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The time of the coronavirus has increased the plight of school health care. School nurses and doctors are seen as a freely mobile resource that can be used in other services.
School health care it is a real local service for children, young people and families. Pupils of the first grade can also apply there independently. The school nurse is the only professional in the school who discusses well-being with each student each year.
Annual health exams track a student’s growth and development, support strengths, and provide lifestyle guidance. They can identify support needs and address concerns and problems promptly. Concerns such as lack of friends, bullying at school, mental health, a family member’s illness, or substance abuse can arise.
Thorough health checks carried out in collaboration with a nurse and a doctor will familiarize the whole family.
Additional visits to school health care will continue to clarify issues, plan support and treatment, and, if necessary, initiate cooperation with a teacher, school carer, psychologist or other necessary professional. Support and follow-up with additional visits will continue for as long as necessary.
In school health care, the nurse and doctor act as a working couple. School nurses know the student’s overall health and learning environment. This, combined with the professionalism of the doctor, offers a great opportunity to act in a timely manner for the benefit of the child and the family.
Partly Municipal nurses have been left alone to provide all school health care, and medical resources are directed solely at medical care. The school doctor’s resource can be so limited that after problems are detected, it is not possible to arrange further visits or take care of things in the future. Only ten minutes may be reserved for a medical examination, or the joint health tests performed by a nurse and a doctor have not even been proven.
Inadequately managed, organized and performed jobs, medical examinations are said to seem “duplication of work” or “unnecessary”. Desired benefits, such as the confidential customer relationship required to request assistance or early identification of concerns, cannot be achieved with poorly implemented services.
The time of the coronavirus has increased the plight of school health care. School nurses and doctors are seen as a freely mobile resource that can be used in other services without further thinking about how and who will manage the affairs of schoolchildren.
Monitoring by the National Institute of Health and Welfare found that work related to the coronavirus takes a long time in school health care as well. Orientation and counseling for teachers and students related to the coronavirus situation takes a long time, and contacts with parents have also increased.
Welfare it deteriorated in some children, youth and families during the spring and autumn. The help and support of a school nurse and doctor is more needed than ever.
Investing in school health care early could prevent problems from getting worse and the need for more expensive services.
Marke Hietanen-Peltola
Chief Physician, Department of Health and Welfare
Tiina Mäenpää
President, Finnish Association of Nurses
Reader Opinions are speeches written by HS readers, selected and provided by the HS editors. You can leave a comment or read the principles of writing on www.hs.fi/kirjtamielipidekirjoitus/.
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