Effects of School-Based Interventions Implemented by Nurses for Children Aged 3-6 Years: A Systematic Review of Experimental Evidence

Year 2024, Volume: 31 Issue: 3, 277 - 287, 29.09.2024

Gökçe Algül , Ebru Kılıçarslan

https://doi.org/10.17343/sdutfd.1498527

Abstract

Objectives: The 3-6 age period, which includes the pre-school, is when the child acquires essential habits, develops skills, and socializes. This systematic review was planned to examine the available evidence on the effectiveness of school-based interventions implemented by nurses and administered to preschool children.
Material and Method: The systematic review used a search to identify studies published between 2015 and 2024 from PubMed, Medline, Cochrane Library, ProQuest, Science Direct, and Web of Science databases.
Results: When the findings were examined, fifteen studies, including six randomized controlled trials and nine quasi-experimental studies, met the inclusion criteria. In the studies conducted, it was determined that the duration of the interventions applied only to children was between 2 and 16 sessions, the intervention periods of the studies that included parents along with children were between 8 and 30 sessions, and only 4 studies used theory or models. It was determined that the programs applied by nurses to children between the ages of 3-6 in the school environment provided children with knowledge and skills and had positive effects on the development of their physical, social, and emotional health.
Conclusions: Nurses are responsible for increasing children's knowledge and skills in schools and promoting healthy lifestyles. Nurses must collaborate with parents to ensure that children's health education at home and school complement each other. The results of the studies included in the systematic review should be cautiously interpreted due to the limited number of studies and small sample size. To obtain the best evidence on the effectiveness of interventions, randomised controlled trials aiming to improve social and emotional competencies are needed to evaluate comprehensive, high-quality, and long-term effects.
Systematic review registration: PROSPERO registration number was CRD42023467297

