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dc.contributor.authorNordstrand, A.
dc.contributor.authorFridlund, B.
dc.contributor.authorSollesnes, R.
dc.date.accessioned2023-01-11T12:50:28Z
dc.date.available2023-01-11T12:50:28Z
dc.date.issued2016
dc.identifier.citationNordstrand, A., Fridlund, B. & Sollesnes, R. (2016). Implementation of national guidelines for the prevention and treatment of overweight and obesity in children and adolescents: a phenomenographic analysis of public health nurses’ perceptions. International journal of qualitative studies on health and well-being, 11(1), 31934.en_US
dc.identifier.urihttps://hdl.handle.net/11250/3042728
dc.description.abstractObjective To explore and describe how public health nurses (PHNs) perceive the implementation of national guidelines for the prevention and treatment of overweight and obesity among children and adolescents in well-baby clinics and school health services. Design, sample, and measurements An explorative descriptive design was carried out through individual interviews with 18 PHNs and analysed according to the phenomenographic tradition. Results Four implementation strategies were described and assigned a metaphor: the structured PHN, pragmatic PHN, critical PHN, and the resigned PHN. Competence, patient receptiveness, internal consensus, interdisciplinary collaboration, resources, and organizational embedding were the determinants identified that most frequently affect implementation, and these determinants were distributed at different levels of the organization. The extent of facilitation seemed to determine which implementation strategy would be used. Conclusions How PHNs implemented the guidelines for overweight and obesity were affected by determinants at different organizational levels. Contextual facilitation of implementation seemed better in larger organizations, but factors such as leadership, drive, and experience compensated in smaller municipalities. The implementation of guidelines was hindered when the barriers exceeded the benefits.en_US
dc.publisherInternational journal of qualitative studies on health and well-beingen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectevidence-based nursingen_US
dc.subjecthealth promotionen_US
dc.subjectrisk factorsen_US
dc.subjectqualitative methodsen_US
dc.subjectschool health serviceen_US
dc.subjectwell-baby clinicen_US
dc.titleImplementation of national guidelines for the prevention and treatment of overweight and obesity in children and adolescents: a phenomenographic analysis of public health nurses’ perceptionsen_US
dc.typeJournal articleen_US
dc.source.volume11en_US
dc.source.journalInternational journal of qualitative studies on health and well-beingen_US
dc.source.issue1en_US
dc.identifier.doihttps://doi.org/10.3402/qhw.v11.31934
dc.source.articlenumber31934en_US


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal