Preliminary assessment of a standardized vision screening guideline in a pediatric inpatient rehabilitation unit.

OBJECTIVE: This study aimed to evaluate the impact of a standardized vision screen guideline on occupational therapy vision screens in a pediatric inpatient rehabilitation unit. METHODS: Charts of patients admitted to a pediatric inpatient rehabilitation before guideline implementation (n = 47) vers...

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Publicado en:Journal of Pediatric Rehabilitation Medicine Vol. 17; no. 2; pp. 199 - 210
Autores principales: Wentz, Jordan R., Wentz, Erin E., Pierce, Samuel R.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Pediatric Rehabilitation Medicine
      issn: 18745393
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      dt: 2024
      vid: 17
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        178180733
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        10.3233/PRM-220137
        178180733
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        atl: Preliminary assessment of a standardized vision screening guideline in a pediatric inpatient rehabilitation unit.
      aug:
        au:
          Wentz, Jordan R.
          Wentz, Erin E.
          Pierce, Samuel R.
        affil: The Children's Hospital of Philadelphia, Philadelphia, PA, USA
      sug:
        subj:
          Vision Screening Standards
          Guideline Adherence
          Rehabilitation, Pediatric
          Rehabilitation Centers
          Pediatric Occupational Therapy
          Human
          Male
          Female
          Inpatients
          Implementation Science
          Record Review
          Retrospective Design
          Quality Improvement
          Decision Trees
          Chi Square Test
          Mann-Whitney U Test
          T-Tests
          Pearson's Correlation Coefficient
          Descriptive Statistics
          Male
          Female
      ab: OBJECTIVE: This study aimed to evaluate the impact of a standardized vision screen guideline on occupational therapy vision screens in a pediatric inpatient rehabilitation unit. METHODS: Charts of patients admitted to a pediatric inpatient rehabilitation before guideline implementation (n = 47) versus charts after implementation (n = 47) were randomly, retrospectively reviewed to explore differences in visual skills screened and use of standardized assessments. RESULTS: Significant improvements (p < = 0.05) were found in the number of visual skills screened (p = 0.034), use of standardized assessments (p = 0.005), and screening of the specific visual skills of accommodative amplitude (p = 0.05), suppression (p = 0.015), and double vision (p < 0.001). CONCLUSION: Implementation of a standardized vision screen guideline improved the frequency of vision screens during occupational therapy evaluations in a pediatric inpatient rehabilitation unit. The use of standardized assessments may also improve the quality of vision screens by encouraging staff to complete more comprehensive vision screens, including screening more visual skills, and by prompting use of standardized assessments, which can improve accuracy of screening procedures.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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