Keywords

School Based Intervention, PRESCHOOL, Nursing, Child

References

• 1. UNICEF. Unicef Data Warehouse [Internet] 2023[cited 23 April 2024]. Available from: https://data.unicef.org/resources/data_explorer/unicef_f/?ag=UNICEF&df=DM&ver=1.0&dq=WORLD.DM_POP_U18+DM_POP_U5...&startPeriod=2023&endPeriod=2023
• 2. Pınarcık Ö, Koçak N, Ergin B. Okul öncesi dönem çocuklarının bilişsel gelişim özellikleri ile sosyal becerileri arasındaki ilişkinin incelenmesi. Asya Öğretim Dergisi 2015;3(1):21-29.
• 3. Williams P, Sheridan S, Pramling Samuelsson I. A perspective of group size on children’s conditions for wellbeing, learning, and development in preschool. Scandinavian Journal of Educational Research 2019;63(5):696-711.
• 4. Jarraya S, Wagner M, Jarraya M, et al. 12 weeks of kindergarten-based yoga practice increases visual attention visual-motor precision and decreases behaviour of inattention and hyperactivity in 5-year-old children. Frontiers in Psychology 2019;10:796.
• 5. McClelland MM, Tominey SL, Schmitt SA, et al. Red light, purple light! Results of an intervention to promote school readiness for children from low-income backgrounds. Frontiers in Psychology 2019;10:2365.
• 6. Rashedi RN, Rowe SE, Thompson RA, et al. A Yoga intervention for young children: self-regulation and emotion regulation. Journal of Child and Family Studies 2021;1-14.
• 7. Stapp AC, Wolff K. Young children’s experiences with yoga in an early childhood setting. Early Child Development and Care 2019;189(9):1397-1410.
• 8. Bıdık G, Sisman FN. Çocuk ve adölesanlarda psikososyal iyilik halini geliştirmeye yönelik okul temelli ruh sağlığı programları: Sistematik inceleme. Psikiyatri Hemşireliği Dergisi 2021;12(4):350-361.
• 9. The Turkish Nurses Association. Turkish Nurses Association Bulletin [Internet]. 2019 [cited 15 August 2023] Available from: https://www.thder.org.tr/uploads/files/THD-Bulten-19-01.pdf
• 10. Bermejo‐Martins E, López‐Dicastillo O, Mujika A. An exploratory trial of a health education programme to promote healthy lifestyles through social and emotional competence in young children: study protocol. Journal of Advanced Nursing 2018;74(1):211-222.
• 11. McLachlan DA, Burgos T, Honeycutt HK, et al. Emotion locomotion: promoting the emotional health of elementary school children by recognizing emotions. The Journal of School Nursing 2009;25(5):373–381.
• 12. Page MJ, McKenzie JE, Bossuyt PM, et al. Updating guidance for reporting systematic reviews: development of the PRISMA 2020 statement. Journal of Clinical Epidemiology 2021;134:103-112.
• 13. Barker TH, Stone JC, Sears K, et al. The revised JBI critical appraisal tool for the assessment of the risk of bias for randomized controlled trials. JBI Evidence Synthesis 2023;21(3):494-506.
• 14. Tufanaru C, Munn Z, Aromataris E, et al. Systematic reviews of effectiveness. In Joanna Briggs Institute reviewer’s manual (pp. 3-10). Adelaide, Australia: The Joanna Briggs Institute; 2017.
• 15. Nahcivan N, Seçkinli S. How is the methodological quality of quantitative research included in the systematic review evaluated? Turkey Clinics Journal of Public Health Nursing-Special Topics 2017;3(1):10-19.
• 16. Akkaya DD, Sezici E. Teaching preschool children correct toothbrushing habits through playful learning interventions: A randomized controlled trial. Journal of Pediatric Nursing 2021;56:e70-e76.
• 17. Bermejo‐Martins E, Mujika A, Iriarte A, et al. Social and emotional competence as a key element to improve healthy lifestyles in children: A randomized controlled trial. Journal of Advanced Nursing 2019;75(8):1764-1781.
• 18. Biyikoglu Alkan, Isin, et al. Impact of personal hygiene education based on social learning theory on preschool children. Early Childhood Education Journal 2023;1-12.
• 19. Kemer D, İşler Dalgıç A. Effectiveness of sexual abuse prevention training program developed by creative drama for preschoolers: An experimental study. Journal of Child Sexual Abuse 2022;31(1):9-32.
• 20. Sezici E, Ocakci AF, Kadioglu H. Use of play therapy in nursing process: A prospective randomized controlled study. Journal of Nursing Scholarship 2017;49(2):162-169.
• 21. Zhang L, Qin X, Zeng J, et al. A kindergarten‐based, family‐involved intervention to improve children’s hand hygiene behaviour: A cluster‐randomized controlled trial. Public Health Nursing 2021;38(5):738-750.
• 22. Altundağ S, Körükçü Ö. Risk reduction education to prevent preschool children’s home accidents: A pilot study. Disaster Medicine and Public Health Preparedness 2023;17:e115.
• 23. Aboelmagd AN, Mahrous ES, Hassan SS. Effect of educational ınterventional program for preschool children on their knowledge and practice regarding sexual harassment. International Journal of Nursing and Health Science 2019;5(2):12-19.
• 24. Akcan A, Ergun A. The effect of an aggressive behaviour prevention program on kindergarten students. Public Health Nursing 2019;36(3):330-340.
