Department of Social and Psychological Sciences, Karlstad University, Karlstad, Sweden.
Department of Research and Development, Region Värmland, Karlstad, Sweden.
Nurs Open. 2023 Sep;10(9):6583-6591. doi: 10.1002/nop2.1918. Epub 2023 Jun 14.
To investigate the experience of Child Health Care Nurses (CHCNs) using language screening for 2.5-year-old children.
An exploratory qualitative design with an inductive approach.
Data were collected through semi-structured, interviews with Swedish CHCNs who regularly performed language screening for children. The interviews were analysed by thematic analysis.
Four themes were identified: 'The difficult visit', 'Explanations for language delay', 'Language screening across cultures' and 'Language screening with children exposed to adverse life events'.
Our findings suggest that in routine care a modified procedure is used for the language screening of children aged 2.5 to secure the child's cooperation and to preserve an alliance with the parents. Consequently, the validity of the screening is called into question, particularly when it comes to children from families with origins outside the dominant culture and children exposed to adverse life events.
调查儿童保健护士（CHCN）使用 2.5 岁儿童语言筛查的经验。
采用探索性定性设计和归纳法。
数据收集来自经常对儿童进行语言筛查的瑞典 CHCN 的半结构化访谈。通过主题分析对访谈进行分析。
确定了四个主题：“困难的访问”、“语言延迟的解释”、“跨文化的语言筛查”和“接触不良生活事件的儿童的语言筛查”。
我们的研究结果表明，在常规护理中，对 2.5 岁儿童的语言筛查采用了修改后的程序，以确保儿童的合作并与父母保持联盟。因此，筛查的有效性受到质疑，特别是对于来自主流文化以外家庭的儿童和接触不良生活事件的儿童。
