Facilitating Factors and Barriers to BMI Screening in Schools

The National Association of School Nurses advocates for body mass index (BMI) screening. Little research describes school nurse practice of BMI screening. In this descriptive study, 25 Ohio school nurses participated in three focus groups. An adapted Healthy People 2010 Determinants of Health Model...

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Bibliographic Details
Published in:The Journal of school nursing 2010-08, Vol.26 (4), p.320-330
Main Authors: Stalter, Ann M., Chaudry, Rosemary V., Polivka, Barbara J.
Format: Article
Language:English
Subjects:
At Risk Students
Attitude of Health Personnel
Barriers
Body Composition
Body Mass Index
Data Analysis
Data Collection
Elementary Schools
Environmental Influences
Faculty Workload
Focus Groups
Health Promotion
Health Services Accessibility
Health Services Needs and Demand
Humans
Mass Screening
Nursing
Obesity
Obesity - diagnosis
Obesity - epidemiology
Obesity - nursing
Ohio
Parent Participation
Physical Education
Physical Education Teachers
Physical Environment
Privacy
Referral
Risk
School Nurses
School Nursing
School Policy
School Size
Schools
Screening Tests
Social Environment
Surveys and Questionnaires
Teacher Role
United States - epidemiology
Workload
Workplace
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Summary:The National Association of School Nurses advocates for body mass index (BMI) screening. Little research describes school nurse practice of BMI screening. In this descriptive study, 25 Ohio school nurses participated in three focus groups. An adapted Healthy People 2010 Determinants of Health Model guided the research questions. School nurses engaged in multiphasic data collection which was contingent on physical environment, workload, and referrals. Lack of system policy was key barrier in terms of data collection, referral, and follow-up. A key facilitating factor was physical education teachers in terms of reinforcing health. School size and privacy were components of school physical environment that influenced screening. Recommendations on securing adequate resources are presented. Implications for policy included a salient need for reduced SN workload.
ISSN:1059-8405
1546-8364
DOI:10.1177/1059840510368524