Conclusion School-VIPS may facilitate school nurses’ documentation of schoolchildren’s health. It may also make it possible to compare and contrast children’s health development and to evaluate nursing interventions implemented. School- VIPS may also increase the opportunities for follow-up activities and future nursing research. School-VIPS – a Swedish Model for Documenting all Aspects of Schoolchildren’s Health eva.clausson@hkr.se | karin.teider@levnu.se | eva-lena.einberg@hh.se Eva Clausson RNT, Doctor Public Health, School of Health and Society, Kristianstad University, Sweden, Malmö University, Sweden Karin Teider RN, BSc, Vänersborgs municipality, Vänersborg, Sweden Eva-Lena Einberg RN, PhD Student. School of Social and Health Science, Halmstad University, Sweden Background Documenting all aspects of schoolchildren’s health can be a practical and ethical challenge 1 . Good nursing includes a reliable documentation and there is an obvious need to develop a structure for documenting nursing in school health records 2 . The Swedish VIPS model is used in a variety of nur- sing contexts and has been shown to facilitate and increase the quality of the documentation 3,4 . Objectives The objective of the project was to develop a specific School-VIPS model by adjust and explain the keywords in the VIPS Model from a school nurse per- spective Methods The project was developed on demand by the Swedish National Society for school nurses and in cooperation with the authors of the VIPS model. The model was peer-reviewed and pilot tested by professional school nurses. Subsequently the model was revised. Results The School VIPS model with specific keywords are developed in accordan- ce with the nursing process’ main headings: Nursing history, Nursing Status, Nursing Diagnosis, Nursing Goals, Nursing Interventions Nursing outcome and Nursing Discharge notes 5 . Keywords related to the Health dialogue and main health pro- blems among schoolchildren in diverse age are exemplified. Health pro- blems which have been a dilemma for school nurses to document is also commented specifically. The keyword Psychosocial includes school situa- tion, relationships and drug use. Other adjusted keywords that are highly relevant to school health service are Sexuality/Reproduction including pu- bertal development. The School VIPS model also includes medical reports. Skol-VIPS. Ehnfors, Thorell-Ekstrand, and Ehrenberg. VIPS-boken 2000. NURSING HISTORY Reason for contact/ Admission Health history/Care experience Current care Hypersensitivity Social history School experience Social service Lifestyle GENERAL INFORMATION Information source Significant other Confidentiality Temporary information Primary nurse Progress notes NURSING STATUS Communication Cognition/Development Self care motivation Breathing/Circulation Nutrition Elimination Skin/Integument Wounds Eyes Ear-Nose-Throat Genital- Activity Sleep Pain/Perception Pain Perception Sexuality/Reproduction Psychosocial Emotional Relationships School situation Alcohol, drugs, smoking Spiritual/Cultural Well-being Composite assessment Self-care reports Medications Medical assessment NURSING DIAGNOSIS NURSING GOAL NURSING INTERVENTION Participation Information/Education Support Environment Injury prevention General care Training Observation/Surveillance Special care Medication prescription Drug management Drug administration Vaccination Co-ordination Administration Record copy Referrals NURSING OUTCOME NURSING DISCHARGE NOTE NURSING TRANSFER REPORT Well-being, Integrity, Prevention, Security References 1 Clausson, EK., Köhler, L. & Berg, A. (2008). Ethical challenges for school nurses in documenting schoolchildren’s health. Nursing Ethics: 15 (1), 31-42. 2 Ehrenberg, A., Ehnfors, M. & Thorell-Ekstrand, I. (1996) Nursing documentation in patient records: ex- perience of the use of the VIPS model. J. Adv. Nursing, 24 (4), 853-867. 3 Björvell C, Wredling R, Thorell-Ekstrand I. Long-term increase in quality of nursing documentation: ef- fects of a comprehensive intervention. Scand J Caring Sci 2002;16(1):34-42. 4 Darmer MR, Ankersen L, Nielsen BG, Landberger G, Lippert E, Egerod I. Nursing documentation au- dit – the effect of a VIPS implementation programme in Denmark. J. Clin. Nursing. 2006;15(5):525-34. 5 Ehnfors, M., Ehrenberg, A. & Thorell-Ekstrand, I. (2000). VIPS – Well-being, Integrity, Prevention, Wellbe- ing). FoU 48. VIPS-boken – Välbefinnande, Integritet, Prevention, Säkerhet. Om en forskningsbaserad modell för dokumentation av omvårdnad i patientjournalen. (in Swedish). Lund: Studentlitteratur. *School VIPS folder (In Swedish) distributed by margareta.ehnfors@gmail.com * View publication stats View publication stats