Connecting With Frequent Adolescent Visitors to the School Nurse Through the Use of Intentional Interviewing

Abstract

Nurses as accessible, helping adults within schools have daily opportunities to reach adolescents with unmet mental health needs. Understanding the relationship between frequent clinic visits or somatic complaints as a sign of underlying problems, which may be organic or psychoemotional in origin, requires the unique skill set of the school nurse. The welcoming school nurse, who cares for students with acceptance and emotional availability, nurtures the development of trust and meaningful personal connection. It is through this relationship that effective care and case finding occurs. Attachment to the school nurse as a responsive adult fosters a sense of school connectedness, which is associated with academic success. Intentional Interviewing is a person-centered, evidence-based approach that can be used by school nurses in this important work.

Keywords

mental health high school school nurse characteristics academic achievement/attendance best practices/practice guidelines somatic complaints frequent school nurse visits intentional interviewing

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References

Adams

S. H.

Husting

Zahnd

Ozer

E. M.

(2009). Adolescent preventative services: Rates and disparities in preventative health topics covered during routine medical care in a California sample. Journal of Adolescent Health, 44, 536–545.

American Academy of Pediatrics. (2004). School based mental health services. Pediatrics, 13, 1839–1844. Retrieved from http://pediatrics.aapublications.org/cgi/reprint/113/6/1839

American Academy of Pediatrics. (2006). Committee on pediatric emergency medicine. American College of Emergency Physicians policy statement, pediatric mental health emergencies in emergency medical services systems. Pediatrics, 118, 1746–1767.

American Academy of Pediatrics. (2009). Committee on psychosocial aspects of child and family health and task force on mental health. Policy statement the future of pediatrics: Mental health competencies for pediatric primary care. Pediatrics, 124, 410–421. Retrieved from http://pediatrics.aapublications.org/cgi/reprint/124/1/410

Bartnett

Roach

Smith

(2006). Microskills: Advisor behaviors that improve communication with advisees. NACADA Journal, 26, 6–12.

Blonna

Loschiavo

Watter

D. N.

(2010). Health counseling a microskills approach for counselors, educators and school nurses. Sudbury, MA: Jones & Bartlett Learning.

Bonny

A. E.

Britto

M. T.

Klosterman

B. K.

Hornug

R. W.

Slap

G. B.

(2000). School disconnectedness: Identifying adolescents at risk. Pediatrics, 106, 1017–1021.

Bowlby

(1969). Attachment and loss: Attachment. London: Routledge.

Bowlby

(1988). A secure base: Clinical applications of attachment theory. London: Routledge.

10.

Catalano

R. R.

Haggerty

K. D.

Fleming

Hawkins

J. D.

(2004). The importance of bonding to school for healthy development findings from the social development research group. Journal of School Health, 74, 252–261.

11.

Centers for Disease Control. (2008, June 6). Youth risk behavior surveillance—United States, 2007. Morbidity and mortality weekly report, 57(SS-4). Retrieved from http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.p-df

12.

Daniels

T. G.

Denny

Andrews

(1988). Using microcounseling to teach RN students skills of therapeutic communication. Journal of Nursing Education, 27, 246–252.

13.

DeBell

(2006). School nursing practice: A decade of change. Community Practitioner, 79, 324–327.

14.

Denehy

(2002). The mental health needs of children and adolescents [Editorial]. The Journal of School Nursing, 18, 189–190.

15.

DeSocio

Hootman

(2004). Children’s mental health and school success. The Journal of School Nursing, 20, 189–196.

16.

Downie

Chapman

Orb

Juliff

(2002). The everyday realities of the multidimentional role of the high school community nurse. Australian Journal of Advanced Nursing, 19, 15–24.

17.

Dubois

Silverstone

(2005). Relationships and adolescent health: Evidence from a national study. American Journal of Public Health, 95, 518–524.

18.

Edman

J. C.

Adams

S. H.

Park

M. J.

Irwin

C. E.

(2010). Who gets confidential care? Disparities in a national sample of adolescents. Journal of Adolescent Health, 46, 393–395.

19.

Ford

C. A.

(2010). Which adolescents have opportunities to talk to doctors alone? [Editorial]. Journal of Adolescent Health, 46, 307–308.

20.

Gapinski

M. A.

Giulian

(2009, June 27). Transforming school based mental health services: A public health model. Lecture presented at National Association of School Nurses, Boston, MA.

21.

Harvey

But is it really nursing? In Gerri Harvey’s school nurse perspectives: Thoughts, tools, resources and inspiration for school nurses by a school nurse. Retrieved March 25, 2010, from http://snp.homestead.com/ReallyNursing.html

22.

Heard

Locke

McCluskey

(2009). Attachment theory with adolescents and adults theory and practice post-Bowlby. London: Karnac Books.

23.

