Regional Differences as Barriers to Body Mass Index Screening Described by Ohio School Nurses
Article first published online: 11 JUL 2011
© 2011, American School Health Association
Journal of School Health
Volume 81, Issue 8, pages 437–448, August 2011
How to Cite
Stalter, A. M., Chaudry, R. V. and Polivka, B. J. (2011), Regional Differences as Barriers to Body Mass Index Screening Described by Ohio School Nurses. Journal of School Health, 81: 437–448. doi: 10.1111/j.1746-1561.2011.00600.x
- Issue published online: 11 JUL 2011
- Article first published online: 11 JUL 2011
- Received on December 10, 2009, Accepted on July 26, 2010
- child and adolescent health;
- public health;
- school nurses;
- school nursing practice
BACKGROUND: Body mass index (BMI) screening is advocated by the National Association of School Nurses (NASN). Research identifying barriers to BMI screening in public elementary school settings has been sparse. The purpose of the study was to identify barriers and facilitating factors of BMI screening practices among Ohio school nurses working in suburban, rural, and urban public elementary schools.
METHODS: This descriptive study used focus groups with 25 school nurses in 3 geographic regions of Ohio. An adapted Healthy People 2010 model guided the development of semistructured focus group questions.
RESULTS: Nine regional themes related to BMI screening emerged specific to suburban, rural, and/or urban school nurses' experiences with BMI screening practice, policy, school physical environment, school social environment, school risk/protection, and access to quality health care. Key facilitating factors to BMI screening varied by region. Key barriers to BMI screening were a lack of privacy, time, policy, and workload of school nurses.
CONCLUSION: Regionally specific facilitating factors to BMI screening in schools provide opportunities for schools to accentuate the positive and to promote school health.