• 25. Ayyildiz TK, Cimete G. The effect of a social skills program on violent behaviours in children aged 60~ 72 months. Journal of Korean Academy of Nursing 2019;49(6):771-782.
• 26. Costa P, Ermini T, de Siqueira Sigaud, et al. Effects of an educational playful intervention on nasal hygiene behaviours of preschoolers: a quasi-experimental study. Health Promotion Perspectives 2019;9(1):50.
• 27. Citak Tunc G, Yavas H. The impact of using creative drama in the delivery of Body Safety Training Programs for preschool children on preventing sexual abuse in Turkey. Psychology in the Schools 2022;59(5):915-931.
• 28. Mbakaya BC, Zgambo M, Kalembo FW. Hand hygiene knowledge and demonstrated technique among Malawian kindergarten children: A quasi‐experimental study. Nursing Open 2023.
• 29. Sigaud CHDS, Santos BRD, Costa P, et al. Promoting oral care in the preschool child: effects of a playful learning intervention. Revista Brasileira de Enfermagem 2017;70:519-525.
• 30. Suen LKP, Cheung JPL. Effectiveness of “Hand Hygiene Fun Month” for kindergarten children: A pilot quasi-experimental study. International Journal of Environmental Research and Public Health 2020;17(19):7264.
• 31. Öncü E, Vayısoğlu SK, Lafci D, et al. Comparison of interactive education versus fluorescent concretization on hand hygiene compliance among primary school students: A randomized controlled trial. The Journal of School Nursing 2019;35(5):337-347.
• 32. Schuez-Havupalo L, Toivonen L, Karppinen S et al. Daycare attendance and respiratory tract infections: a prospective birth cohort study. BMJ Open 2017;7(9):e014635.
• 33. Collado V, Pichot H, Delfosse C et al. Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life: A prospective comparative study. Medicina Oral, Patología Oral Cirugía Bucal 2017;22(3):e333.
• 34. Mendes S, Ferreira D, Bernardo M. Parent-reported toothbrushing behaviour in the Portuguese preschool population. European Archives of Paediatric Dentistry 2022;23(6):961-968.
• 35. Baker SD, Lee JY, Wright R. The importance of the age one dental visit. Chicago, IL: Pediatric Oral Health Research and Policy Center, American Academy of Pediatric Dentistry [Internet] 2019 [cited 16 April 2024]. Available from https://www.aapd.org/globalassets/media/policy-center/year1visit.pdf
• 36. Spurr S, Bally J, Ogenchuk, M. Integrating oral health into pediatric nursing practice: Caring for kids where they live. Journal for Specialists in Pediatric Nursing 2015;20(2)105-114.
• 37. Fitzpatrick C, McKinnon RD, Blair CB, et al. Do preschool executive function skills explain the school readiness gap between advantaged and disadvantaged children? Learning and Instruction 2014;30:25-31.
• 38. McNaughton DB, Cowell JM, Fogg L. Efficacy of a Latino mother-child communication intervention in elementary schools. The Journal of School Nursing 2015;31:126–34.
• 39. Puskar KR, Ren D, McFadden T. Testing the ‘teaching kids to cope with anger’ youth anger intervention program in a rural school-based sample. Issues Ment Health Nurs 2015;36:200–8.
• 40. Swartz K, Musci RJ, Beaudry MB, et al. School-based curriculum to improve depression literacy among U.S. secondary school students: A randomized effectiveness trial. Am J Public Health 2017;107:1970–6.
• 41. Trawick-Smith, J. The physical play and motor development of young children: A review of literature and implications for practice. Center for Early Childhood Education. USA: Eastern Connecticut State University. 2014.
• 42. Baker-Henningham H, Bowers M, Francis T, et al. The Irie Classroom Toolbox, a universal violence-prevention teacher-training programme, in Jamaican preschools: a single-blind, cluster-randomised controlled trial. The Lancet Global Health 2021;9(4):e456-e468.
• 43. Wong RS, Tung KT, Wong HT, et al. A mobile game (Safe City) designed to promote children’s safety knowledge and behaviours: protocol for a randomized controlled trial. JMIR Research Protocols 2020;9(6):e17756.
• 44. Al Rumhi A, Al Awisi H, Al Buwaiqi M, et al. Home accidents among children: a retrospective study at a tertiary care center in Oman. Oman Medical Journal 2020;35(1):e85.
• 45. Abbassinia M, Barati M, Afshari M. Effectiveness of interventions in preventing home injuries among children under five years of age: A systematic review. Archives of Trauma Research 2019;8(4):190-197.
• 46. Apaydın Cırık V, Efe E, Velipaşaoğlu, S. Educating children through their parents to prevent child sexual abuse in Turkey. Perspectives in Psychiatric Care 2020;56(3):523-532.
• 47. Russell D, Higgins D, Posso A. Preventing child sexual abuse: A systematic review of interventions and their efficacy in developing countries. Child Abuse & Neglect 2020;102:104395.
• 48. Lines L, Grant J, Hutton A. How do nurses keep children safe from abuse and neglect, and does it make a difference? A scoping review. Journal of Pediatric Nursing 2018;43:e75-e84.
• 49. Smith MC, Parker ME. Nursing Theories and Nursing Practice (4th Ed). USA: Davis Company, 2015; 11.