Regional Differences as Barriers to Body Mass Index Screening Described by Ohio School Nurses

• Published in: The Journal of school health 2011-08, Vol.81 (8), p.437-448
• Main Authors: Stalter, Ann M., Chaudry, Rosemary V., Polivka, Barbara J.
• Format: Article
• Language: English
• Subjects: Access to Health Care; Attitude of Health Personnel; Barriers; Body Composition; Body Height; Body mass; Body Mass Index; Caregiver Attitudes; child and adolescent health; Child Health; Children; Company business management; Educational Policy; Elementary schools; Environmental Influences; Focus Groups; Geographic Regions; Geography; Health aspects; Health care; Health Policy; Health promotion; Health Services Accessibility; Health Services Needs and Demand; Healthcare Disparities; Healthy People Programs; Humans; Male; Management; Measurement; Medical personnel; Nurses; Nursing; Obesity - prevention & control; Ohio; Organizational Policy; Performance Factors; Physical Environment; Policy; Practice; Privacy; Program Attitudes; public health; Quality of care; Questionnaires; Regional Characteristics; Regional variations; Risk; Rural areas; Rural communities; Rural Population; School health; School Nurses; School Nursing - methods; school nursing practice; schools; Schools - statistics & numerical data; Screening; Screening Tests; Semi Structured Interviews; Social Environment; Student health services; Urban Population; Urban Schools; Work load; working conditions; Workload
• ISSN: 0022-4391; 1746-1561
• DOI: 10.1111/j.1746-1561.2011.00600.x

BACKGROUND: Body mass index (BMI) screening is advocated by the National Association of School Nurses (NASN). Research identifying barriers to BMI screening in public elementary school settings has been sparse. The purpose of the study was to identify barriers and facilitating factors of BMI screening practices among Ohio school nurses working in suburban, rural, and urban public elementary schools. METHODS: This descriptive study used focus groups with 25 school nurses in 3 geographic regions of Ohio. An adapted Healthy People 2010 model guided the development of semistructured focus group questions. RESULTS: Nine regional themes related to BMI screening emerged specific to suburban, rural, and/or urban school nurses' experiences with BMI screening practice, policy, school physical environment, school social environment, school risk/protection, and access to quality health care. Key facilitating factors to BMI screening varied by region. Key barriers to BMI screening were a lack of privacy, time, policy, and workload of school nurses. CONCLUSION: Regionally specific facilitating factors to BMI screening in schools provide opportunities for schools to accentuate the positive and to promote school health.