scholarly journals Parental views on informational counselling provided by audiologists for children with permanent childhood hearing loss

Author(s):  
Zandile M. Shezi ◽  
Lavanithum N. Joseph

Background: The absence of best practice guidelines on informational counselling, has caused lack of clarity regarding the information audiologists should provide to parents and caregivers following the diagnosis of a hearing loss. Research shows that informational counselling provided by audiologists is limited and often biased, with little evidence of how parents experience this service.Objectives: To explore the nature and practice of informational counselling by audiologists.Method: This study was descriptive in nature and adopted a survey design to obtain information on the current practices of informational counselling from the perspective of parents and primary caregivers. Ninety-seven face-to-face semi-structured interviews were conducted across KwaZulu-Natal province of South Africa. Descriptive statistics and thematic analysis using Nvivo software were conducted.Results: The majority of the parents reported receiving some form of informational counselling. However, the information provided by audiologists was considered to be biased as it included a favoured communication option, school and rehabilitative technology. There was a lack of information related to aural rehabilitation and family-centred intervention. The provision of all communication options, school options and rehabilitative technology were identified as gaps that contribute to an unfavourable decision-making process.Conclusion: There are inefficiencies experienced by families of deaf and hard of hearing children during informational counselling. However, this understanding, together with the identified gaps by parents, can help address the professional response to caring for families with deaf and hard of hearing children.

Author(s):  
Ayooluwa Oke ◽  
Judith Butler ◽  
Cian O'Neill

There is a general disquiet in the Irish Early Childhood Care and Education (ECCE) sector about the sustainability of initiatives and best practice guidelines in the context of low status, pay and investment. The ECCE Scheme (2010; DCYA, 2018b) provided access to three hours of “free” ECCE for children aged 2.8 years who could continue to avail of the ECCE until they reached 5.6 years old (DCYA, 2018b). Ireland, under the Barcelona Summit (2002), was obliged to provide increased access to ECCE to (European Commission, 2008) to increase women’s participation in the labour market (European Commission, 2008). However, the introduction of the ECCE scheme (2010) contributed to already existing structural and financial challenges in the provision of quality ECCE. To explore parental and practitioners’ experiences of the scheme, semi-structured interviews were conducted with 18 practitioners and 15 parents. Findings reveal that the scheme seems to have been unsuccessful in supporting practitioners in meeting quality standards, the costs associated with the introduction of the scheme as well as in meeting the needs of working parents for accessible ECCE.


1997 ◽  
Vol 85 (2) ◽  
pp. 643-653 ◽  
Author(s):  
Timothy Meline

The speech productions of 19 hard of hearing children between 5 and 12 years of age were examined for errors related to phonological process categories. For comparison, the subjects were divided into groups of 9 with Profound and 10 with Moderate to Severe hearing losses. There was a significant relationship between hearing loss and phonological errors. Seven phonological processes were evident in at least 33% of obligatory contexts. Prevalent processes included final consonant deletion and cluster reduction. The most prevalent deficiencies included / r/ and /1/ phonemes. Subjects with Profound hearing losses produced more errors over-all as well as more errors in each phonological process category. Subjects with Profound hearing losses frequently deleted entire consonant clusters, whereas subjects with Moderate to Severe hearing losses did not. Results are also discussed in relation to normal development.


2019 ◽  
Vol 24 (4) ◽  
pp. 448-458
Author(s):  
Tammy H M Lau ◽  
Kathy Y S Lee ◽  
Emily Y C Lam ◽  
Joffee H S Lam ◽  
Chris K M Yiu ◽  
...  

