{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T17:49:09Z","timestamp":1760896149212},"reference-count":36,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2012,6,11]],"date-time":"2012-06-11T00:00:00Z","timestamp":1339372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p><jats:bold>Aims and objectives.\u2002<\/jats:bold> The study aimed at analysing school nurses\u2019 counselling of overweight and obese children in settings with many immigrants, focusing on content concerning food and physical activity and how this was communicated.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> For people with a predisposition for overweight, the weight control process requires cognitive skills. School nurses\u2019 counselling of overweight children has the potential to support this process by enabling personal resources in the children and their families. However, there is uncertainty among nurses about how to conduct supportive counselling.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> An explorative design was used when collecting and analysing data.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> Twenty\u2010two counselling sessions between eight school nurses and 20 overweight children were audio\u2010recorded and analysed using qualitative content analysis. Most of the participating schools represented areas with low socioeconomic status and a high proportion of immigrants and refugees.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Less adequate skills in enabling resources in the children and their parents were observed. Concurrently, school nurses provided inadequate explanations about food and physical activity. Topics related to general nutrition models were frequently communicated as general advice instead of individually tailored counselling. Counselling families with other languages and food cultures than the traditional Swedish created additional difficulties.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> Improved nutritional knowledge for nurses may enhance their skills in enabling children\u2019s and families\u2019 resources. School nurses should be provided with opportunities to cooperate with other professions in counteracting overweight.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Our findings demonstrate a relationship between content skills and person\u2010centeredness in the counselling. This highlights the importance of inter\u2010professional collaboration to ensure a high quality of lifestyle counselling. School health authorities should give high priority to facilitating school nurses\u2019 evidence\u2010based continuing education.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2012.04113.x","type":"journal-article","created":{"date-parts":[[2012,6,11]],"date-time":"2012-06-11T13:51:26Z","timestamp":1339422686000},"page":"2452-2460","source":"Crossref","is-referenced-by-count":15,"title":["Enabling overweight children to improve their food and exercise habits \u2013 school nurses\u2019 counselling in multilingual settings"],"prefix":"10.1111","volume":"21","author":[{"given":"Maria B","family":"Magnusson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin I","family":"Kjellgren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Winkvist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,6,11]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"215","article-title":"\u2018No willpower required.\u2019 The slimming industry and the right to sell dreams","volume":"27","author":"de Beaufort I","year":"2008","journal-title":"Medicine and Law"},{"key":"e_1_2_12_3_1","unstructured":"CallmerE(2005)Health information about food in Sweden (in Swedish) Appendix to Action Plan for healthy dietary habits and increased physical activity. Available at:http:\/\/www.slv.se\/upload\/dokument\/rapporter\/mat_naring\/uppdrag_underlag_05\/halsoinformation_om_mat_i_sverige.pdf(accessed 28 March 2011).Swedish National Institute of Public Health and The National Board of Health and Welfare Stockholm [in Swedish summary in English]."},{"key":"e_1_2_12_4_1","first-page":"28","article-title":"The role of the school nurse in tackling obesity","volume":"100","author":"Clark A","year":"2004","journal-title":"Nursing Times"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7244.1240"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1079\/PNS2004413"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2010.00495.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02328.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_12_10_1","first-page":"22","volume-title":"Advances in Mixed Methods Research","author":"Hammersley M","year":"2008"},{"key":"e_1_2_12_11_1","volume-title":"Folkh\u00e4lsorapport 2009 (Report on Public Health","author":"Hjern A","year":"2009"},{"key":"e_1_2_12_12_1","first-page":"1673","article-title":"Anthropology in the clinic: the problem of cultural competency and how to fix it","volume":"3","author":"Kleinman A","year":"2006","journal-title":"Public Library of Sciences Medicine"},{"key":"e_1_2_12_13_1","volume-title":"Content Analysis. 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