Williams Jane, Holmes Colin
School of Nursing Sciences, James Cook University, Townsville, Australia.
Contemp Nurse. 2004;18(1-2):57-66. doi: 10.5172/conu.18.1-2.57.
This article briefly explores the literature focusing on early childhood development, parenting and the provision of health services to young families. It highlights a number of reasons why some children with subtle developmental difficulties are not identified until school age. Relevant to child health nurses are: a changing focus on early childhood health issues; low repeat attendance at child health clinics, and the reluctance of parents to seek assistance; the impact of socio-economic status, cultural and ideological influences; the challenges presented in using complex screening tools; the difficulty in detecting subtle developmental problems; the lack of involvement of parents in decision-making; and, the reluctance of both professionals and parents to 'label' children. Drawing attention to these issues is essential for child health nurses who have the opportunity to provide effective and timely assistance to families and young children.
本文简要探讨了关注幼儿发展、育儿以及为年轻家庭提供健康服务的相关文献。它强调了一些有轻微发育困难的儿童直到学龄期才被发现的诸多原因。与儿童健康护士相关的因素包括：对幼儿健康问题的关注转变；儿童健康诊所复诊率低以及家长不愿寻求帮助；社会经济地位、文化和思想观念的影响；使用复杂筛查工具所带来的挑战；检测轻微发育问题的困难；家长缺乏参与决策；以及专业人员和家长都不愿给孩子“贴标签”。对于有机会为家庭和幼儿提供有效及时帮助的儿童健康护士来说，关注这些问题至关重要。
