Child development surveillance: intervention study with nurses of the Family Health Strategy

Abstract

Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care. Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated. Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development. Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

A Prática Do Enfermeiro Na Consulta De Puericultura Na Estratégia Saúde Da Família

“…In this study, assessment of neuropsychomotor development was performed together with the physical examination of the child and, in the anamnesis, the mother was asked about the development of her child, as stated in the MH guideline. 5 Therefore, the results of this study indicate that despite their great importance for the prevention of diseases, many children attending the health centers in the PHC are at risk of developmental delay, 30 and one of the risk factors includes living conditions. 12 A study conducted in South Korea demonstrated that professionals should detect early changes in the development of children belonging to low-income families because the environmental factors that surround children living in poverty influence their development.…”

Nursing Interventions to Promote Child Development Through Bronfenbrenner's Bioecological Theory

“…The year 2015 presented a higher number, with six studies (25%). [24][25][26][27][28][29] The countries with predominance of studies were Australia and the United States, which together totaled 12 studies (50%) 24,[30][31][32][33][34][35][36][37][38][39][40] Among the countries with two studies or less, there is Brazil 29,41 , as shown in Chart 1.…”

Effectiveness of an intervention with mothers to stimulate children under two years

“…Collective actions involving educational practices in health, such as those carried out in this study, need to be seen as moments of sharing ideas that respect diversity, being the health professional a true facilitator and a link between the community for the promotion of child development ( 27 ) .…”

“…In addition to the active methodology, the mothers’ initiative to be present in the educational workshops may also have contributed to the positive results, since, when they became aware of the workshops, they showed interest in participating and a desire to improve their knowledge about the theme addressed. This aspect is very relevant, because the change of attitude is only possible from the personal will of each individual to learn something new related to previous knowledge, because otherwise all learned content will be quickly forgotten ( 27 ) .…”