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A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers,Maternal & Child Nutrition

泰然健康网
2025-08-06 06:47

In Norway, public health nurses (PHNs) are responsible for giving parents nutritional knowledge, but limited research describes how they perceive this task. This study explores PHNs' perceptions and experiences on nutritional guidance for parents of infants and toddlers. Semistructured interviews with six PHNs were conducted and transcribed verbatim. Data were subjected to thematic analysis. Five main themes were identified: (1) Dietary guidance for parents is central to the work; (2) PHNs perceive they have parents' trust, and parents are in general open to nutrition counselling; (3) food and meals must be seen in light of the family context; (4) The dialogue must be adapted to the individual family; and (5) PHNs have expertise on nutrition; however, updating knowledge is difficult. Nutritional guidance was perceived by PHNs as a core activity. They felt that they had parents' trust, and that parents were particularly open to nutritional guidance during the first 2 years. Counselling was generally well received, but conversations on overweight were perceived as difficult. PHNs strove to tailor their guidance to individual needs. However, providing guidance on a wide range of issues in different families and cultures could be challenging. They acknowledged a need for updating knowledge but the offer of courses was sparse. Our findings suggest a discrepancy between how nutrition is prioritized in the education of PHNs and what they encounter in clinical practice. In the future, this should be given more attention given the PHNs' unique position to promote healthy eating and long-term health.

中文翻译：

公共卫生护士对婴幼儿家长营养指导的看法和经验的定性研究

在挪威，公共卫生护士 (PHN) 负责向父母提供营养知识，但有限的研究描述了他们如何看待这项任务。本研究探讨了 PHN 对婴幼儿父母营养指导的看法和经验。对六名 PHN 进行了半结构化访谈并逐字记录。数据进行了主题分析。确定了五个主题：（1）家长饮食指导是工作的核心； (2) PHN 认为他们得到了家长的信任，家长普遍愿意接受营养咨询；（三）食物和膳食必须结合家庭情况考虑； (4) 对话必须适合个别家庭； (5) PHN 拥有营养方面的专业知识；然而，更新知识是困难的。 PHN 将营养指导视为一项核心活动。他们觉得自己得到了父母的信任，并且父母在头两年特别愿意接受营养指导。咨询服务普遍受到好评，但有关超重的对话被认为很困难。 PHN 努力根据个人需求定制指导。然而，为不同家庭和文化中的各种问题提供指导可能具有挑战性。他们承认需要更新知识，但提供的课程很少。我们的研究结果表明，PHN 教育中营养的优先顺序与他们在临床实践中遇到的情况之间存在差异。鉴于 PHN 在促进健康饮食和长期健康方面的独特地位，未来应给予更多关注。