Perceptions of School Nurses
And Teachers of Fatigue in Children
Margaret A. McCabe
The aim of this study was to elicit school nurses' and teachers' perceptions of
fatigue in school settings. Fatigue was defined as tiredness, not relieved by usual
sleep or rest; a symptom that persists beyond an isolated experience of feeling
tired. Four focus groups were conducted to elicit data for this qualitative descriptive
study. Purposive sampling was used to identify school nurse and teacher participants
who were asked to discuss their perceptions of fatigue. Content analysis
of verbatim transcripts yielded several major themes. Forty-six codes
emerged from the data and were routinely applied during the analysis. Nineteen
of these codes were used 20 times or more and applied to all four transcripts.
Participants could clearly identify and readily discuss behaviors related to fatigue.
Data describe how children attending school express fatigue in their everyday
life. Findings validate the need for nurses in ambulatory pediatric settings to be
aware of fatigue as a symptom that children and adolescents may experience.