Ncipals had been contacted and they requested the teachers’ voluntary participation. We’ve got no facts about teachers who might have declined to participate. The inclusion criterion was a minimum of 2 years’ encounter of teaching adolescents in junior higher schools. With the 22 teachers who participated, 5 have been guys and 17 were girls. The age range of participants was 2962 years, with teaching knowledge ranging from three to almost 40 years. Moreover to their roles as classroom teachers, the teachers had roles as specialist teachers, like language teachers, physical education teachers and school counsellors. Data COLLECTION The focus group interviews were conducted throughout the spring semester in 2013. The interviews took location in the teachers’ respective schools at a time hassle-free for them, with interview sessions lasting 700 min. Each group consisted of three to eight participants. Two researchers moderated the group sessions, one as a moderator, plus the other as a co-facilitator. The sessions had been formed by a semistructured interview guide. The key points inside the guide had been the teachers’ experiences with all the discomfort challenges of adolescents, how adolescents expressed pain, variations in between sexes in expressing pain, how adolescents managed discomfort themselves, what the teachers did when confronted with adolescents’ discomfort, and co-operation with school nurses and parents. Each and every interview was digitally recorded and transcribed verbatim by a professional transcriber. Transcripts also incorporated notes and logs taken by the moderator and co-facilitator during the sessions.Rohde G, et al. BMJ Open 2015;5:e007989. doi:ten.1136bmjopen-2015-Open Access Data Evaluation The interviews had been transferred to NVivo V.ten computer software, to organise the transcripts into codes and units of meaning.29 Information have been analysed through an inductive strategy starting with which means condensation, categorisation and thematisation. Methods of evaluation have been: (1) reading all the material to get an general impression and bracketing preconceptions; (2) identifying units of meaning, MedChemExpress MK-4101 representing 
unique elements from the teachers’ experiences and coding for these; (3) condensing and abstracting the meaning inside each and every with the coded groups and (four) summarising the contents of every single coded group to generalise descriptions PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331607 and ideas to a major theme reflecting one of the most important experiences reported by the teachers.28 The researchers had been nurses who had a healthpromotion viewpoint. Our preconceptions have been that teachers are considerable other folks who guide or help adolescents in managing pain and how discomfort influences school performance and every day lifeStomach discomfort and feelings like that, after a though it is shown that they are caused by challenges they are struggling with.The teachers feel that they need to have more time for conversation with adolescents, including time to discuss difficulties regarding the pain they practical experience. However, when teachers use time for such conversation, it encroaches around the time readily available for teaching. Teachers report that they get extra complaints about physical discomfort now than they employed to, and in many instances they relate this to a reduce pain threshold. Knowledgeable teachers comment that adolescents in preceding generations tolerated extra pain, and this might be a purpose why adolescents currently express far more pain:Previously the finger could possibly be nearly cut off. Now it is adequate if there is a splinter in the finger.ETHICAL CONSIDERATIONS Throughout the conduct of the study, the eth.