Ivey

Zalaquett

C. P.

(2010). Intentional interviewing and counseling facilitating client development in a multicultural society. Belmont, CA: Thomas Brooks Cole.

24.

Klum

A. M.

Connell

J. P.

(2004). Relationships matter, linking teacher support to student engagement and achievement. Journal of School Health, 74, 262–273.

25.

Kutze

van der Molen

H. T.

Born

M. P.

(2009). Increase in counseling communication skills after basic and advanced microskills training. British Journal of Educational Psychology, 79, 175–188.

26.

Lee

K. S.

Carrasquillo

(2006). Korean college students in the United States, perceptions of professors and students. College Student Journal, 40, 442–456.

27.

McAuliffe

Lovell

(2006). The influence of counselor epistemology on the helping interview: A qualitative study. Journal of Counseling and Development. 84, 308–317. Retrieved from http://www.accessmylibrary.com/article-1g1-149022992/influence-counselor-epistemology-helping.html

28.

Meyers

S. A.

White

(2010). The abiding nature of empathic connections: A ten year follow-up study. Journal of Humanistic Psychology, 50, 77–95.

29.

Mulye

T. P.

Park

M. J.

Nelson

C. D.

Adams

S. H.

Irwin

C. E.

Brindis

C. D.

(2009). Trends in adolescent and young adult health in the United States. Journal of Adolescent Health, 45, 8–24.

30.

Nelson

K. E.

(1997). The needs of children and the role of school nurses. Journal of School Health, 67, 187–192.

31.

Ozer

E. M.

Zahnd

E. G.

Adams

S. H.

Husting

S. R.

Wibbelsman

C. J.

Norman

K. P.

Smiga

S. M.

(2009). Are adolescents being screened for emotional distress in primary care? Journal of Adolescent Health, 44, 520–527.

32.

Prochaska

J. O.

Norcross

J. C.

(2009). Systems of psychotherapy a transtheoretical approach (7th ed.). Belmont, CA: Brooks/Cole Cenage Learning.

33.

Prout

H. T.

Brown

D. T.

(Eds.). (2007). Counseling and psychotherapy with children and adolescents theory and practice for schools and clinical settings. Hoboken, NJ: John Wiley.

34.

Puskar

K. R.

Bernado

L. M.

(2007). Mental health and academic achievement. Journal for Specialists in Pediatric Nursing, 12, 215–223.

35.

Rhodes

J. E.

Dubois

(2007). Understanding and facilitating the youth mentoring movement. Social Policy Report Giving Child and Youth Development Knowledge Away, 20, 3–20. Retrieved from http://www.srcd.org/documents/publications/spr20-3.pdf

36.

Rogers

(1951). Client-centered therapy: Its current practice, implications and theory. London: Constable.

37.

Rogers

(1961). On becoming a person. Boston, MA: Houghton Mifflin.

38.

Rogers

(1980). A way of being. Boston, MA: Houghton Mifflin.

39.

Schneider

M. B.

Friedman

S. B.

Fisher

(1995). Stated and unstated reasons for visiting a high school nurse’s office. Journal of Adolescent Health, 16, 35–40.

40.

Sexton

T. L.

Whiston

S. C.

(1994). The status of the counseling relationship: An empirical review theoretical implications and research directions. The Counseling Psychologist, 22, 6–78.

41.

Shannon

R. A.

Bergren

R. A.

Matthews

M. D.

(2010). Frequent visitors: Somatization in school age children and implications for school nurses. Journal of School Nursing, 26, 169–182.

42.

Stanley

M. J.

Canham

D. L.

Cureton

V. Y.

(2006). Assessing prevalence of emotional and behavioral problems in suspended middle school students. Journal of School Nursing, 22, 40–47.

43.

Stevenson

B. A.

(2010). Evolving roles for school nurses. NASN School Nurse, 25, 30–33.

44.

Tanielian

Jaycox

L. H.

Paddock

S. M.

Chandra

Meredith

L. S.

Burnham

(2009). Improving treatment seeking among adolescents with depression: Understanding readiness for treatment. Journal of Adolescent Health, 45, 490–498. Abstract retrieved from http://www.jaonline.org/article/S1054-139X(09)000108-6/abstract

45.

Van Velsor

(2004). Revisiting basic counseling skills with children. Journal of Counseling and Development. 82, 313–18. Retrieved from http://www.accessmylibrary.com/article-1g1-12052439/revisiting-basic-counseling.skils.html

46.

Wampold

B. E.

(2001). The great psychotherapy debate: Models, methods and findings. Mahwah, NJ: Erlbaum.

47.

Wingspread. (2004). Declaration of school connectedness. Journal of School Health. 74, 233–234. Retrieved from http://www.accessmylibrary.com/articleIGI122921719/wingspread-declaration-schoolconnectedness.html