Vigilância do desenvolvimento da linguagem da criança: conhecimentos e práticas de profissionais da atenção básica à saúde

Abstract

Purpose: to analyze the knowledge and practices of nurses, doctors and dentists working in Primary Care for the development of the child's language early in life Methods: it is a qualitative research with 30 professionals from a network of Primary Care, among them doctors, nurses and dentists. An individual consultation was carried out through a semi-structured questionnaire. The technique of thematic speech analysis was used using three methodological approaches:The Central Idea, Expressions-Keys and the Collective Subject Discourse. Results: the knowledge that professionals have about the development of children's language were anchored to the core ideas to meet some milestones of development, the child's language depends on the middle stimulus, the family and normal hearing to know little or know nothing about the subject. The professionals reported that they would like to get more information on the subject in relation to the milestones of the child's language development, normal deviations and guidelines for parents in order to improve the care of children's health. Conclusion: the knowledge of professionals on the subject has been limited, and there is a need to expand educational practices in health through speech therapy, in partnership with the institutions of education

Atuação fonoaudiológica na atenção básica na perspectiva de profissionais dos núcleos de apoio à saúde da família

“…As for the role of the speech-language therapist in language-related aspects, a previous study conducted with PC professionals showed only 53.33% of participants were able to identify possible language issues. This same study found that PC professionals have an interest in deepening the knowledge on the development of language in childhood (20) . These data are extremely important for speech-language therapy, since their presence in PC is justified, either by supporting FHSs in the discussion of cases involving language issues, or by proposing permanent education measures with the same professionals.…”

“…The recorded sentences show that at least four of them refer to the role of the SLT in the care of issues related to the literacy period, where they mention that the SLT can act in conjunction with "learning disorders", "ADHD", "reading and writing issues", as well as their presence in the actions of the HSP. It should be noted that the diagnosis and intervention of language issues need to be carried out early since the first years of the child's development are essential for the acquisition of linguistic content (20) . Therefore, the warning signs of such changes should be observed carefully by all professionals who are involved with the care of the child population (21) .…”

Conhecimentos básicos de pais de crianças submetidas a tratamento fonoaudiológico quanto à audição e linguagem

“…Essa importância de que os pais tenham o conhecimento sobre o desenvolvimento típico auditivo e de linguagem também se fundamenta em pesquisas anteriores que demonstraram a necessidade de ampliar os conhecimentos sobre esta temática expressada por profissionais, como pediatras, enfermeiros e cirurgiões-dentistas para aprimorar para suas condutas como o encaminhamento precoce ao fonoaudiólogo [10][11]…”

“…Goulart11 . Além dos tópicos contidos no questionário base, foram elaboradas questões extras que abordaram aspectos do nível de informação e sobre a queixa dos pais, relacionados à linguagem e audição (Quadro 1).…”

O uso da CIF no acompanhamento do desenvolvimento auditivo e de linguagem de crianças no primeiro ano de vida

“…This is also true for many other health problems or risks in children. Language development follow-up, for example, enables the assessment of the integrity of neural systems involving hearing, cognitive development, motor articulation function, among other sensory and cognitive aspects 8 . Even after the introduction of Newborn Hearing Screening, the concern with hearing and language development during the first year of life has been the object of study for several authors who say there is a high rate of newborn evasion who do not proceed with the audiological identification and/or diagnosis process [9][10][11] .…”