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Standardized tools for child development assessment in nursing (0-5years) scoping review

Carla Freitas1, Carmen Freitas2, Raquel Silva1

  • 1Universidade Católica Portuguesa, Faculty of Health Sciences and Nursing, Porto, Portugal.

Journal of Pediatric Nursing
|August 22, 2026
PubMed

Insights

Nurses use 33 standardized tools to assess child development in children aged 0-5. Selecting the right tool balances scientific rigor with practical use for early detection of developmental concerns.

Area of Science:

  • Child Development
  • Nursing Practice
  • Health Assessment

Background:

  • Early identification of developmental concerns is crucial for children's long-term outcomes.
  • Nurses play a vital role in child development surveillance.
  • Standardized assessment tools enhance the reliability of developmental screening.

Purpose of the Study:

  • To map standardized child development assessment tools utilized by nurses.
  • To identify tools for children aged 0 to 5 years.
  • To inform the selection of appropriate developmental assessment instruments.

Main Methods:

  • A comprehensive scoping review following Joanna Briggs Institute methodology.
  • Extensive database searches including MEDLINE, CINAHL, PubMed, Scopus, and grey literature.
  • Inclusion of articles in Portuguese, English, and Spanish up to December 2025.

Main Results:

  • Identified 33 standardized child development assessment tools used by nurses.
  • Categorized tools into parental-report, direct observation/short-form screening, and comprehensive diagnostic evaluations.
  • Highlighted frequently cited tools: Denver II, Ages and Stages Questionnaires, and Bayley Scales of Infant Development.

Conclusions:

  • Effective tool selection necessitates balancing psychometric properties with clinical applicability.
  • Cultural adaptation and local validation are critical for accurate developmental diagnoses.
  • Integrating standardized tools into nursing practice supports early intervention and reduces health disparities.
Abstract

Keywords:
AssessmentChildDevelopmentNursingScreeningSurveillanceTool

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