Santhana Keerthi S, V. Ramkumar, Shuba Kumar, Sheeba Anand
{"title":"An exploratory study of nurses' knowledge, skill, and training requirements for newborn hearing screening in a public-sector program in South India","authors":"Santhana Keerthi S, V. Ramkumar, Shuba Kumar, Sheeba Anand","doi":"10.17430/jhs/162293","DOIUrl":"https://doi.org/10.17430/jhs/162293","url":null,"abstract":"A pilot newborn hearing screening (NHS) program was established at 11 Corporation Maternity Hospitals in Chennai, a city in South India, to aid in the early detection of hearing loss. Nurses were trained how to screen newborns using both otoacoustic emissions (OAEs) and automated auditory brainstem responses (AABRs). The purpose of this qualitative study was to explore nurses’ perceptions of the NHS program and the challenges they faced in implementing it.Semi-structured interviews were conducted with 11 nurses, one from each hospital, who performed NHS in Corporation Maternity Hospitals. Interviews were conducted using guides and probes developed and validated by experts.Four general themes that covered the nurses’ responses were identified: their understanding of NHS and skills in its execution; gaps in their understanding of the NHS program, constraints faced in implementing the screening program, and additional needs for support.Addressing gaps in training needs, providing full documentation, and overcoming poor adherence to NHS protocols would help the program grow. The lessons learnt are also transferable to programs conducted in similar low–middle income countries.","PeriodicalId":89975,"journal":{"name":"Journal of hearing science","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45214708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A review of hearing impairment due to bacterial meningitis in children: importance of early\u0000diagnosis and treatment","authors":"Barbara Rusinowska, Balbina Tybulczuk","doi":"10.17430/jhs/162073","DOIUrl":"https://doi.org/10.17430/jhs/162073","url":null,"abstract":"This review underlines the significant role of early diagnosis and treatment of hearing impairment due to bacterial meningitis (BM) in children.\u0000BM is a life-threatening neurological condition mostly caused by Streptococcus pneumoniae, Neisseria meningitides, or Haemophilus influenzae. Hearing loss is the most commonly reported neurological complication of BM; inflammation can damage the inner ear, leading to sensorineural hearing loss or complete deafness. Factors favoring neurological complications, including hearing impairment, are low age, immaturity of the immune system, poor health, anaemia, leukocytosis, and hypoglycemia. To avoid serious complications, quick intervention is necessary – administration of antibiotic in combination with dexamethasone. It is also important to conduct regular audiological tests to monitor hearing, not only immediately after BM, but also in the long term. Otoacoustic emissions (OAEs) and auditory brainstem responses (ABRs) are useful tools, and some researchers also recommend tympanometry. CTs and MRIs are important to visualize the condition of the inner ear after BM, paving the way for qualification for implantation and for pre-operative planning. The best results of implantation come from patients without ossification, whose period of deafness was short, where electrodes were inserted deeply, and who did not have neurological complications after BM. Early implantation is the best option as it promotes proper speech development and allows the child to adapt to their environment.","PeriodicalId":89975,"journal":{"name":"Journal of hearing science","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41289064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}