Can nurses be key players in assessing early motor development using a structured method in the child health setting?

Johansen, Kine; Persson, Kristina; Sarkadi, Anna; Sonnander, Karin; Magnusson, Maria; Lucas, Steven

doi:10.1111/jep.12366

Cited by 7 publications

(10 citation statements)

References 29 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The course comprised general information about the method and training through assessments of infants by video‐observation and discussion. Prior to the present study, the nurses took part in an initial trial applying the method in their own centres to assess the motor performance at regular well‐baby visits [22].…”

Section: Methodsmentioning

confidence: 99%

“…Within the CHS, the nurses have a key medical role and are the primary care providers for the child and her/his family [10]. In a previous study, we therefore tested if child health nurses were able to assess early motor development according to the SOMP-I, and we found that despite having only brief experience with the method, nurses were able to perform a structured assessment of the motor performance in a clinical setting [22]. Implementation science has shown that significant barriers exist to the introduction and maintenance of new methods in routine practice [14,[23][24][25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘Now I use words like asymmetry and unstable’: nurses' experiences in using a standardized assessment for motor performance within routine child health care

Johansen

Lucas

Bokström

et al. 2015

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘Now I use words like asymmetry and unstable’: nurses' experiences in using a standardized assessment for motor performance within routine child health care

Johansen

Lucas

Bokström

et al. 2015

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nevertheless, one cannot rule out that an even closer collaboration between the PTs and the public health nurses may prevent some of these referrals. In Sweden, there is an example of implementation of a screening tool to support the nurses in clinical decision making regarding when to be concerned about motor development (5). In our study, there was a great overlap between referral causes and the PT's functional diagnoses regarding concerns for motor development and asymmetry, indicating that different professionals in Trondheim Municipality evaluate these conditions similarly.…”

Section: Discussionmentioning

confidence: 74%

Profile Of Children Referred To Primary Health Care Physiotherapy: A Longitudinal Observational Study In Norway

Evensen

Sellæg

Stræte

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Children are referred to primary care physiotherapy services for a variety of reasons, ranging from concerns for motor development to the need for extensive habilitation services. There is limited knowledge about their characteristics and outcome. The aim of this study was to describe the variation in baseline demographical and clinical characteristics as well as treatment outcome at follow-up six months after baseline. Methods Children referred to primary care physiotherapy in a municipality in Norway were invited to participate in this longitudinal observational study. The children’s demographics, causes of referral, functional diagnoses, influence on their daily activities, main goals and planned treatments were registered at baseline. Goal attainment and treatment compliance were registered at follow-up maximum six months after baseline. Results Baseline characteristics were registered for 148 children by the physiotherapist and for 101 (68.2%) children by their parents. Half of the children were referred from child health care centres due to concerns for motor development, asymmetry and orthopaedic conditions, and most of these children were below the age of one year. There was partly agreement between causes of referral and the physiotherapists’ functional diagnoses. The children’s daily activities were little affected by the problem or complaint for which they were referred. About a third of the children needed only examination. Follow-up data was registered for 64 children. The majority achieved their main treatment goal and the treatment was carried out as planned. Conclusions This study describes the profile of a broad spectrum of children referred to physiotherapy in primary health care in Norway. Our findings may guide further interdisciplinary collaboration and knowledge transfer between professionals involved in child health care with the goal to balance the use of resources to the need for physiotherapy. Trial registration: ClinicalTrials.gov Identifier: NCT03626389. Registered on August 13th 2018 (retrospectively registered).

show abstract

“…Previously, we have investigated the method’s reliability and some aspects of clinical utility when used by nurses in the child healthcare setting[62,63]. Despite having only brief training and experience with SOMP-I, nurses were able to reliably assess the level of motor development, while more variability was found when assessing the quality of motor performance[63].…”

Section: Introductionmentioning

confidence: 99%

“…Despite having only brief training and experience with SOMP-I, nurses were able to reliably assess the level of motor development, while more variability was found when assessing the quality of motor performance[63]. In focus group interviews, the child health nurses expressed that learning the method was relevant and provided them with a tool to master a central task in their daily clinical practice[62].…”

Section: Introductionmentioning

confidence: 99%

Clinical utility of the Structured Observation of Motor Performance in Infants within the child health services

et al. 2017

Self Cite

View full text Add to dashboard Cite

AimThis study aimed to evaluate the clinical utility of the Structured Observation of Motor Performance in Infants (SOMP-I) when used by nurses in routine child healthcare by analyzing the nurses’ SOMP-I assessments and the actions taken when motor problems were suspected.MethodInfants from three child health centers in Uppsala County, Sweden, were consecutively enrolled in a longitudinal study. The 242 infants were assessed using SOMP-I by the nurse responsible for the infant as part of the regular well-child visits at as close to 2, 4, 6 and 10 months of age as possible. The nurses noted actions taken such as giving advice, scheduling an extra follow-up or referring the infant to specialized care. The infants’ motor development was reassessed at 18 months of age through review of medical records or parental report.ResultsThe assessments of level of motor development at 2 and 10 months showed a distribution corresponding to the percentile distribution of the SOMP-I method. Fewer infants than expected were assessed as delayed at 4 and 6 months or deficient in quality at all assessment ages. When an infant was assessed as delayed in level or deficient in quality, the likelihood of the nurse taking actions increased. This increased further if both delay and quality deficit were found at the same assessment or if one or both were found at repeated assessments. The reassessment of the motor development at 18 months did not reveal any missed infants with major motor impairments.InterpretationThe use of SOMP-I appears to demonstrate favorable clinical utility in routine child healthcare as tested here. Child health nurses can assess early motor performance using this standardized assessment method, and using the method appears to support them the clinical decision-making.

show abstract

Can nurses be key players in assessing early motor development using a structured method in the child health setting?

Cited by 7 publications

References 29 publications

‘Now I use words like asymmetry and unstable’: nurses' experiences in using a standardized assessment for motor performance within routine child health care

‘Now I use words like asymmetry and unstable’: nurses' experiences in using a standardized assessment for motor performance within routine child health care

Profile Of Children Referred To Primary Health Care Physiotherapy: A Longitudinal Observational Study In Norway

Clinical utility of the Structured Observation of Motor Performance in Infants within the child health services

Contact Info

Product

Resources

About