A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers,Maternal & Child Nutrition
In Norway, public health nurses (PHNs) are responsible for giving parents nutritional knowledge, but limited research describes how they perceive this task. This study explores PHNs' perceptions and experiences on nutritional guidance for parents of infants and toddlers. Semistructured interviews with six PHNs were conducted and transcribed verbatim. Data were subjected to thematic analysis. Five main themes were identified: (1) Dietary guidance for parents is central to the work; (2) PHNs perceive they have parents' trust, and parents are in general open to nutrition counselling; (3) food and meals must be seen in light of the family context; (4) The dialogue must be adapted to the individual family; and (5) PHNs have expertise on nutrition; however, updating knowledge is difficult. Nutritional guidance was perceived by PHNs as a core activity. They felt that they had parents' trust, and that parents were particularly open to nutritional guidance during the first 2 years. Counselling was generally well received, but conversations on overweight were perceived as difficult. PHNs strove to tailor their guidance to individual needs. However, providing guidance on a wide range of issues in different families and cultures could be challenging. They acknowledged a need for updating knowledge but the offer of courses was sparse. Our findings suggest a discrepancy between how nutrition is prioritized in the education of PHNs and what they encounter in clinical practice. In the future, this should be given more attention given the PHNs' unique position to promote healthy eating and long-term health.
中文翻譯:
公共衛(wèi)生護(hù)士對(duì)嬰幼兒家長營養(yǎng)指導(dǎo)的看法和經(jīng)驗(yàn)的定性研究
在挪威,公共衛(wèi)生護(hù)士 (PHN) 負(fù)責(zé)向父母提供營養(yǎng)知識(shí),但有限的研究描述了他們?nèi)绾慰创@項(xiàng)任務(wù)。本研究探討了 PHN 對(duì)嬰幼兒父母營養(yǎng)指導(dǎo)的看法和經(jīng)驗(yàn)。對(duì)六名 PHN 進(jìn)行了半結(jié)構(gòu)化訪談并逐字記錄。數(shù)據(jù)進(jìn)行了主題分析。確定了五個(gè)主題:(1)家長飲食指導(dǎo)是工作的核心; (2) PHN 認(rèn)為他們得到了家長的信任,家長普遍愿意接受營養(yǎng)咨詢; (三)食物和膳食必須結(jié)合家庭情況考慮; (4) 對(duì)話必須適合個(gè)別家庭; (5) PHN 擁有營養(yǎng)方面的專業(yè)知識(shí);然而,更新知識(shí)是困難的。 PHN 將營養(yǎng)指導(dǎo)視為一項(xiàng)核心活動(dòng)。他們覺得自己得到了父母的信任,并且父母在頭兩年特別愿意接受營養(yǎng)指導(dǎo)。咨詢服務(wù)普遍受到好評(píng),但有關(guān)超重的對(duì)話被認(rèn)為很困難。 PHN 努力根據(jù)個(gè)人需求定制指導(dǎo)。然而,為不同家庭和文化中的各種問題提供指導(dǎo)可能具有挑戰(zhàn)性。他們承認(rèn)需要更新知識(shí),但提供的課程很少。我們的研究結(jié)果表明,PHN 教育中營養(yǎng)的優(yōu)先順序與他們?cè)谂R床實(shí)踐中遇到的情況之間存在差異。鑒于 PHN 在促進(jìn)健康飲食和長期健康方面的獨(dú)特地位,未來應(yīng)給予更多關(guān)注。
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