Team Members

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Team Members

• Hwa OBrien
• Amy Menheere
• Jean Campbell

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Project Goal

• To improve parental understanding of the question
  regarding testes in order to obtain more accurate
  responses.

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1st Why Why is the response to Question 14 in
the School Entrant Health Questionnaire poor
within the Western Region??Because there is a
lack of understanding of Question 14 both in
language and anatomically.
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2nd WhyWhy is there a lack of understanding of
Question 14 both in language and
anatomically??Because there is a high level of
Non-English Speaking population and limited
education standard of many parents within the
Western Region.
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3rd WhyWhy is there a high level of Non-English
Speaking population and limited education
standard within the Western Region??Because
there is high migrant population and areas of
poor socio-economic groups.
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4th WhyWhy doesnt the information offered
regarding Question 14 meet the needs of these
groups??Because the information provided is in
English only, it does not meet the needs of
Non-English Speaking people and those who have
poor literacy skills.
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5th WhyWhy has this not been addressed
before??Because of the very high cost of
translation to multiple languages.
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Data collection

• SEHQs from a small cross section of schools
  within the Western Region were used.
• Simple questionnaire to school nurses within
  other regions

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School Cross-section

• Covers schools from both low and high ethnic
  populated areas.
• Equal number of government and non-government
  schools

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Response Breakdown

• Total SEHQ checked was 437, with 228 being for
  boys. There were 6 responses to testes question
  for girls.
• Only 68 of responses to question 14 were yes
• 22 of parents responded with dont know or no

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Nurses response when question 14 isnt answered

• Of the 42 responses to the school nurse survey
  from other regions, the majority of nurses send
  the information sheet on testes, or initiate
  parent contact or both.
• 4 nurses indicated no action taken or failed to
  answer the question.

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Nurses who receive responses when the child is a
girl

• Only 26 responded no or not applicable.
• 48 of nurses receive responses for girls
  sometimes or rarely.
• 26 of nurses answered yes

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Nurses response when answer is no or dont
know

• Majority of nurses respond by provision of the
  testes information letter and/or parent contact
• 2 ignored the question

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Nurses who would be interested in using a visual
tool

• 48 of nurses responded no.
• 19 of nurses responded yes
• 14 of nurses responded maybe, or rarely.
• 17 responded not often.

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Development of Visual Tool

• Needed to be small and portable.
• Needed to be cost effective.
• Needed to cross the barriers of both language and
  literacy difficulties.
• Anatomical model decided on
• Discussed and experimented with different media
  and materials.

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Consultation with Professor Hutson - RCH

• Reaction generally favourable.
• A boy can develop undescended testes related to
  growth.
• Suggested that the question 14 of the SEHQ be
  divided.
• Suggested the bead used be increased in size.

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• Prof. Hutson described positioning of testes with
  a simple sketch.
• Testes sitting low in scrotum is normal
• Testes sitting in mid to high scrotal area need
  to be monitored by a doctor.
• Retractile testes should reappear within 15 to 20
  seconds.

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Trial of Visual Tool

• Used 4th term 2000 by nurses involved in project.
• Beneficial as an educational tool both during
  prep information sessions and in face to face
  contacts.

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Costing

• No actual cost incurred to develop prototype and
  subsequent samples.
• Recycled materials were used to make the models.
• Laminating available at regional office.
• Fits in the information for schools folder.

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Results

• Reduced subsequent parent contacts.
• Seen as an educational tool.
• Immediate understanding by parents.
• Reduces time needed for ethnic Teacher aide
  assistance

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Acknowledgements

• Professor Gay Edgecombe, Clinical Chair,
  Community Child Health Nursing.
• School Nurses throughout the state.
• Lorraine Anthony Computer skills
• Professor Hutson, Director, Department of General
  Surgery, Royal Childrens Hospital.
• Migrant Resource Centre,Inner Western Region.