The role of nursing in maintaining adolescent mental well-being: A mixed-methods study

Leona Cilar Budler; Owen  Barr; Gregor  Štiglic; Majda  Pajnkihar

doi:10.14528/snr.2026.60.2.3341

Avtorji

Leona Cilar Budler Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija https://orcid.org/0000-0002-6842-7751
Owen Barr Ulster University, Magee Campus, Velika Britanija
Gregor Štiglic Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija
Majda Pajnkihar Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija

DOI:

https://doi.org/10.14528/snr.2026.60.2.3341

Ključne besede:

duševno dobro počutje, osnovnošolci, srednješolci, zdravstvena nega

Povzetek

Uvod: Duševno blagostanje mladostnikov je odvisno od ravni socialne podpore, ki jo prejemajo od družine, vrstnikov, učiteljev in zdravstvene nege. Vloga medicinskih sester pri krepitvi duševnega zdravja mladostnikov je pogosto premalo raziskana, čeprav so prav medicinske sestre pogosto prve, ki prepoznajo stisko in nudijo podporo. Ta raziskava preučuje vpliv socialne podpore na duševno blagostanje mladostnikov, s posebnim poudarkom na vlogi zdravstvene nege.
Metode: Uporabljen je bil način raziskav mešanih metod. Kvantitativni del raziskave je vključeval uporabo vprašalnikov KIDSCREEN-27 in WEMWBS na priložnostnem vzorcu 2.972-ih mladostnikov iz osnovnih in srednjih šol v Sloveniji. Kvalitativni del raziskave je vključeval dve fokusni skupini z mladostniki.
Rezultati: Ugotovitve kažejo na pomembno pozitivno korelacijo med duševnim blagostanjem mladostnikov in socialno podporo. Mladostniki v osnovnih šolah so kot najpomembnejše osebe za njihovo duševno blagostanje izpostavili starše, medtem ko so mladostniki v srednjih šolah večji pomen pripisali prijateljem. Medicinske sestre so mladostniki prepoznali kot zaupanja vredne osebe, ki jih poslušajo in pomirjajo, jim svetujejo in s strokovnim znanjem prispevajo k občutku varnosti ter sprejetosti.
Diskusija in zaključek: Rezultati potrjujejo, da je zdravstvena nega pomemben del člen v mreži socialne podpore mladostnikov. Medicinske sestre s svojo vzgojno, terapevtsko in podporno vlogo pomembno prispevajo h krepitvi duševnega zdravja. Vključevanje medicinskih sester v preventivne in podporne programe za mladostnike je ključno za razvoj celostnega pristopa k duševnemu zdravju.

Prenosi

Podatki o prenosih še niso na voljo.

Literatura

Acoba, E. F. (2024). Social support and mental health: The mediating role of perceived stress. Frontiers in Psychology, 15, Article 1330720. https://doi.org/10.3389/fpsyg.2024.1330720 PMid:38449744; PMCid:PMC10915202

Ali, M. M., West, K., Teich, J. L., Lynch, S., Mutter, R., & Dubenitz, J. (2019). Utilization of mental health services in educational setting by adolescents in the United States. Journal of School Health, 89(5), 393–401. https://doi.org/10.1111/josh.12753 PMid:30883761

Alshammari, A. S., Piko, B. F., & Fitzpatrick, K. M. (2021). Social support and adolescent mental health and well-being among Jordanian students. International Journal of Adolescence and Youth, 26(1), 211–223. https://doi.org/10.1080/02673843.2021.1908375

Jönsson, J., Malm, M., Bengtsson-Tops, A., & Garmy, P. (2017). School nurses' experiences working with students with mental health problems: A qualitative study. The Journal of School Nursing, 35(3), 203–209. https://doi.org/10.1177/1059840517744019 PMid:29169289

Kodeks etike v zdravstveni negi Slovenije (2024). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Loheide-Niesmann, L., Vrijkotte, T. G. M., De Rooij, S. R., Wiers, R. W., & Huizink, A. (2021). Associations between autonomic nervous system activity and risk-taking and internalizing behavior in young adolescents. Psychophysiology, 58(9), Article e13882. https://doi.org/10.1111/psyp.13882 PMid:34145912; PMCid:PMC8459221

MacKean, G. (2011). Mental health and well-being in postsecondary education settings: A literature and environmental scan to support planning and action in Canada. http://www.cacuss.ca/_Library/documents/Post_Sec_Final_Report

Mallya, A., Koppad, R. & Kumar, P. (2023). Depression, anxiety, and stress among urban and rural adolescents in Shivamogga, Karnataka. F1000Research, 12, Article 1583. https://doi.org/10.12688/f1000research.139603.3 PMid:38948506; PMCid:PMC11211729

Maučec Zakotnik, J. & Drnovšek, M. Z. (2021). Nacionalni program duševnega zdravja 2018-2028, Program MIRA in Centri za duševno zdravje. In: P. Vračko & U. Kolar (Eds.). Dosežki v javnem zdravju v Sloveniji. Nacionalni inštitut za javno zdravje.

