The perceptions of different professionals on school absenteeism and the role of school health care: A focus group study conducted in Finland.
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PURPOSE OF THE STUDY: School absenteeism and school dropout jeopardize the future health and wellbeing of students. Reports on the participation of school health care in absenteeism reduction are infrequent, although physical and mental health problems are the most common causes of school absenteeism. Our aim was to explore what reasons different professionals working in schools recognize for absenteeism and which factors either promote or inhibit the inclusion of school health care in absenteeism reduction. MATERIALS AND METHODS: Data for this qualitative study was gathered from ten focus groups conducted in two municipalities in southern Finland. The groups included (vice) principals, special education/resource/subject teachers, guidance counselors, school social workers, school psychologists, school nurses, school doctors, and social workers working in child protective services. Data analysis was predominantly inductive but the categorization of our results was based on existing literature. RESULTS: Study participants identified student-, family-, and school-related reasons for absenteeism but societal reasons went unmentioned. A number of reasons promoting the inclusion of school health care in absenteeism reduction arose, such as expertise in health-related issues and the confidentiality associated with health care. Inclusion of school health care was hindered by differences in work culture and differing perceptions regarding the aims of school health care. CONCLUSION: Professionals working in schools were knowledgeable about the different causes of school absenteeism. Clarifying both the aims of school health care and the work culture of different professionals could facilitate the inclusion of school health care in absenteeism reduction.
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In studies focused on professional perspectives, systemic and organizational aspects such as team-based approaches, resource allocation, and interdisciplinary collaboration are frequently highlighted.
“In studies focused on professional perspectives, systemic and organizational aspects, such as team-based approaches, resource allocation, and interdisciplinary collaboration are frequently highlighted (Dennis, 2020;Finning et al., 2018;Melander et al., 2022;Nuttall and Woods, 2013;O'Toole and Æiriæ, 2024).”
From Their voices matter: student and professional perspectives on overcoming school attendance problems in the context of social, emotional, and behavioral difficulties (2025) · cites this paper as Melander et al., 2022
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Cites
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“on students aged from 13 to 15 years, because this is the time when absenteeism often increases [29, 30], and absenteeism during this time period predicts the future academic success of the student [31–33].”
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“Other neighborhood aspects, like gang activity and unsafety of certain neighborhoods [12, 13], may be less relevant in Finland than in other countries.”
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Hejl, C., Ezzaaf Fryland, N., Hansen, R. B., Nielsen, K., & Thastum, M. (2025) · Scandinavian Journal of Educational Research · doi:10.1080/00313831.2024.2434822 · Cited by 14 · see citing works
Enderle, C., Kotschy, L., Ricking, H., & Kreitz-Sandberg, S. (2025) · Frontiers in Education · doi:10.3389/feduc.2025.1627098 · Cited by 5 · see citing works
- Authors
- Melander, K., Kortteisto, T., Hermanson, E., Kaltiala, R., Mäki-Kokkila, K., Kaila, M., & Kosola, S.
- Affiliations
- University of Helsinki (FI)
- Tampere University Hospital (FI)
- Corresponding author
- Melander, Katja
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2022-02-28
- Volume
- 17
- Issue
- 2
- Pages
- e0264259
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC8884500
- OpenAlex
- W4214603562
- Cited by
- 11
- References
- 6
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 1
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Työväentutkimus Vuosikirja (submittedVersion)
- Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by)
- Funders
- Niilo Helander Foundatio
- Suomen Kulttuurirahasto
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Education › Youth Substance Use and School Attendance
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- school absenteeism, school health services, school dropout, school nurses, school psychologists, school social workers, guidance counselors, organizational culture, confidentiality, student health problems, family factors
- MeSH terms
- Absenteeism, Educational Personnel, Adolescent, Child, Delivery of Health Care, Female, Finland, Humans, Male, School Nursing, Schools
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