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促进听力损失儿童的教育公平:庆祝《残疾人教育法》(IDEA)颁布50周年。

Advancing Educational Equity for Children with Hearing Loss: Celebrating the 50 Anniversary of the Individuals with Disability Education Act (IDEA).

作者信息

Brenner Clinton R, Pandian Alwyn T, Hughes Sarah E, Stach Casey J, Thomas Ellen S, Vereb Anita F, Pleasant Terence K, Khang Erin M, Estheimer Kris

机构信息

University of Michigan-Ann Arbor.

Penn State.

出版信息

ORL Head Neck Nurs. 2025 Spring;43(2):40-47.

Abstract

The Individuals with Disabilities Education Act has been pivotal in securing necessary accommodations, specialized instruction, and assistive technologies, thereby promoting educational equity. Despite these advances, children with hearing differences continue to face significant barriers in early identification, intervention, and inclusion, necessitating the continuous advocacy and involvement of interdisciplinary professionals in educational and healthcare settings. Nurses are instrumental in bridging healthcare and education, facilitating early detection of hearing differences through newborn screenings and routine school assessments. They have a role in coordinating medical and educational services and advocating for individualized accommodations that enhance learning experiences. However, inconsistent screening policies and lack of awareness among parents, educators, and pediatricians about early indicators of hearing differences persist represent barriers to timely intervention. This article also explores the broader social determinants affecting access to resources and interventions for children with hearing differences, such as socioeconomic disparities and insurance coverage. It advocates for stronger policies and resources to address these inequities and calls for an expanded role of nurses in promoting comprehensive educational access. As IDEA continues to evolve, there is an ongoing need for innovative approaches, including the integration of advanced technologies and interdisciplinary collaboration, to ensure that all children with hearing differences can achieve their full academic potential and quality of life.

摘要

《残疾人教育法》在确保必要的便利条件、专业指导和辅助技术方面发挥了关键作用,从而促进了教育公平。尽管取得了这些进展,但有听力差异的儿童在早期识别、干预和融入方面仍然面临重大障碍,这就需要跨学科专业人员在教育和医疗环境中持续进行倡导和参与。护士在连接医疗保健和教育方面发挥着重要作用,通过新生儿筛查和常规学校评估促进对听力差异的早期发现。他们在协调医疗和教育服务以及倡导个性化便利条件以提升学习体验方面发挥着作用。然而,筛查政策不一致以及家长、教育工作者和儿科医生对听力差异早期指标缺乏认识,仍然是及时干预的障碍。本文还探讨了影响有听力差异儿童获得资源和干预措施的更广泛社会决定因素,如社会经济差距和保险覆盖范围。它主张制定更强有力的政策和资源来解决这些不平等问题,并呼吁扩大护士在促进全面教育机会方面的作用。随着《残疾人教育法》不断发展,持续需要创新方法,包括整合先进技术和跨学科合作,以确保所有有听力差异的儿童都能充分发挥其学术潜力并提高生活质量。

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本文引用的文献

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Hearing Impairment and School Engagement Outcomes in US Children.美国儿童的听力障碍和学校参与度结果。
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Paediatric cochlear implantation factors that affect outcomes.影响小儿人工耳蜗植入效果的因素。
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