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Expert opinion on best practice guidelines and competency framework for visual screening in children

2013-09Artigo científico Acesso aberto
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dc.contributor.authorLança, Carla
dc.date.accessioned2013-12-13T17:52:11Z
dc.date.available2013-12-13T17:52:11Z
dc.date.issued2013-09
dc.description.abstractPURPOSE: Screening programs to detect visual abnormalities in children vary among countries. The aim of this study is to describe experts' perception of best practice guidelines and competency framework for visual screening in children. METHODS: A qualitative focus group technique was applied during the Portuguese national orthoptic congress to obtain the perception of an expert panel of 5 orthoptists and 2 ophthalmologists with experience in visual screening for children (mean age 53.43 years, SD ± 9.40). The panel received in advance a script with the description of three tuning competencies dimensions (instrumental, systemic, and interpersonal) for visual screening. The session was recorded in video and audio. Qualitative data were analyzed using a categorical technique. RESULTS: According to experts' views, six tests (35.29%) have to be included in a visual screening: distance visual acuity test, cover test, bi-prism or 4/6(Δ) prism, fusion, ocular movements, and refraction. Screening should be performed according to the child age before and after 3 years of age (17.65%). The expert panel highlighted the influence of the professional experience in the application of a screening protocol (23.53%). They also showed concern about the false negatives control (23.53%). Instrumental competencies were the most cited (54.09%), followed by interpersonal (29.51%) and systemic (16.4%). CONCLUSIONS: Orthoptists should have professional experience before starting to apply a screening protocol. False negative results are a concern that has to be more thoroughly investigated. The proposed framework focuses on core competencies highlighted by the expert panel. Competencies programs could be important do develop better screening programs.por
dc.identifier.citationLança CC. Expert opinion on best practice guidelines and competency framework for visual screening in children. Strabismus. 2013;21(3):169-74.por
dc.identifier.issn1744-5132
dc.identifier.urihttp://hdl.handle.net/10400.21/2999
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherInforma Healthcarepor
dc.relation.publisherversionhttp://informahealthcare.com/doi/abs/10.3109/09273972.2013.811603por
dc.subjectOrthopticspor
dc.subjectAllied healthpor
dc.subjectMedical educationpor
dc.subjectPublic healthpor
dc.subjectScreeningpor
dc.subjectStrabismuspor
dc.subjectInfant vision developmentpor
dc.titleExpert opinion on best practice guidelines and competency framework for visual screening in childrenpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage174por
oaire.citation.startPage169por
oaire.citation.titleStrabismuspor
oaire.citation.volume21por
person.familyNameLança
person.givenNameCarla
person.identifier.ciencia-id601A-6412-BF2F
person.identifier.orcid0000-0001-9918-787X
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication0320b455-ee19-4670-8bf2-10dce9de1bec
relation.isAuthorOfPublication.latestForDiscovery0320b455-ee19-4670-8bf2-10dce9de1bec

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