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LETTER TO EDITOR  
Year : 2020  |  Volume : 45  |  Issue : 3  |  Page : 382-383
 

Nurses' knowledge and understanding about autism


Department of Nursing, NIMHANS, Bengaluru, Karnataka, India

Date of Submission12-Jul-2019
Date of Acceptance16-Jan-2020
Date of Web Publication1-Sep-2020

Correspondence Address:
Mrs. Rajalakshmi Ramu
Department of Nursing, NIMHANS, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_290_19

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How to cite this article:
Govindan R, Ramu R. Nurses' knowledge and understanding about autism. Indian J Community Med 2020;45:382-3

How to cite this URL:
Govindan R, Ramu R. Nurses' knowledge and understanding about autism. Indian J Community Med [serial online] 2020 [cited 2020 Oct 30];45:382-3. Available from: https://www.ijcm.org.in/text.asp?2020/45/3/382/294146




Sir,

The worldwide prevalence of autism spectrum disorder (ASD) has been estimated to be 6.2/1000[1] and increased to one out of every 68 children.[2] Health-care professional's understanding and knowledge of autism influences the average age of diagnosis and provision of further information to caregivers. Early developmental screening and surveillance for ASD are not done regularly in India.[3] The American Academy of Pediatrics recommended the regular developmental screening program. The periodic examinations at 15th, 18th, and 24th months are particularly useful because the characteristics of autism often begin to emerge during the 2nd year of life.[4] It is identified that nurses have inadequate knowledge about ASD screening practices and this might be a major barrier to do early identification and interventions.[5] Thus, improving nurse's understanding, knowledge, and skill regarding screening and early identification of the children with ASD is essential.

A cross-sectional descriptive survey to assess the level of knowledge and understanding toward autism among nurses was conducted with the aim of identifying the training need to train the nurses toward autism and early identification of childhood autism. Fifty community psychiatry nurses were selected based on convenient sampling technique. Nurses working under the District Mental Health Programme (DMHP), Karnataka, and having minimum qualification of diploma in nursing were included in the study; nurses who were not presented during the day of data collection period were excluded from the study. For the present study, the researcher used a sociodemographic datasheet, and knowledge about childhood autism among health workers questionnaire which has good psychometric properties and overall internal consistency (Cronbach's alpha = 0.97) has 19 items with four domains: Domain1: Impairments in social interaction, Domain2: Communication, Domain3: Obsessive and compulsive, Domain4: Type of disorder and possible comorbid conditions and onset. The score ranges from 0 to 19. Higher the score indicated higher the knowledge.

The data collection was carried out in January 2019 after getting the permission from concerned authorities. After selecting the study subjects through convenient sampling, written informed consent was obtained, and then self-administered questionnaire was distributed to 60 DMHP nurses. Out of 60 nurses, only 52 nurses returned the questionnaire and two were not filled properly. Hence, the final sample size was calculated as n = 50. To analyze the data, descriptive statistics was carried out using Statistical Package for the Social Sciences 24.0 (SPSS 24.0, IBM Corp., Armonk, NY, USA).

The study results revealed that majority of the study subjects (70%) were belonged to the age group of <30 years, 60% were female, 88% were Hindu, 62% were completed diploma nursing, 72% had <5 years of experience in nursing, 58% had no previous experience in caring children with ASD, 70% were not attended the workshop or conference related to the autism, and 94% of the study subjects wanted to attend some training toward childhood autism. As shown in [Table 1], the mean knowledge score and standard deviation in respective domains are as follows: impairments in social interaction (domain-1) was 5.28 ± 2.00, communication (domain-2) was 0.68 ± 0.471, obsessive and compulsive pattern of behavior (domain-3) was 2.12 ± 1.11, and type of disorder and possible comorbid conditions and onset (domain-4) was 3.30 ± 1.43. The overall knowledge score toward knowledge about childhood autism among the study subjects was 11.42 ± 3.19.
Table 1: Knowledge score based on domains (n=50)

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The present study revealed that majority of the study subjects had moderate level of knowledge about childhood autism in all the domains, but we found that there was some knowledge difference among the following domains: impairments in social interaction, communication, obsessive and compulsive pattern of behavior, and type of disorder and possible comorbid conditions and onset. Most of the study subjects aware about children with autism will have problem in social interaction and communication, but they were not familiar that they would have specific repetitive pattern behavior. Further, most of the study subjects expressed that they were not known that autism is what type of disorder and what are the comorbid conditions will occur along with autism. Sena et al. in 2015 found the similar results as like our results, that the nurses had inadequate knowledge towards ASD due to lack of training.

In conclusion, majority of the study subjects had moderate level of knowledge and received lesser information than they needed about childhood autism and Nurses did not have adequate knowledge that, Autism is one of the Neuro developmental Disorder, but at the same time, most of the subjects expressed that they needed further information about the management of children with autism. Hence, continuing education program toward childhood autism and screening is necessary for the community health nurses and psychiatric nurses to improve their knowledge.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C, et al. Global prevalence of autism and other pervasive developmental disorders. Autism Res 2012;5:160-79.  Back to cited text no. 1
    
2.
Bakare MO, Ebigbo PO, Agomoh AO, Menkiti NC. Knowledge about childhood autism among health workers (KCAHW) questionnaire: Description, reliability and internal consistency. Clin Pract Epidemiol Ment Health 2008;4:17.  Back to cited text no. 2
    
3.
Mukherjee SB, Aneja S, Krishnamurthy V, Srinivasan R. Incorporating developmental screening and surveillance of young children in office practice. Indian Pediatr 2014;51:627-35.  Back to cited text no. 3
    
4.
Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee, Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics 2006;118:405-20.  Back to cited text no. 4
    
5.
Sena RC, Reinalde EM, Silva GW, Sobreira MV. Practice and knowledge of nurses about childhood autism. Research Magazine: Care is Fundamental Online. 2015;7:2707-16.  Back to cited text no. 5
    



 
 
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