McAllister, M. (2019). Nurses need to step up to improve child and adolescent mental health globally. Contemporary Nurse, 55(4/5), 275–277. https://doi.org/10.1080/10376178.2019.1681901 PMid:31617821

Moen, Ø. L., & Jacobsen, I. C. R. (2022). School nurses' experiences in dealing with adolescents having mental health problems. SAGE Open Nursing, 8, 1–9. https://doi.org/10.1177/23779608221124411 PMid:36090541; PMCid:PMC9449503

Newman, I. & Ramlo, S. (2010). Using Q methodology and Q factor analysis in mixes methods research. In: A. Tashakkori & C. Teddlie (Eds.), Handbook of Mixed Methods in Social & Behaviour research (2nd ed.). Sage.

O'Reilly, M., Dogra, N., Hughes, J., Reilly, P., George, R., & Whiteman, N. (2019). Potential of social media in promoting mental health in adolescents. Health Promotion International, 34(5), 981–991. https://doi.org/10.1093/heapro/day056 PMid:30060043; PMCid:PMC6904320

Polit, D. F. & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Walters Kluwer.

Qualtrics. (2018). Calculating sample size. https://www.qualtrics.com/articles/strategy-research/calculating-sample-size/

Ravens-Sieberer, U., Auquier, P., Erhart, M., Gosch, A., Rajmil, L., Bruil, J., Power, M., Duer, W., Cloetta, B., Czemy, L., Mazur, J., Czimbalmos, A., Tountas, Y., Hagquist, C., Kilroe, J., & the European KIDSCREEN Group (2007). The KIDSCREEN-27 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European Countries. Quality of Life Research, 16(8), 1347–1356. https://doi.org/10.1007/s11136-007-9240-2 PMid:17668292

Ringdal, R. et al. (2018). Validation of two versions of the Warwick-Edinburgh Mental Well-Being Scale among Norwegian adolescents. Scandinavian Journal of Public Health, 46(7), 718–725. https://doi.org/10.1177/1403494817735391 PMid:29017402

Roach, A. (2018). Supportive peer relationships and mental health in adolescence: An integrative review. Issues in Mental Health Nursing, 39(9), 723–737. https://doi.org/10.1080/01612840.2018.1496498 PMid:30252560

Scardera, S., Perret, L. C., Ouellet-Morin, I., Gariépy, G., Juster, R.-P., Boivin, M., Turecki, G., Tremblay, R. E., Côté, S., & Geoffroy, M.-C. (2020). Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA Network Open, 3(12), Article e2027491. https://doi.org/10.1001/jamanetworkopen.2020.27491 PMid:33275154; PMCid:PMC7718598

Statistical Office of the Republic of Slovenia. (2017). Statopis: statistični pregled Slovenije 2017. https://www.stat.si/StatWeb/File/DocSysFile/9743

Stekhoven, D. J. (2016). Package ‘missForest'. https://cran.r-project.org/web/packages/missForest/missForest.pdf

Strauss, A. L. & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Sage.

Swann, C., Telenta, J., Draper, G., Liddle, S., Fogarty, A., Hurley, D., & Vella, S. L. (2018). Youth sport as a context for supporting mental health: Adolescent male perspectives. Psychology of Sport and Exercise, 35, 55–64. https://doi.org/10.1016/j.psychsport.2017.11.008

The Government Office for Science. (2008). Mental capital and well-being: Making the most of ourselves in the 21st century. The Government Office for Science.

US National Institute for Health. (2019). What is mental health? www.mentalhealth.gov/basics/what-is-mental-health

Vrkić, A. (2018). Tjelesna aktivnost i kvaliteta života studentica završnih godina učiteljskog fakulteta [magistrska naloga, Sveučilište u Zagrebu].

World Health Organization (WHO). (2014). Adolescent health. http://www.who.int/topics/adolescent_health/en/

World Health Organization (WHO). (2023). Global Accelerated Action for the Health of Adolescents (AA-HA!): Guidance to support country implementation. World Health Organization.

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Wright, K. M., & McKeown, M. (Eds.). (2018). Essentials of mental health nursing. Sage.

Zheng, M. (2015). Conceptualization of cross-sectional mixed methods studies in health science: A methodological review. International Journal of Quantitative and Qualitative Research Methods, 3(2), 66–87. https://doi.org/10.13140/RG.2.2.24477.33763

Žnidaršič, A. (2013). Vodnik po SPSS-u: delovna verzija. http://doczz.net/doc/6893519/vodnik-po-spss-u-delovna-verzija--2--anjaznidaršic