<?xml version="1.0" encoding="UTF-8"?> <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd"> <ArticleSet> <Article> <Journal> <PublisherName>revista-medicina-scolara</PublisherName> <JournalTitle>The Journal of School and University Medicine</JournalTitle> <PISSN/> <EISSN/> <Volume-Issue>Volume 7 Issue 4</Volume-Issue> <PartNumber/> <IssueTopic>Multidisciplinary</IssueTopic> <IssueLanguage>English</IssueLanguage> <Season>October - December 2020</Season> <SpecialIssue>N</SpecialIssue> <SupplementaryIssue>N</SupplementaryIssue> <IssueOA>Y</IssueOA> <PubDate> <Year>-0001</Year> <Month>11</Month> <Day>30</Day> </PubDate> <ArticleType>Medical</ArticleType> <ArticleTitle>FINAL EXPERTISE AND ATTITUDE TOWARDS VISION SCREENING IN HEALTH CARE PROFESSIONALS ENROLLED IN THE EUSCREEN PROJECT</ArticleTitle> <SubTitle/> <ArticleLanguage>English</ArticleLanguage> <ArticleOA>Y</ArticleOA> <FirstPage>17</FirstPage> <LastPage>24</LastPage> <AuthorList> <Author> <FirstName>Oana Teodosescu</FirstName> <LastName/> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>N</CorrespondingAuthor> <ORCID/> <FirstName>Mihai</FirstName> <LastName>Mara</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Cristina</FirstName> <LastName>Vladutiu</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Simona</FirstName> <LastName>Cainap</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Daniela</FirstName> <LastName>Rajka</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> </Author> </AuthorList> <DOI>10.51546/JSUM.2020.7402</DOI> <Abstract>AIMS: The aim of the study is to evaluate the knowledge and attitude towards vision screening in health care professionals enrolled in the EUSCREEN project (”Implementation of optimized childhood vision and hearing screening programmes in middle-income countries in Europe”), after the completion of the project. METHOD: The analysis involved 44 questionnaires, filled out by doctors and nurses who measured visual acuity in children in the EUSCREEN project between January 1st 2018 and December 31st 2019. RESULTS: The 44 respondents felt confident (>95%) in their abilities when it comes to the measurement of visual acuity in children. Among the main reasons why the study did not include a higher number of preschoolers, the participants to the survey stated: lack of parents’ consent (8) or lack of time (2), interest or confidence in the Euscreen project (5); some parents expressed their concern regarding the managing of data confidentiality. Furthermore, some nurses stressed upon the low attendance rate especially in rural kindergartens (4). The nurses and the doctors felt the supportive materials were helpful in persuading the parents, as well as the teachers__ampersandsign#39; input. Numerous parents did not continue the investigations with an ophthalmological examination, if needed, the main reasons being lack of time, lack of interest in the child__ampersandsign#39;s healthcare, lack of financial means or too long waiting lists to ophthalmologists. In the matter of remuneration of medical staff, 43% (19) consider it should be made in addition to the salary, meanwhile 34% (15) consider the screening activity as a compulsory duty of their job. 70% (31) respondents claim they will continue the screening activity as they understand it__ampersandsign#39;s importance. 50% (22) feel there should be a periodic (once every 12, 24 or 36 months) update of their theoretical notions and practical skills. DISCUSSION: The respondents consider that a better communication with the parents would have led to a better participation rate and to a better rate of ophthalmological results. Also, when the children are examined in the kindergarten the nurses would prefer the teachers helped by assisting the children. The payment of the medical personnel involved in the screening was preferred by the respondents, as it was considered extra work by the family doctors nurses and by some of the kindergarten nurses. The medical staff feels confident in their measuring technique, only half of them considering that an update would be necessary. CONCLUSIONS: The EUSCREEN project updated the theoretical notions and practical abilities of the medical staff and made them aware of the importance of early detection of vision problems in children. Their answers provide essential directions that a national screening programme should take into account: better communication with the parents; better access to speciality examinations when needed; better coverage in the rural areas, especially in the remote areas; proper reimbursement for the medical staff.