no instrument designed for health promotion organisations. This study aimed to develop and validate an Evaluation Practice Analysis Survey (EPAS) to examine evaluation practices in health promotion organisations. Qualitative interviews, existing frameworks and instruments informed the survey development. Health promotion practitioners from government agencies and NGOs completed the survey (n = 169). Principal components analysis was used to determine scale structure and Cronbach’s α used to estimate internal reliability. Logistic regression was conducted to assess predictive validity of selected EPAS scale. The final survey instrument included 25 scales (125 items). The EPAS demonstrated good internal reliability (α > 0.7) for 23 scales. Dedicated resources and time for evaluation, leadership, organisational culture and internal support for evaluation showed promising predictive validity. The EPAS can be used to describe elements of evaluation capacity at the individual, organisational and system levels and to guide initiatives to improve evaluation practice in health promotion organisations.     

Social Work in Rural New South Wales School Settings: Addressing Inequalities Beyond the School Gate

Children and young people in rural Australia experience disadvantage compared with metropolitan counterparts, with low educational attainment and disengagement from schooling being linked to poorer health outcomes. Schools are an existing contact point between individuals and health services. However, these health services are often overburdened and have limited scope to address broader social issues and teaching staff are focused on achieving curriculum outcomes. Embedding social workers within schools may provide an avenue for supporting students, yet social workers are rarely present in New South Wales public schools. This paper describes a study to determine teachers’ understanding of the socioeconomic issues faced by school students, and the role of the social work profession in addressing such issues as part of the early stages of establishing a Social Work in Schools (SWiS) project. Eighteen semistructured interviews were undertaken with teachers across four rural Australian schools. Participants identified their awareness of potential risk factors that could lead to educational disengagement, reflected on their own limitations in dealing with these broader health presentations given their teaching focus, and provided insights into their understanding of the potential role of social workers.     

An evaluation of school district guidance and counseling programs: Procedures and results

This evaluation examines the administrative history, staffing levels, and content of school district guidance and counseling activities. Case studies were made in a 50% random sample of a district's 45 elementary schools. Eight hundred teachers, parents, and students were interviewed. All school plans were reviewed. Five-year staffing patterns and staff changes were studied. All district staff with guidance and counseling responsibilities recorded characteristics of guidance and counseling contacts for 15 days. Schools with and without counselors were studied to estimate differences in who receives services and what is provided. Results show systematic differences in the level and kind of services provided secondary and elementary students. Approximately one-third of the schools studied had stable programs. Schools with stable programs provided a broader range of services and distributed them in a more equitable manner.     

Achtsamkeit in den Grundschulen einer ganzen Stadt fördern – ein NRW-Landesmodellprojekt

Mindfulness-based interventions have been shown internationally to strengthen health promoting ressources in adults and children. Based on these findings, the Northrhine Westphalia state-funded reference project “Health, Integration and Concentration—Mindfulness in Primary Schools” designs and evaluates mindfulness-based 20-hour-interventinons within the primary school system of the town Solingen. First all 21 school principals were addressed and then the teams of teachers in each school. Based on these experiences interventions with the children were then developed together with and implimented by the teachers.In this paper the interventions are scetched out and first qualitative results on different systemic levels within the schools. Of particular interest are possible links between individual developments in attitude, self regulation and behavior, styles of communication and interaction among colleagues and with the children as well as developments in school organisation and culture towards mindful schools. Finally the paper summarizes dos and don’ts for similar projects.     

Implementation of a successful long-term school based physical education intervention: Exploring provider and programme characteristics

There is an ongoing need for research focusing on how to implement physical activity programmes into a school setting. This includes documentation of the extent to which programmes are compatible with the basic views of providers and their local practices. The present study explores the Svendborgproject – a programme tripling the amount of physical education in six public schools, sustaining it for 10-years and documenting a decreased incidence of overweight, obesity and cardiovascular risk factors. The aim was to analyse provider and programme characteristics of the Svendborgproject to gain insights into providers motives for adopting, implementing, and maintaining the programme. Six school heads and six teachers were interviewed to explore how they perceived programme compatibility to their school’s practice and their own role as providers. Both teachers and school heads found the additional lessons a valuable asset that fitted existing school values and priorities. Additionally, physical education teachers participated in a course providing new perspectives and teaching methods that aided the implementation of the programme. Lastly, school heads stressed that implementation fidelity was heavily dependent on the dedication of physical education teachers and on having simple programme requirements that made it clear what could be expected of the programme.     

Examining the link between program implementation and behavior outcomes in the lifestyle education for activity program (LEAP)

Lifestyle Education for Activity Program (LEAP) was a comprehensive, school-based intervention designed to promote physical activity in high school girls. The intervention focused on changes in instructional practices and the school environment to affect personal, social, and environmental factors related to physical activity. Multiple process evaluation tools and an organizational assessment tool were developed to monitor program implementation from a framework called the LEAP essential elements, which characterized complete and acceptable intervention delivery; secular trends were also monitored. Using process data, LEAP intervention schools were categorized into low- and high-implementing groups and compared with control schools on nine essential elements assessed at the organizational level. The Wilcoxon scores test revealed that low- and high-implementing intervention, and control schools differed significantly on two of nine administrator-reported organizational-level components: having a physical activity team and having a faculty-staff health promotion program. A mixed-model analysis of covariance indicated that, compared to control schools, a greater percentage of girls in high-implementing schools reported engaging in vigorous physical activity. Process evaluation can be used to understand the relationship between level of implementation and successful program outcome.     

