Robstad Nastasja, Westergren Thomas, Mølland Eirin, Abildsnes Eirik, Haraldstad Kristin, Stamnes Köpp Unni Mette, Håland Åshild Tellefsen, Fegran Liv
Department of Health and Nursing Science, Faculty of Health and Sports Sciences, University of Agder, P.O. Box 422, 4604, Kristiansand, Norway.
NORCE, Universitetsveien 19, 4630, Kristiansand, Norway.
BMC Health Serv Res. 2022 Jun 1;22(1):728. doi: 10.1186/s12913-022-08088-x.
Although child health services are well established in Norway, the use of information technology for the systematic collection of evidence-based child- and proxy-reported health measures may be beneficial in the early identification of child development problems. The Norwegian "Starting Right™" health service innovation consists of parent- and child-reported online structured health assessments tools, including practical routines for child and school health assessments. The aim of this study was to explore the experiences of child and school health nurses with the Starting Right innovation.
We used a qualitative design and conducted three focus group interviews with 18 child and school health nurses from three child health centres one year after the implementation of the innovation.
The experiences of professionals with the Starting Right innovation were captured by three themes: (1) the digital innovation could be used to obtain a good overview of a child's health and development; (2) interpreting the questionnaires was a challenge; and (3) implementing the new digital innovation was time-consuming.
Overall, the child and school health nurses experienced that the Starting Right innovation was useful for providing a comprehensive overview of child development and health. The challenges related to interpreting the parents' scores and follow-up of children, as well as providing the questionnaires in relevant foreign languages, should be addressed to allow all children and families to be reached.
尽管挪威的儿童健康服务体系已很完善，但利用信息技术系统收集基于证据的儿童及家长报告的健康指标，可能有助于早期发现儿童发育问题。挪威的“正确起步™”健康服务创新项目包括家长和儿童报告的在线结构化健康评估工具，以及儿童和学校健康评估的实际流程。本研究旨在探讨儿童和学校健康护士对“正确起步”创新项目的体验。
我们采用质性设计，在该创新项目实施一年后，对来自三个儿童健康中心的18名儿童和学校健康护士进行了三次焦点小组访谈。
专业人员对“正确起步”创新项目的体验可归纳为三个主题：（1）数字创新可用于全面了解儿童的健康和发育情况；（2）解读问卷是一项挑战；（3）实施新的数字创新耗时较长。
总体而言，儿童和学校健康护士认为“正确起步”创新项目有助于全面了解儿童发育和健康状况。为了让所有儿童和家庭都能参与其中，应解决与解读家长评分、儿童随访以及提供相关外语问卷有关的挑战。
