Nurse documentation of child weight-related health promotion at age four in Sweden

Anna Svensson Sehic, Mikaela Persson, Eva K. Clausson, Eva-Lena Einberg

Research output: Contribution to journalArticlepeer-review

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Abstract

(1) Background: Overweight and obesity in children have increased worldwide and tend to persist into adolescence and adulthood. The Child Health Service (CHS) has an important role in providing health-promotive interventions, and such interventions are required to be documented in a child’s health record. The aim of the study was to investigate Child Health Care (CHC) nurses’ documentation of weight-related, health-promotive interventions in the Child Health Care Record (CHCR) regarding lifestyle habits in connection to the four-year visit. (2) Methods: A record review of 485 CHCRs using a review template was accomplished. Of the included CHS units, four used electronic records and two used paper records. Chi-square tests and Spearman’s rank-order correlations were used to analyse data. (3) Results: The results showed that CHC nurses document interventions regarding lifestyle habits to a low extent, although children with overweight/obesity seemed to undergo more interventions. There was also a difference between electronic and paper records. (4) Conclusions: The consequences of not documenting the interventions in the CHCR make it difficult to follow up and demonstrate the quality of the CHC nurse’s work. There is a need for more research to gain a deeper understanding of the reasons that the work of CHC nurses is not visible in children’s health records.

Original languageEnglish
Pages (from-to)75-83
Number of pages8
JournalNursing Reports
Volume11
Issue number1
DOIs
Publication statusPublished - 2021

Swedish Standard Keywords

  • Nursing (30305)

Keywords

  • Child health service
  • documentation
  • health-promotive interventions
  • obesity
  • overweight
  • record review

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