Dahlén Johanna, Drevenhorn Eva, Kalnak Nelli
Public Health Nurse, Department of Health Sciences, Lund University, Lund, Sweden.
Department of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Logoped Phoniatr Vocol. 2023 Dec;48(4):189-196. doi: 10.1080/14015439.2022.2081874. Epub 2022 Jun 1.
The aim of the study was to explore the assessment fidelity of a language screening instrument for four-year-old children. is a mandatory part of the healthcare program within the Swedish Child Health Service (CHS) and is offered to all four-year-olds in the region Scania in Sweden.
The study was based on structured observations of twenty-four specialist CHS nurses' adherence to the protocol during screening.
All the observed nurses deviated from the test protocol. There was a large variation in the number of deviations from the test protocol per nurse, with the highest number of deviations occurring for three specific testing items. Significantly more deviations were made with four-year-old bilingual children as opposed to four-year-old monolingual children. Half of the nurses did not use the test protocol.
There is a clear need to improve the assessment fidelity of . Both the training that the nurses are offered, and the development of the test, are essential in securing the aim of high-quality work within the CHS. Support from experts in child speech-language development and disorders is suggested to be available at the CHS in Sweden.
本研究旨在探讨一种针对四岁儿童的语言筛查工具的评估准确性。该筛查工具是瑞典儿童健康服务（CHS）医疗保健项目的强制性组成部分，瑞典斯科讷地区的所有四岁儿童均可使用。
本研究基于对24名CHS专科护士在筛查过程中遵循该方案情况的结构化观察。
所有观察到的护士均偏离了测试方案。每位护士偏离测试方案的次数差异很大，其中三个特定测试项目的偏差次数最多。与四岁单语儿童相比，四岁双语儿童的偏差明显更多。一半的护士未使用测试方案。
显然需要提高该筛查工具的评估准确性。为护士提供的培训以及测试工具的开发对于实现CHS高质量工作的目标至关重要。建议瑞典的CHS能够获得儿童言语语言发展和障碍方面专家的支持。
