Child hearing health: practice of the Family Health Strategy nurses

Azevedo, Suelen Brito; Leal, Luciana Pedrosa; Lima, Maria Luiza Lopes Timóteo; Griz, Silvana Maria Sobral

doi:10.1590/S0080-6234201400005000013

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Original Article • Rev. esc. enferm. USP 48 (05) • Oct 2014 • https://doi.org/10.1590/S0080-6234201400005000013 copy

Child hearing health: practice of the Family Health Strategy nurses^* * Extracted from the dissertation "Prática dos enfermeiros na atenção à saúde auditiva infantil", Post-Graduate Program in Nursing, Universidade Federal Pernambuco, 2014

Salud auditiva infantil: práctica de los enfermeros de la estrategia salud de la familia

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

Evaluating the practice of nurses of the Family Health Strategy (FHS) in child hearing health care.

Method

A normative assessment of structure and process, with 37 nurses in the Family Health Units, in the city of Recife, Pernambuco. The data collection instrument originated from the logical model of child hearing health care provided by nurses of the Family Health Strategy, and the matrix of indicators for evaluation of nursing practice.

Results

All the nurses identified the hearing developmental milestones. At least two risk factors were identified by 94.5% of the nurses, and 21.6% of them carried out educational activities.

Conclusion

The normative assessment was considered adequate despite existing limitations in the structure and process. 

Child; Hearing loss; Child development; Pediatric nursing; Family Health Strategy

Physical space and needed materials	Micro area 1		Micro area 2		Micro area 3		Sanitary district IV
Physical space and needed materials	n=14	%	n=07	%	n=15	%	n=36	%
Room for consultation	14	100.0	07	100.0	15	100.0	36	100.0
Space for educational activities	14	100.0	06	85.7	13	86.7	33	91,7
Table/ chairs/ bed/gurney/exam table	14	100.0	07	100.0	15	100.0	36	100.0
Instruments used for emission of sound	04	28.6	04	57.1	03	20.0	11	30,6
Child health booklet	14	100.0	07	100.0	15	100.0	36	100.0
Registration card/child medical record	14	100.0	07	100.0	15	100.0	36	100.0
Informational materials	00	0.0	00	0.0	02	13.3	02	5,6

Dimension	Sub dimensions	Addressed criteria	Value n=37	Total value %
Technical-scientific adequacy and professional training	Management of risk factors for hearing loss	Identification of risk factors	35	94.5
		Association of risk factors with developmental milestones	37	100.0
		Registration of hearing developmental milestones on form/medical record/child health booklet	37	100.0
		Use of instruments and/or strategies for emission of sound (clapping, snapping fingers, talking, making noise with some instrument as keys, paper, ruler, pen, etc.)	37	100.0
	Monitoring of hearing developmental milestones and conduct	Direct hearing developmental milestones	37	100.0
		Indirect hearing developmental milestones	37	100.0
		Start of hearing screening in the 1st month of life	28	75.6
		Universal Newborn Hearing Screening (UNHS) – qualified audiologist	32	86.4
		Ideal age for the diagnosis of hearing loss	12	32.4
		Ideal age for the intervention/rehabilitation of hearing loss	4	10.8
		Resolution of case 1	33	89.1
		Resolution of case 2	15	40.5
		Resolution of case 3	35	94.5
		Resolution of case 4	37	100.0
	Educational practices	Educational activities on child health hearing for the community	8	21.6
Professional training		Discipline with content related to child health hearing	8	21.6
Professional training		Courses and/or trainings on child hearing health care	3	8.1

Assessment methods	N	%
Percussion instruments	2	5.4
Stimuli for the emission of sound	24	64.9
Percussion instruments and stimuli for the emission of sound	11	29.7
Types of forms for registration
Medical records	13	35.1
Medical records and child registration form	17	46.0
Medical records, child registration form, and child health booklet	4	10.8
Medical records and child health booklet	3	8.1

Evaluated factor	Minimum	Maximum	Mean	Median	Standard deviation	CI (95%)	p-value
Gender
Male	61.2	72.5	66.8	66.8	8.0	-	0.018¹ 1 Student’s t test-
Female	63.8	85.6	75.0	75.0	4.3	73.5 – 76.4
Age (years)
< 40	63.8	85.6	75.6	75.0	5.1	73.1 – 78.1	0.159¹ 1 Student’s t test-
≥ 40	61.2	81.2	73.4	74.4	4.2	71.3 – 75.5	0.159¹ 1 Student’s t test-
Time since graduation (years)
≤ 10	61.2	85.6	73.5	73.7	6.6	69.5 – 77.5	0.246²
nov/20	70.6	81.8	76.5	76.8	3.9	73.9 – 79.2
> 20	70.6	77.4	73.8	75.0	2.6	72.2 – 75.4
Academic title
Specialization	63.8	85.6	74.6	75.0	4.6	72.9 – 76.4	0.662² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
Residence	61.2	81.8	73.7	75.0	6.2	68.0 – 79.4
Master	76.9	76.9	76.9	-	-	-
Operating time (years)
0 - 5	61.2	76.9	72.3	75.0	5.9	67.8 – 76.8	0.262² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
06/out	70.6	85.6	75.6	73.7	5.4	72.0 – 79.3
> 10	70.6	81.8	75.0	75.6	3.5	73.2 – 76.8
Micro area of practice
1	63.8	83.1	74.1	74.4	4.9	71.3 – 76.9	0.926² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
2	70.6	78.1	74.9	75.3	2.7	72.7 – 77.1
3	61.2	85.6	74.7	75.0	5.8	71.5 – 77.9

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Suelen Brito de Azevedo.  Universidade Federal de Pernambuco, Centro de Ciências da Saúde.  Av. Prof. Moraes Rego, 1235 - Cidade Universitária.  CEP 50670-901- Recife, PE, Brasil.  suelenbritoazevedo@gmail.com

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Child hearing health: practice of the Family Health Strategy nurses* * Extracted from the dissertation "Prática dos enfermeiros na atenção à saúde auditiva infantil", Post-Graduate Program in Nursing, Universidade Federal Pernambuco, 2014

Salud auditiva infantil: práctica de los enfermeros de la estrategia salud de la familia

Objective

Method

Results

Conclusion

Child hearing health: practice of the Family Health Strategy nurses^* * Extracted from the dissertation "Prática dos enfermeiros na atenção à saúde auditiva infantil", Post-Graduate Program in Nursing, Universidade Federal Pernambuco, 2014