</Abstract> <AbstractLanguage>English</AbstractLanguage> <Keywords>visual acuity screening, amblyopia, feedback,final survey</Keywords> <URLs> <Abstract>https://revista-medicina-scolara.ro/ubijournal-v1copy/journals/abstract.php?article_id=9190&title=FINAL EXPERTISE AND ATTITUDE TOWARDS VISION SCREENING IN HEALTH CARE PROFESSIONALS ENROLLED IN THE EUSCREEN PROJECT</Abstract> </URLs> <References> <ReferencesarticleTitle>References</ReferencesarticleTitle> <ReferencesfirstPage>16</ReferencesfirstPage> <ReferenceslastPage>19</ReferenceslastPage> <References>Braverman RS. Introduction to amblyopia. Am Acad Ophthalmol 2015 https://www.aao.org/pediatric-center-detail/amblyopia-introduction. USPST Force, Grossman DC, Curry SJ, et al. Vision screening in children aged 6 months to 5 years: US preventive services task force recommendation statement JAMA, 318 (9) (2017), pp. 836-844 Shakarchi AF, Collins ME. Referral to community care from school-based eye care programs in the United States. Surv Ophthalmol (2019) Wasserman RC, Croft CA, Brotherton SE. Preschool vision screening in pediatric practice: a study from the Pediatric Research in Office Settings (PROS) Network. Pediatrics. 1992;89(5 Pt 1):834–8 Marcinak JF, Yount SC. Evaluation of vision screening practices of Illinois pediatricians. Clin Pediatr. 1995;34:353–7. Speechley M, Kunnilathu A, Aluckal E, Balakrishna MS, Mathew B, George EK.Screening in Public Health and Clinical Care: Similarities and Differences in Definitions, Types, and Aims – A Systematic Review [Internet].2017 March [Cited March1, 2020];11(3):LE01-LE04. Available from: http://www.jcdr.net//back_issues.asp?issn=0973-709xand;year=2017and;month=Marchand;volume=11and;issue=3and;page=LE01and;id=9419 Chen AH, Abu Bakar NF, Arthur P. Comparison of the pediatric vision screening program in 18 countries across five continents. J of Curr Ophthalmology. 2019;31(4); 357-365 Buand;scaron;i? M, Bjeloand;scaron; M, Petrove?ki M et al. Zagreb Amblyopia Preschool Screening Study: near and distance visual acuity testing increase the diagnostic accuracy of screening for amblyopia. Croat Med J. 2016; 57(1): 29–41. Abu Bakar NF, Chen AH, Abdul Rahim MN, Goh PP. Pilot Study: A Review of Personnel Involved in School Vision Screening and the Training Module in Betong, Malaysia. Int Med J Malaysia. 2012;11(2);23-27. Braverman, R. S. Pediatric vision screening: the Colorado school nurse experience. Journal of American Association for Pediatric Ophthalmology and Strabismus 2015;19(4), e20. Cockburn J, Redman S, Hill D, Henry E. Public understanding of medical screening. J Med Screen. 1995;2(4):224-7. Vladutiu C, Cainap S, Teodosescu O, Ursu RM, Sevan SA, Rajka D, Mara M. Previous expertise and initial attitude towards vision screening in health care professionals enrolled in EUSCREEN project. Journal of School and University Medicine 2020;7(1-2):12-17. Audit Commission. What seems to be the matter: communication between hospitals and patients. London: HMSO; 1993. Coulter A. Evidence based patient information. BMJ. 1998;317:225–226. Entwistle VA, Sheldon TA, Sowden A, Watt IS. Evidence-informed patient choice. Int J Technol Assess Health Care. 1998;14:212–215. Austoker J, McPherson A. Cervical screening. Practical guides for general practice. 2nd ed. Oxford: OUP; 1992. Areas of uncertainty. Austoker J. Gaining informed consent for screening is difficult—but many misconceptions need to be undone. BMJ. 1999 Sep 18; 319(7212): 722–723.</References> </References> </Journal> </Article> </ArticleSet>