Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study
Objectives: The current pilot study aimed to explore the feasibility of newborn hearing screening (NHS) in a hospital setting with clinical significance for the implementation of NHS. Context-specific objectives included determining the average time required to screen each neonate or infant; the mos...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2016-07-01
|
| Series: | South African Journal of Communication Disorders |
| Subjects: | |
| Online Access: | https://sajcd.org.za/index.php/sajcd/article/view/150 |
| _version_ | 1819209668074930176 |
|---|---|
| author | Amisha Kanji Katijah Khoza-Shangase |
| author_facet | Amisha Kanji Katijah Khoza-Shangase |
| author_sort | Amisha Kanji |
| collection | DOAJ |
| description | Objectives: The current pilot study aimed to explore the feasibility of newborn hearing screening (NHS) in a hospital setting with clinical significance for the implementation of NHS. Context-specific objectives included determining the average time required to screen each neonate or infant; the most suitable time for initial hearing screening in the wards; as well as the ambient noise levels in the wards and at the neonatal follow-up clinic where screening would be conducted.
Method: A descriptive, longitudinal, repeated measures, within-subjects design was employed. The pilot study comprised 11 participants who underwent hearing screening. Data were analysed using descriptive statistics.
Results: The average time taken to conduct hearing screening using otoacoustic emissions and automated auditory brainstem response was 18.4 minutes, with transient evoked otoacoustic emissions taking the least time. Ambient noise levels differed between wards and clinics with the sound level readings ranging between 50 dBA and 70 dBA. The most suitable screening time was found to be the afternoons, after feeding times.
Conclusion: Findings highlight important considerations when embarking on larger scale NHS studies or when planning a hospital NHS programme. Current findings suggest that NHS can be efficiently and effectively conducted in public sector hospitals in South Africa, provided that test time is considered in addition to sensitivity and specificity when deciding on a screening protocol; bar recognised personnel challenges. |
| first_indexed | 2024-12-23T05:58:56Z |
| format | Article |
| id | doaj.art-6e7eacdd35e84b33979e514a95fb07cf |
| institution | Directory Open Access Journal |
| issn | 0379-8046 2225-4765 |
| language | English |
| last_indexed | 2024-12-23T05:58:56Z |
| publishDate | 2016-07-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Communication Disorders |
| spelling | doaj.art-6e7eacdd35e84b33979e514a95fb07cf2022-12-21T17:57:44ZengAOSISSouth African Journal of Communication Disorders0379-80462225-47652016-07-01631e1e810.4102/sajcd.v63i1.15087Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot studyAmisha Kanji0Katijah Khoza-Shangase1Department of Speech Pathology and Audiology, University of the WitwatersrandDepartment of Speech Pathology and Audiology, University of the WitwatersrandObjectives: The current pilot study aimed to explore the feasibility of newborn hearing screening (NHS) in a hospital setting with clinical significance for the implementation of NHS. Context-specific objectives included determining the average time required to screen each neonate or infant; the most suitable time for initial hearing screening in the wards; as well as the ambient noise levels in the wards and at the neonatal follow-up clinic where screening would be conducted. Method: A descriptive, longitudinal, repeated measures, within-subjects design was employed. The pilot study comprised 11 participants who underwent hearing screening. Data were analysed using descriptive statistics. Results: The average time taken to conduct hearing screening using otoacoustic emissions and automated auditory brainstem response was 18.4 minutes, with transient evoked otoacoustic emissions taking the least time. Ambient noise levels differed between wards and clinics with the sound level readings ranging between 50 dBA and 70 dBA. The most suitable screening time was found to be the afternoons, after feeding times. Conclusion: Findings highlight important considerations when embarking on larger scale NHS studies or when planning a hospital NHS programme. Current findings suggest that NHS can be efficiently and effectively conducted in public sector hospitals in South Africa, provided that test time is considered in addition to sensitivity and specificity when deciding on a screening protocol; bar recognised personnel challenges.https://sajcd.org.za/index.php/sajcd/article/view/150Newborn hearing screeningfeasibility |
| spellingShingle | Amisha Kanji Katijah Khoza-Shangase Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study South African Journal of Communication Disorders Newborn hearing screening feasibility |
| title | Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study |
| title_full | Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study |
| title_fullStr | Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study |
| title_full_unstemmed | Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study |
| title_short | Feasibility of newborn hearing screening in a public hospital setting in South Africa: A pilot study |
| title_sort | feasibility of newborn hearing screening in a public hospital setting in south africa a pilot study |
| topic | Newborn hearing screening feasibility |
| url | https://sajcd.org.za/index.php/sajcd/article/view/150 |
| work_keys_str_mv | AT amishakanji feasibilityofnewbornhearingscreeninginapublichospitalsettinginsouthafricaapilotstudy AT katijahkhozashangase feasibilityofnewbornhearingscreeninginapublichospitalsettinginsouthafricaapilotstudy |