Abstract In Hong Kong, students are expected to speak fluent Cantonese, Putonghua, and English. However, the curriculum does not include Cantonese studies, as children are expected to have already acquired Cantonese by the age of school entry. This study examined the language outcomes of Cantonese-speaking deaf or hard-of-hearing children who attend primary schools within the Hong Kong educational system and considered whether the system currently meets the needs of these children. The Hong Kong Cantonese Oral Language Assessment Scale, which comprises six subtests, was used to assess 98 children with mild to profound hearing loss. A regression analysis was used to examine the influences of various variables on oral language performance in these children. Notably, 41% of the participants had achieved age-appropriate oral language skills, while 18% and 41% exhibited mild-to-moderate or severe oral language impairment, respectively. The degree of hearing loss and the use of speech therapy were identified as significant negative predictors of oral language performance. The issues of a relatively late diagnosis and device fitting, as well as the very poor oral language outcomes, strongly emphasize the need for policy makers to reconsider the existing educational approaches and support for deaf or hard-of-hearing children.


2021 ◽  
Vol 26 ◽  
Author(s):  
Allison H. Du Plessis ◽  
Dalena Van Rooyen ◽  
Wilma Ten Ham-Baloyi

Background: Screening for chorioamnionitis, or the risk thereof, by midwives is largely lacking during antenatal care and no best practice guidelines for chorioamnionitis in South Africa was noted.Aim: To explore and describe midwives’ knowledge and practices related to the screening and management of women who are at risk of or diagnosed with chorioamnionitis.Setting: Public healthcare institutions in a health district in the Eastern Cape province of South Africa.Methods: A qualitative, exploratory, descriptive and contextual research design was used. Ten midwives were purposively included in this study, and semi-structured interviews were conducted with them. The data were analysed using an adapted version of Tesch’s eight steps for data analysis.Results: The main theme revealed that midwives lack knowledge regarding chorioamnionitis, resulting in incorrect practices including a lack of screening, misdiagnosis and mismanagement of the infectious condition.Conclusions: Findings of this research showed that midwives lacked knowledge regarding the screening and management of women with chorioamnionitis resulting in incorrect practices in this regard. There is thus a need for midwives to update their knowledge regarding the screening and management of chorioamnionitis and training (e.g. through a short learning programme).Contribution: Findings of this study could be used by midwives to update their knowledge regarding screening and managing women with chorioamnionitis, which is expected to translate to better practices. Moreover, study findings were synthesised with the results of a literature review study to form the basis for the development of a best practice guideline for screening and managing women with chorioamnionitis.


PEDIATRICS ◽  
1951 ◽  
Vol 8 (1) ◽  
pp. 159-159

This is a book written for parents of deaf or hard-of-hearing children. The author is a clinical psychologist whose entire career has been in the field of the education and the psychologic testing of children with impaired hearing. He discusses many of the special problems arising in the rearing of a child with a hearing loss, and gives a good deal of sound advice on a variety of subjects: importance of parental attitudes in child training, discipline, speech training, vocational selection, etc.


1993 ◽  
Vol 32 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Haya Levi ◽  
Lilly Tell ◽  
Moshe Feinmesser

2008 ◽  
Vol 12 (2) ◽  
pp. 45-67
Author(s):  
Ewa Muzyka

Acquisition of Word-Formation Categories by Children with Hearing LossThe article describes the competence of children with hearing loss in comprehending and producing derivational (word-formation constructions) belonging to various categories. The skills of children with hearing loss are compared with the skills of hearing children. The extensive field of observation - the object of study were all word-formation categories (productive in contemporary Polish) - caused this article to focus exclusively on quantitative analyses. The conclusions that follow from them allow us to determine the hierarchy of word-formation categories, ordered according to the degree of difficulty, and to compare the level of their acquisition by hearing children, hard-of-hearing children (using the hearing sense) and by deaf ones (not using the hearing sense). This hierarchy is different in the area of interpreting than in the area of producing derivational (word-formation) constructions. The degree of complication of the semantic structure of the categories investigated has a distinct effect on the level of their acquisition. If we adopt the view that the categorization of the world by the learning mind is reflected in derivational constructions, analyses of the abilities of children with hearing loss in this sphere of linguistic functions allow us to access the available subjective ways of how they perceive and interpret the phenomena of treality. The analyses proper are preceded by a description of the investigation instrument employed: a word-formation questionnaire, which is a methodological proposal for studying word formation in school-age children.


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