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Clinician and early childhood educator knowledge and advice given to parents regarding physical activity, screen time
Lyndel Hewitt1, Carolyn Frohmuller2, Jacinta Wall2
1Illawarra Shoalhaven Local Health District, Wollongong Hospital, Wollongong, New South Wales, 2500, Australia; Illawarra Health and Medical Research Institute, Wollongong, New South Wales, 2522, Australia; Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, 2522, Australia.
Insights
Healthcare professionals know about infant care guidelines but often give general advice. Medical record documentation lacks specific details on infant physical activity, screen time, and sleep recommendations.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- World Health Organisation released global infant care guidelines in 2019.
- Knowledge and advice practices of clinicians and educators regarding these guidelines are unknown.
- This study aimed to establish a baseline for future interventions.
Purpose of the Study:
- To determine the advice given to parents by healthcare professionals and early childhood educators regarding infant physical activity, screen time, and sleep.
- To assess the alignment of provided advice with 2019 World Health Organisation guidelines.
- To create a benchmark for evaluating future professional development initiatives.
Main Methods:
- An online survey was completed by 80 clinicians (medical, nursing, allied health) and early childhood educators in NSW, Australia.
- Medical records (N=272) were reviewed for documentation of guideline-adherent advice.
- Data collection focused on awareness and reported practices concerning infant care guidelines.
Main Results:
- Over 85% of staff were aware that infant guidelines promote positive health outcomes.
- Nursing staff documented general advice on infant physical activity and sleep in over 80% of reviewed files.
- Specific guideline information was found in only 30% of entries, with minimal documentation (2%) on screen time.
Conclusions:
- Clinicians and educators are generally aware of infant care guidelines and report providing consistent advice.
- Medical record documentation frequently lacks specificity regarding the advice given to parents.
- The study establishes a baseline for measuring the impact of interventions designed to improve adherence to infant care guidelines.
Background:
Global guidelines regarding infant physical activity, screen time and sleep were released by the World Health Organisation in 2019. Clinician and Early Childhood Educator's knowledge and advice given to parents regarding this content is unknown. The aims of this study were to determine the advice given to parents regarding infant care. This will enable a baseline from which future interventions and multidisciplinary professional development can be compared and reviewed.
Methods:
80 Clinicians (Medical, Nursing, Allied Health) and Early Childhood Educators from a local health district in NSW Australia completed an online survey. Medical records (N = 272) were also reviewed to determine if the documentation included advice in accordance with guidelines.
Findings:
Staff were aware that infant guidelines contributes to positive health outcomes (all >85%). Nursing entered the most information into the medical record with >80% of files containing general advice about infant physical activity and sleep. Only 30% of entries contained evidence of guideline specific information. Minimal entries from all clinicians contained information about screen time (2%).
Discussion:
The majority of clinicians and Early Childhood Educators were aware of the content of the guidelines and the advice they report to provide is consistent. Medical record documentation regarding the specificity of advice provided is lacking.
Application To Practice:
This study provides a baseline from which professional development interventions aimed at increasing compliance to infant guidelines can be compared.
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