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Nurses’ experiences of screening for communication difficulties at 18 months of age
Author(s) -
Fäldt A,
Nordlund H,
Holmqvist U,
Lucas S,
Fabian H
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14557
Subject(s) - checklist , medicine , competence (human resources) , focus group , toddler , communication skills , nursing , medical education , developmental psychology , psychology , social psychology , marketing , business , cognitive psychology
Aim Early identification of communication disorders is important and may be possible through screening in the child health services. The aim of the study was to investigate nurses’ experiences and sense of competence when using the Infant‐Toddler Checklist (ITC) communication screening at the 18‐month health visit. Methods A mixed‐methods design including three focus group interviews (n = 14) and a web‐based survey (n = 22) among nurses using the ITC or the standard method. Interview data were analysed through systematic text condensation and a deductive analysis based on implementation theory. Groups were compared using Mann–Whitney tests. Result Three themes emerged: Using a structured evaluation of communication changes, the dynamic, ITC is a beneficial tool and Implementation of the ITC faces a few challenges. Nurses who used the ITC perceived to a greater extent that they used a structured method (p = 0.003, r = 0.9) and felt more secure in describing the child's communication and language development to parents (p = 0.006, r = 0.83) compared to the standard method group. Conclusion Using the ITC supported the nurses in their assessment of communication at 18 months. Nurses’ sense of competence was higher when using the ITC, both in their assessment and in communicating with parents.