Enablers and Barriers to Identifying Children at Risk of Developmental Delay: A Pilot Study of Australian Maternal and Child Health Services.
Background: Twenty per cent of Australian children enter primary school with at least one area of developmental vulnerability (Commonwealth of Australia. (2018). Australian early development census [AEDC]. Retrieved from https://www.aedc.gov.au/.). This statistic is in the context of Maternal and Ch...
| Publicado en: | Maternal & Child Health Journal Vol. 25; no. 6; pp. 967 - 980 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150496189&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150496189 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jun2021 vid: 25 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 150496189 147304397 150496189 150496189 10.1007/s10995-020-03077-0 150496189 ppf: 967 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Enablers and Barriers to Identifying Children at Risk of Developmental Delay: A Pilot Study of Australian Maternal and Child Health Services. aug: au: Sheeran, Leanne Zhao, Lin Buchanan, Kerrie Xenos, Sophia affil: Discipline of Nursing, School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia sug: subj: Health Services Accessibility Developmental Disabilities Risk Factors Maternal Health Services Child Health Services Risk Assessment Human Pilot Studies Multimethod Studies Internet Focus Groups Australia Health Screening Interviews Descriptive Statistics Data Analysis Software Questionnaires Adult Middle Age Thematic Analysis Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Twenty per cent of Australian children enter primary school with at least one area of developmental vulnerability (Commonwealth of Australia. (2018). Australian early development census [AEDC]. Retrieved from https://www.aedc.gov.au/.). This statistic is in the context of Maternal and Child Health (MCH) services offering regular developmental screening up to 8 times between 2 weeks and 3.5 years of age. Objectives: This study investigated: (1) enablers and barriers influencing MCH nurses in identifying children from birth to school age at risk of developmental delay. This focused on their experience, knowledge, attitudes and skills regarding the use of developmental screening tools. And (2) strategies to support MCH nurses and parents to identify children at risk of delay. Method: This mixed-methods study combined an online questionnaire and three focus groups and participants were MCH Nurses (N = 19) from one Australian municipality. Results: MCH nurses surveyed (N = 19) reported more confidence in screening older children compared to children younger than 12 months. 15 of 19 nurses did not have accurate knowledge and skill in using PEDS and Brigance screens. In the focus group interviews (N = 16), time restraints, language used in developmental screening tools, and excessive waiting time for referral were raised as key barriers to identifying children at risk. Limitations: While the study provides rich insight, caution needs to be exercised when making generalisations from the findings given the small number of participants from one municipality. Conclusion: Recommendations for practice, service management, and further research are provided to improve the process of early detection. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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