Certified School Nurse Perspectives on State-Mandated Hearing Screens

Deepa Sekhar, Jessica S. Beiler, Eric W. Schaefer, Antoinette Henning, Judith F. Dillon, Beth Czarnecki, Thomas R. Zalewski

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Approximately 15% of children in the United States 6-19 years of age have hearing loss. Even mild, unilateral hearing loss may adversely affect educational success. In 2014, the Pennsylvania Department of Health (PA DOH) began updating the 2001 regulations on state-mandated school hearing screens. To inform the updates, a needs assessment was conducted with PA-certified school nurses (CSNs) regarding current screening practice and potential barriers to making changes. METHODS: A 42-item electronic survey of CSNs developed with pediatricians, audiologists, nurses, and the PA DOH was administered in October 2014. RESULTS: There were 536 completed surveys. Most CSNs (50.8%) screened 251-500 students annually. Only 35.8% strictly followed PA DOH protocol, while 51.6% followed protocol and added nonguideline frequencies. Over half of screens (60.2%) were conducted in places where other people were present. Most CSNs (82.5%) reported annual audiometer calibration, but 92.4% were unsure whether the calibration was exhaustive or limited. Reported barriers to change included time, cost, and staffing. CONCLUSIONS: As most CSNs added frequencies to the PA DOH hearing screen, an update with added frequencies should be well accepted. Clarification regarding test environment and exhaustive audiometer calibration is needed. Adherence to best practice may be optimized by addressing CSN reported barriers to change.

Original languageEnglish (US)
Pages (from-to)612-619
Number of pages8
JournalJournal of School Health
Volume86
Issue number8
DOIs
StatePublished - Aug 1 2016

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Hearing
nurse
Nurses
school
Calibration
Health
health
Unilateral Hearing Loss
Needs Assessment
staffing
Hearing Loss
Practice Guidelines
best practice
electronics
Students
Costs and Cost Analysis
regulation
costs
student

All Science Journal Classification (ASJC) codes

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health

Cite this

Sekhar, D., Beiler, J. S., Schaefer, E. W., Henning, A., Dillon, J. F., Czarnecki, B., & Zalewski, T. R. (2016). Certified School Nurse Perspectives on State-Mandated Hearing Screens. Journal of School Health, 86(8), 612-619. https://doi.org/10.1111/josh.12415
Sekhar, Deepa ; Beiler, Jessica S. ; Schaefer, Eric W. ; Henning, Antoinette ; Dillon, Judith F. ; Czarnecki, Beth ; Zalewski, Thomas R. / Certified School Nurse Perspectives on State-Mandated Hearing Screens. In: Journal of School Health. 2016 ; Vol. 86, No. 8. pp. 612-619.
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abstract = "BACKGROUND: Approximately 15{\%} of children in the United States 6-19 years of age have hearing loss. Even mild, unilateral hearing loss may adversely affect educational success. In 2014, the Pennsylvania Department of Health (PA DOH) began updating the 2001 regulations on state-mandated school hearing screens. To inform the updates, a needs assessment was conducted with PA-certified school nurses (CSNs) regarding current screening practice and potential barriers to making changes. METHODS: A 42-item electronic survey of CSNs developed with pediatricians, audiologists, nurses, and the PA DOH was administered in October 2014. RESULTS: There were 536 completed surveys. Most CSNs (50.8{\%}) screened 251-500 students annually. Only 35.8{\%} strictly followed PA DOH protocol, while 51.6{\%} followed protocol and added nonguideline frequencies. Over half of screens (60.2{\%}) were conducted in places where other people were present. Most CSNs (82.5{\%}) reported annual audiometer calibration, but 92.4{\%} were unsure whether the calibration was exhaustive or limited. Reported barriers to change included time, cost, and staffing. CONCLUSIONS: As most CSNs added frequencies to the PA DOH hearing screen, an update with added frequencies should be well accepted. Clarification regarding test environment and exhaustive audiometer calibration is needed. Adherence to best practice may be optimized by addressing CSN reported barriers to change.",
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Sekhar, D, Beiler, JS, Schaefer, EW, Henning, A, Dillon, JF, Czarnecki, B & Zalewski, TR 2016, 'Certified School Nurse Perspectives on State-Mandated Hearing Screens', Journal of School Health, vol. 86, no. 8, pp. 612-619. https://doi.org/10.1111/josh.12415

Certified School Nurse Perspectives on State-Mandated Hearing Screens. / Sekhar, Deepa; Beiler, Jessica S.; Schaefer, Eric W.; Henning, Antoinette; Dillon, Judith F.; Czarnecki, Beth; Zalewski, Thomas R.

In: Journal of School Health, Vol. 86, No. 8, 01.08.2016, p. 612-619.

Research output: Contribution to journalArticle

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N2 - BACKGROUND: Approximately 15% of children in the United States 6-19 years of age have hearing loss. Even mild, unilateral hearing loss may adversely affect educational success. In 2014, the Pennsylvania Department of Health (PA DOH) began updating the 2001 regulations on state-mandated school hearing screens. To inform the updates, a needs assessment was conducted with PA-certified school nurses (CSNs) regarding current screening practice and potential barriers to making changes. METHODS: A 42-item electronic survey of CSNs developed with pediatricians, audiologists, nurses, and the PA DOH was administered in October 2014. RESULTS: There were 536 completed surveys. Most CSNs (50.8%) screened 251-500 students annually. Only 35.8% strictly followed PA DOH protocol, while 51.6% followed protocol and added nonguideline frequencies. Over half of screens (60.2%) were conducted in places where other people were present. Most CSNs (82.5%) reported annual audiometer calibration, but 92.4% were unsure whether the calibration was exhaustive or limited. Reported barriers to change included time, cost, and staffing. CONCLUSIONS: As most CSNs added frequencies to the PA DOH hearing screen, an update with added frequencies should be well accepted. Clarification regarding test environment and exhaustive audiometer calibration is needed. Adherence to best practice may be optimized by addressing CSN reported barriers to change.

AB - BACKGROUND: Approximately 15% of children in the United States 6-19 years of age have hearing loss. Even mild, unilateral hearing loss may adversely affect educational success. In 2014, the Pennsylvania Department of Health (PA DOH) began updating the 2001 regulations on state-mandated school hearing screens. To inform the updates, a needs assessment was conducted with PA-certified school nurses (CSNs) regarding current screening practice and potential barriers to making changes. METHODS: A 42-item electronic survey of CSNs developed with pediatricians, audiologists, nurses, and the PA DOH was administered in October 2014. RESULTS: There were 536 completed surveys. Most CSNs (50.8%) screened 251-500 students annually. Only 35.8% strictly followed PA DOH protocol, while 51.6% followed protocol and added nonguideline frequencies. Over half of screens (60.2%) were conducted in places where other people were present. Most CSNs (82.5%) reported annual audiometer calibration, but 92.4% were unsure whether the calibration was exhaustive or limited. Reported barriers to change included time, cost, and staffing. CONCLUSIONS: As most CSNs added frequencies to the PA DOH hearing screen, an update with added frequencies should be well accepted. Clarification regarding test environment and exhaustive audiometer calibration is needed. Adherence to best practice may be optimized by addressing CSN reported barriers to change.

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Sekhar D, Beiler JS, Schaefer EW, Henning A, Dillon JF, Czarnecki B et al. Certified School Nurse Perspectives on State-Mandated Hearing Screens. Journal of School Health. 2016 Aug 1;86(8):612-619. https://doi.org/10.1111/josh.12415