A nurse-managed universal newborn hearing screen program.
Hearing loss is one of the most common major birth defects, yet the average age for identifying significant hearing loss in children in the United States is 30 months. Hearing loss directly affects a child's ability to develop normal language skills, impairs his or her ability to communicate with others in the environment, and has been shown to correlate with poor academic performance. However, if hearing loss is detected early and interventions are begun before 6 months of age, children with hearing loss develop language, cognitive, and speech skills comparable to their non-hearing-impaired peers. Only 38 states mandate universal newborn hearing screening before discharge from the hospital. This article describes an institutional universal hearing screening program developed by nursing, which collaborated with physicians, audiologists, and otolaryngologists. Careful planning, including a thorough literature review, networking with area hospitals, and dialoging with experts in the field led to a successful program.The outcomes from this program compare favorably to nationally published data.
Brennan
Rita Allen
RA
Central Du-Page Hospital, Winfield, IL, USA. rita_brennan@cdh.org
D002658:Developmental Disabilities / Q000209:etiology; D006311:Hearing Disorders / Q000175:diagnosis* / Q000451:nursing* / Q000517:prevention & control; D006320:Hearing Tests / Q000451:nursing / Q000592:standards; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016389:Maternal-Child Nursing / Q000592:standards*; D015997:Neonatal Screening / Q000451:nursing* / Q000592:standards; D024802:Nurse's Role; D009730:Nursing Assessment / Q000592:standards*; D015404:Nursing Methodology Research; D014481:United States