Bedömning av språk och kommunikation vid 18-månadersbesöket : En intervjustudie med BVC-sjuksköterskor om föräldraformuläret ITC

Children in Sweden between zero and six years are offered regular health and developmental check-ups at the Child Health Centre (CHC). One of these check-ups, when the child is 18 months old includes a speech-language check-up. Today, the check-up is not evidence-based. Therefore, the parent questionnaire Infant Toddler Checklist (ITC) was introduced in Uppsala county in the check-up at 18 months. The aim of the study was to explore how nurses at the CHC experienced the questionnaire and to get an understanding of how the method functioned in the CHC. The participants were recruited from four Child Health Centres with different catchment areas. The method was qualitative with semi-structured interviews in three focus groups. The interviews were transcribed and the analysis was conducted using systematic text condensation. The analysis resulted in four over all themes addressing the nurses' experiences with the new method. The results indicated that the questionnaire seemed to empower both parents and nurses. The nurses considered that the questionnaire worked as a basis for referral. The questionnaire was also perceived as making parents more aware and involved. The results also indicated that the questionnaire was seen as a useful tool but need to be modified to reach more families. Barn i Sverige mellan noll och sex år erbjuds återkommande hälsobedömningar på barnavårdscentralen (BVC). En av dessa bedömningar sker vid 18 månader då det bland annat görs en språklig bedömning. Som det ser ut idag finns ingen evidens för att den språkliga bedömningen i dess nuvarande utformning främjar sitt syfte. Till följd av detta har man i Uppsala län prövat föräldraformuläret Infant Toddler Checklist (ITC) vid 18- månaderbesöket. Syftet med studien var att undersöka hur barnhälsovårdssjuksköterskorna upplevde formuläret ITC samt få en förståelse för hur metoden fungerade i barnhälsovårdens verksamhet. Fjorton deltagare rekryterades från fyra barnavårdscentraler i Uppsala län med