Background: Vision screenings are important in identifying visual anomalies likely to disrupt the physical, intellectual, social and emotional development of children. School health services globally include vision screenings, complementing a variety of associated screening services.Aim: This review article provides evidence for content, provision and efficacy of the vision screening services for children of school-going age and reports on the current practice of children’s vision screenings worldwide including in South Africa.Methods: Studies were identified from PubMed, Ebscohost and Science Direct with the search terms utilised during the selection of electronic articles and journals for the review. The target population includes children of school-going age from 6 to 19 years without previously known conditions associated with visual anomalies and learning-related problems. The quality of vision screening programmes and policies for the school-going age children in different countries were evaluated using Wilson and Jungner criteria.1Results: Vision screening programmes worldwide appear to support comprehensive vision screening methods among pre-schoolers (from birth to ≤ 6 years vs. children of school-going age). The development of vision screening procedures in some countries in the United States of America (USA) was found to be grounded on epidemiologic findings and principles. These may have contributed towards the formulation of national vision screening guidelines for pre-schoolers that supported the detection of amblyopia and its associated conditions such as strabismus, anisometropia and myopia. School-going children’s vision screenings are not supported worldwide as research has shown that there is lack of benefits for detecting other visual anomalies such as vergence and accommodative dysfunctions. This is despite evidence provided by the literature reviewed that an association exists between prevalent accommodation and vergence dysfunctions including poor ocular motilities and poor near-vision, among children of school-going age with poor academic performance.Conclusion: The guidelines worldwide support school vision screenings, especially for the pre-schoolers by the school health nurses, with other programs having considered the teachers, optometrists or orthoptists as the appropriate personnel to conduct the school vision screenings. There is still a need for the effectiveness of the school vision-screening programmes to be investigated related to the importance of detecting convergence and accommodative dysfunctions for the school going age children.
PURPOSE: The purpose of this study was to investigate and understand patient satisfaction with caring at a district hospital in Malawi. MATERIALS & METHODS: The study used a mixed methods design, employing the sequential explanatory strategy. A total of 120 adult patients completed a survey questionnaire (phase one), and of these, two patients were followed up with individual interviews (phase two). RESULTS: Data were analyzed using statistical procedures, thematic analysis and an integration process of quantitative and qualitative findings. Highest patient satisfaction (90.6%; M=4.53; SD=0.879) occurred with nurses’ presence; while lowest satisfaction (37.4%; M=1.87; SD=1.710) was seen with patient teaching. Patients’ lived experiences revealed that nurses’ demonstration of presence and professional proficiency were critical to caring. UNIQUE CONTRIBUTION TO THEORY, PRACTICE AND POLICY: To enhance improved caring, there was a need for nurses to increase personal presence, promote patient involvement in decision-making, and demonstrate competent confidence.
Background: What constitutes an appropriate vision screening protocol is controversial, because the tests or methods are expected to be cost-effective, expedient and easy but efficient in detecting visual anomalies among children.Aim: This review intends to compare the different vision screening tests for children and methods in the interest of identifying the most effective screening method from the standpoint of validity, public acceptance, expediency and cost.Method: The literature search was performed for this review using the Medline, Science Direct and EBSCOhost databases. The search terms used were vision screening methods or tests, children’s vision screenings, computer software programs and vision screening instruments. The inclusion criteria for the articles reviewed were all types of articles related to vision screening methods. The exclusion criteria were all articles for which full text was not available and those not available in English. Eighty articles were analysed, of which 33 were found to have complied with the inclusion criteria and were selected. From the first round of articles retrieved, additional references were identified by a manual search among the cited references.Results: Evidence from the literature reviewed demonstrated that the conventional vision screening method (isolated and combination tests) is the method commonly used to detect a range of relevant visual anomalies among the schoolgoing age group (≥ 6 years) and drew attention to the need for training of vision screening personnel. However, in addition to the conventional method, other vision screening methods include instruments as an adjunct for screening preschoolers and those difficult to screen (≤ 6 years).Conclusion: Inconsistencies in what constitutes an appropriate vision screening method still exist, especially with the booming market of using computer software programs, which still needs to be validated.
Unwanted pregnancies with their negative impact on both women and children occur on an ongoing basis in Gauteng, South Africa. One way to prevent unwanted pregnancies is to use a reliable contraceptive method available free of charge from primary health care clinics providing family planning services throughout Gauteng Province. A literature review was completed on women and access to family planning services and an interview schedule (questionnaire) was developed. The purpose of this study was to describe guidelines to meet the expectations of clients accessing family planning services provided by a clinic in Region F, Area 28 of the Greater Johannesburg metropolitan council. This quantitative, exploratory, descriptive and comparative study measured the gaps between the expectations of participants on service delivery and the extent to which these expectations were met. A convenience sample was conducted and consisted of 50 women of reproductive age (ages 15 to 49) attending the family planning clinic. Pre-testing of the instrument was conducted. Structured interviews with a interview schedule were conducted before and after women attended a family planning service. Inferential statistics indicated that there was a significant gap between the client expectations of family planning service delivery and the extent to which these expectations were met. Of the sixty-four items where women indicated the extent of their expectations the findings on only three items were not statistically significant. These gaps were addressed by proposing managerial guidelines to be implemented by the nurse manager in charge of the facility, on which this article will focus. Validity and reliability principles were ensured in the study. Ethical principles were adhered to during the research process
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.