Abstract
(1) Background: Overweight and obesity in children have increased worldwide and tend to persist into adolescence and adulthood. The Child Health Service (CHS) has an important role in providing health-promotive interventions, and such interventions are required to be documented in a child’s health record. The aim of the study was to investigate Child Health Care (CHC) nurses’ documentation of weight-related, health-promotive interventions in the Child Health Care Record (CHCR) regarding lifestyle habits in connection to the four-year visit. (2) Methods: A record review of 485 CHCRs using a review template was accomplished. Of the included CHS units, four used electronic records and two used paper records. Chi-square tests and Spearman’s rank-order correlations were used to analyse data. (3) Results: The results showed that CHC nurses document interventions regarding lifestyle habits to a low extent, although children with overweight/obesity seemed to undergo more interventions. There was also a difference between electronic and paper records. (4) Conclusions: The consequences of not documenting the interventions in the CHCR make it difficult to follow up and demonstrate the quality of the CHC nurse’s work. There is a need for more research to gain a deeper understanding of the reasons that the work of CHC nurses is not visible in children’s health records.
Highlights
The prevalence of overweight and obesity in children has increased dramatically, and these conditions tend to persist into adolescence and adulthood [1,2,3]
(3) Results: The results showed that Child Health Care (CHC) nurses document interventions regarding lifestyle habits to a low extent, children with overweight/obesity seemed to undergo more interventions
The results showed that CHC nurses documented few health-promotive lifestyle interventions in connection to four-year visits
Summary
The prevalence of overweight and obesity in children has increased dramatically, and these conditions tend to persist into adolescence and adulthood [1,2,3]. Overweight and obesity increase the risk of health-related lifestyle diseases, such as adult metabolic syndrome, diabetes and stroke [4,5]. In 2019, 38 million children under the age of 5 were overweight or obese [3]. Children’s lifestyle habits have changed in terms of diet and physical activity, which has contributed to an increased proportion of children with overweight and obesity [8,9]. An unhealthy lifestyle with overweight and obesity can lead to other physical consequences, such as asthma, dental problems and metabolic risk factors later in life [5,10]. Natural play in children tends to be a low priority because of increased screen time, which is currently strongly linked to obesity in younger children. Since a child’s lifestyle habits are established at an early age, it is important to focus on health-promotive interventions early on
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