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Article

Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers

1
Berlin Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany
2
School of Public Health and Tropical Medicine, Tulane University of New Orleans, New Orleans, LA 70112, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2577; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072577
Received: 30 January 2020 / Revised: 2 April 2020 / Accepted: 7 April 2020 / Published: 9 April 2020
Health literacy (HL) plays a key role in explaining health disparities. School nurses (SN) provide health related expertise within the school setting. A positive effect on the HL of children but also their teachers and parents has been suggested by some research, but gaps persist in the available information. As a pilot project, SN, which are not common in German schools, were placed in 28 public elementary and secondary schools in two German states. Children (11+ years, n = 2773), parents (n = 3978) and teachers (n = 420) participated in a 2017 baseline (T0) survey. Data collection was repeated in 2018 (T1). HL was measured using the Health Literacy for School-Aged Children scale (HLSAC) (children) and the European Health Literacy Short Scale (HLS-EU-Q16) (adults). Descriptive and multivariate data analyses were carried out. The HL of all groups increased between T0 and T1. Low child HL decreased from 17.9% to 14.9%. Problematic and inadequate HL dropped from 43.8% to 38.8% among parents and from 49.9% to 45.8% among teachers. Improvements were significant for children and parents but not for the teachers. Despite the relatively short intervention period and a relatively non-specific spectrum of interventions, there is some evidence that SN may contribute to strengthening HL within the school setting. The longer-term effects of SN on health literacy and child health should be further examined. For this, a clearer conceptualization of the scope of work of the SN in Germany including their educational interventions is imperative. View Full-Text
Keywords: health literacy; school nursing; children; parents; teachers; school health health literacy; school nursing; children; parents; teachers; school health
MDPI and ACS Style

de Buhr, E.; Ewers, M.; Tannen, A. Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers. Int. J. Environ. Res. Public Health 2020, 17, 2577. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072577

AMA Style

de Buhr E, Ewers M, Tannen A. Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers. International Journal of Environmental Research and Public Health. 2020; 17(7):2577. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072577

Chicago/Turabian Style

de Buhr, Elke, Michael Ewers, and Antje Tannen. 2020. "Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers" International Journal of Environmental Research and Public Health 17, no. 7: 2577. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072577

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