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南非学校卫生政策中视力筛查部分的学校保健护士观点

Vision screening as part of the school health policy in South Africa from the perspective of school health nurses.

机构信息

Discipline of Optometry, Faculty of Health Sciences, University of Johannesburg, Johannesburg.

出版信息

Afr J Prim Health Care Fam Med. 2022 Feb 7;14(1):e1-e8. doi: 10.4102/phcfm.v14i1.3172.

DOI:10.4102/phcfm.v14i1.3172
PMID:35144447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8905394/
Abstract

BACKGROUND

Vision screenings of school-going children are essential in the early detection of visual anomalies common in different age categories, which may negatively affect their academic ability and social development. Hence, their inclusion in school health policies is imperative. The aim of this study was to assess the implementation of vision screening protocols in the current Integrated School Health Screening policy of South Africa from the perspective of school health personnel.

AIM

The study sought to explore the perceptions, experiences and attitudes of the school health nurses on vision screenings included as part of the school health screenings in Gauteng province (South Africa).

SETTING

This study was located across three public healthcare facilities across Gauteng at primary healthcare levels.

METHODS

Three teams of 13 school health personnel from three primary healthcare facilities in the district of Ekurhuleni were invited to participate in the study. Focus group interviews were conducted for generating information on collective opinions and the rationale behind their views.

RESULTS

Results of the collected qualitative data revealed challenges related to training, vision screening tests, referral criteria and follow-ups or referral pathways. In addition, further challenges reported were related to communication, time, space and consent forms not signed by the parents.

CONCLUSION

Improved cohesion and communication between all role players will enable reasonable and professional provision of validated vision screening services that have the best chance of early detection of children with vision anomalies to negate possible adverse effects on their scholarly performance.

摘要

背景

对在校儿童进行视力检查对于早期发现不同年龄段常见的视力异常至关重要,这些异常可能会对他们的学习能力和社会发展产生负面影响。因此,将其纳入学校卫生政策势在必行。本研究旨在从学校卫生人员的角度评估南非当前综合学校健康筛查政策中视力筛查方案的实施情况。

目的

本研究旨在探讨加泰罗尼亚省(南非)学校健康筛查中包含的视力筛查部分,学校卫生护士对其的看法、经验和态度。

设置

本研究位于豪登省三个初级保健设施中的三个公共保健设施。

方法

邀请来自埃库鲁莱尼地区三个初级保健设施的三个学校卫生人员小组参加研究。进行焦点小组访谈以获取有关集体意见和观点背后的基本原理的信息。

结果

收集的定性数据的结果显示出与培训、视力筛查测试、转诊标准和随访或转诊途径相关的挑战。此外,还报告了进一步的挑战,涉及沟通、时间、空间和家长未签署的同意书。

结论

所有参与者之间的凝聚力和沟通得到改善将使合理和专业地提供经过验证的视力筛查服务成为可能,从而有最好的机会早期发现视力异常的儿童,以消除对其学习成绩可能产生的不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2138/8905394/848f7a638c09/PHCFM-14-3172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2138/8905394/848f7a638c09/PHCFM-14-3172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2138/8905394/848f7a638c09/PHCFM-14-3172-g001.jpg

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