J Pediatr Health Care. 2019 Jul-Aug;33(4):466-477. doi: 10.1016/j.pedhc.2019.01.004. Epub 2019 Mar 14.
Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses.
A qualitative descriptive study explored the screening behaviors, skills, and environmental facilitators/constraints of 24 family nurse practitioners (FNPs) who cared for pediatric patients from birth to 5 years of age in primary care settings. An inductive approach to content analysis was used to interpret the data.
Five main themes emerged: (a) Developmental Screening Behaviors During Well-Child Visits, (b) Developmental Screening Behaviors When a Concern Was Raised, (c) Need for Additional Developmental Screening Skills, (d) Factors That Support Developmental Screening, and (e) Factors That Limit Developmental Screening. Sixteen subthemes supported the main themes.
Most FNPs were not using standardized tools. Behaviors mainly consisted of actions that were informal. FNPs were not familiar with current recommendations, and they had difficulty describing most instruments.
研究人员发现，许多初级保健提供者并未遵循发育筛查建议。关于高级执业护士的筛查行为的研究很少。
一项定性描述性研究探讨了 24 名家庭执业护士（FNPs）的筛查行为、技能以及在初级保健环境中照顾从出生到 5 岁儿科患者的环境促进因素/限制因素。采用归纳法对数据进行解释。
出现了五个主要主题：（a）在儿童健康访视期间进行发育筛查，（b）当出现问题时进行发育筛查，（c）需要额外的发育筛查技能，（d）支持发育筛查的因素，以及（e）限制发育筛查的因素。16 个子主题支持了主要主题。
大多数 FNPs 没有使用标准化工具。行为主要由非正式的行为组成。FNPs 对当前的建议不熟悉，并且他们难以描述大多数工具。
