Abstract
ABSTRACT Purpose: to develop and validate the logical model of the Neonatal Hearing Screening Program in the hearing health network. Methods: a methodological developmental research aimed to build the logical model of the Neonatal Hearing Screening Program and validate its content through a “consensus conference”. The research was carried out in three stages: 1) Literature review, analysis of the normative documents, and official recommendations regarding the Neonatal Hearing Screening; 2) Development of the logical model; 3) Validation of the logical model through rounds of consultation with specialists. Results: based on the documentary analysis, the logical model was designed in three dimensions: (1) Education in Hearing Health, (2) Neonatal Hearing Screening, and (3) Administration. It was validated based on the judgment of specialists in the field. After the validation process, three variables in the “process” and one in the “structure” aspects, were adjusted, whereas another two aspects in “process” were excluded. Conclusion: the logical model presented the dimensions, activities, and results of the Neonatal Hearing Screening Program in practical and clear terms. Hence, it is useful not only to communicate and announce its results, but also to offer support to future evaluative research in the field of neonatal hearing health.
Highlights
The importance of universal neonatal hearing screening (UNHS) has been recognized in Brazil and in the world
This study aimed to develop and validate a logical model of the Neonatal Hearing Screening Program in the hearing health care network
Documentary research was carried out regarding the Neonatal Hearing Screening Program, reviewing the specialized literature, the normative references of the Sistema Único de Saúde (SUS, the Brazilian public health care system), and the national legislation on the subject to design the logical model[13,17,18,19]
Summary
The importance of universal neonatal hearing screening (UNHS) has been recognized in Brazil and in the world. It is the first step to provide an opportune diagnosis of child hearing loss and it is the starting point of the hearing health care process It is responsible for the early detection of hearing losses, ensuring that newborns (NB) who failed the screening are diagnosed and/or monitored through referrals to other levels of health care[1,2,3,4,5,6,7,8]. It is necessary to periodically evaluate whether the neonatal hearing screening program (NHSP) is achieving its objectives, for the benefits of the UNHS to be fully perceived and quantified[4,9]. Up to the present moment, no validated instruments have been found in Brazil to evaluate either the NHSP or the integration of its actions with primary health care and the specialized high-complexity hearing health care services, as recommended by the Ministry of Health[7]
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