Building collaboration between school and parents: issues for school social workers and parents whose young children exhibit violent behaviour at school

This research explores the perceptions of 60 parents whose children, aged from three to nine, had been involved in bullying, as defined under the Safe Schools Act and the Code of Conduct. Some of these children had been suspended from school, while others were potential candidates for suspension. These parents were recruited from Ottawa's two French-language school boards to participate in qualitative interviews between June 2000 and June 2002. The aim of this research was to cast new light on the perceptions of parents and schools with regard to their relationships, and on the role of school social workers in maintaining and enhancing collaborative partnerships.

The desire of some parents to be involved in the decisions concerning remedial action taken to address their child's aggressive behaviour touched a raw nerve in some schools. Nonetheless, when schools and parents ultimately recognize the daily challenges that both parties face, and a shared plan of action develops therein, the path to effective collaboration becomes clear. Early intervention on the part of school social workers gives them an edge in their efforts as mediators. They seize every opportunity to initiate different collaborative approaches between schools and parents, so that the issue of bullying can be handled in a more respectful way for everyone.     

A school health service for children?

This paper considers the merits of the school health service in England and Wales, viewed as a service for children of primary school age. The paper reports on data from a recent Economic and Social Research Council-funded study: Children's Health in Primary Schools. Data were collected through a randomly selected sample of 620 schools and through six case studies. The study found variation in the quantity and quality of the service; the service was not, in general, child-friendly. The paper argues, on grounds of efficiency, convenience and complementarity, that children should have access to a health service during their days at school, and one which is even in quality and quantity.     

Implications for nursing of the new national curriculum in personal,social and health education and education in citizenship

This article examines implications for nursing of the recent Government initiative to revise the National Curriculum in personal, social and health education (PSHE) in primary and secondary schools and to provide education in Citizenship for children and young people. Health education is but one strand of child health promotion which is rightly the concern of multidisciplinary team members. This initiative crosses the boundaries of health, education and social policy. It presents the challenge of new health promotion roles for child health nurses working in partnership with teachers in schools where the central focus will be empowerment of children and young people to fill their potential for achievement. Copyright © 2001 John Wiley & Sons, Ltd.     

Full-service community schools: a strategy--not a program

The concept that drives the emerging full-service community school movement is this: Schools cannot address all the problems and needs of disadvantaged children, youth, and families. Community schools are operated jointly by school systems and community agencies, are open extended hours, and may provide the site for after-school programs, primary-care health services, mental health counseling, parent education and involvement, and community development. No two community schools are alike. They grow out of a planning process that involves all stakeholders, school personnel, community-based organizations, city and county government, parents, and students. The Quitman Street Community School in Newark, New Jersey, exemplifies this approach.     

The white native speaker and inequality regimes in the private English language school

Private English language schools market the language as a tool that helps one connect with others from different cultures. Despite their promotion of English aiding in intercultural communication, these institutions may believe that only the white native speaker is the ideal teacher of the language. This valuing of the white native speaker can consequently act as an organisational inequality regime that marginalises nonwhite teachers. Using qualitative interviews with 10 nonwhite instructors working in schools in Toronto, Canada, this article investigates the ways in which these teachers experience the inequality regime of the white native speaker at work. The findings indicate that the teachers experience this inequality regime as a series of microaggressions that involve space, competence and customer desire. The article concludes with suggestions to dismantle inequality regimes in private institutions.     

Assessment of the likelihood of primary school teachers believing children's disclosures of sexual abuse

Primary school teachers are reasonably well informed about sexual abuse but many have inaccurate knowledge about the age groups of victims and abusers. Male teachers were less well informed and less likely to believe a child's disclosure of sexual abuse than their female colleagues. Professional experience of an abused child did not affect teachers' level of knowledge or their likelihood of believing a disclosure.     

Exploring the role of gender norms in nutrition and sexual health promotion in a piloted school-based intervention: The Philadelphia Ujima™ experience

Perceptions of masculinity and femininity influence behaviors and can be identified in young children and adolescents (Brannon, 2004). Thus, adolescents’ engagement in health risk or promoting behaviors is influenced by perceptions of masculinity and femininity and the differences in expectations, norms and responsibilities for girls and boys (WHO, 2007). Girls and boys have different needs, and gender-based interventions that consider similarities as well as differences are needed. A gender-based nutrition and sexual health promotion program was developed and piloted by the Philadelphia Ujima Coalition in a high school setting. To explore the gender differences in adolescents’ perceptions of the influence of gender norms on weight, nutrition, physical activity, and sexual health and the implication of these differences in future gender-integrated health promotion programming for youth, a content analysis of student and facilitator debriefing forms were implemented for the participating schools. The content analysis was used to identify central themes, concepts gained, and overall impact of the intervention sessions. Overall, gender norms influence healthy eating practices and activity through influencing perceptions of body type in adolescents. Gender norms also influence sexual activity and decision making through influencing perceptions of beauty, masculinity, femininity, pressures and popular concepts related to sexual activity. Thus, interventions that address gender may more effectively promote health and wellness in adolescents.