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Nursing Ethics, Vol. 15, No. 1, 40-51 (2008)
DOI: 10.1177/0969733007083933

Ethical Challenges for School Nurses in Documenting Schoolchildren's Health

Eva K. Clausson

Kristianstad University, Kristianstad, and Nordic School of Public Health, Göteborg, Sweden, Nordic School of Public Health, Göteborg, Sweden, eva.clausson{at}hkr.se

Lennart Köhler

Nordic School of Public Health, Göteborg, Sweden

Agneta Berg

Kristianstad University, Kristianstad, Sweden, University of Stavanger, Stavanger, Norway

This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.

Key Words: documentation • ethics • schoolchildren's health • school nurses


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