الفهرس 
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Abstract
Hearing impairment is one of the most common birth defects in children. it is significantly compromises children’s lingual, intellectual and social competence, and may lead to neurodevelopmental disorders. Universal newborn hearing screening allows for early detection and intervention in cases of hearing impairment and thereby helps to alleviate physiological, psychological, and social dysfunction.
The present study aimed to assess knowledge and attitude of nurses regarding Newborn Hearing Impairment and screening.
Research design:
A Descriptive cross-sectional design was used in this study.
Study setting:
The present study was carried out in all Maternal and Child Health (MCH) centers in Assiut City. The total number of centers is (10) which divided into (6) in East Assiut and (4) in West Assiut. The total number of the sample was 235 nurses.
Study tools:
Two proper tools were used for data collection.
Tool (1): it included two parts:
Part 1: Personal data of the nurses included age, sex, level of education, year of experience.
Part 2: Assessment of knowledge about Newborn Hearing Impairment (NHI) and screening to assess nurses’ knowledge, it included (14) questions. (Ravi et al., 2017 and Sanju et al., 2018).
The second tool: It included two scales:
Part (1): Attitude assessment scale about Newborn Hearing Impairment developed by (López‑Vázquez et al., 2009), it consisted of (12) statements in the form of five-point likert scale.
Part (2): Attitude assessment scale about Newborn Hearing Screening, this scale adapted from (Danhauer et al., 2006 and Moeller et al., 2006). It consisted of (15) statements in the form of five-point likert scale.
The main results of the present study were:
• 36.6% of nurses aged 40- < 50 years and 12.3 % of them aged ≥ 50 years.
• All nurses were females and 68.5 % of them graduated from nursing secondary school.
• 34.5 % of nurses had poor knowledge about newborn hearing impairment and screening, followed by 33.2% of them had fair knowledge while 32.3% had good knowledge.
• 69.4% of nurses had a positive attitude regarding newborn hearing impairment, while 30.6% of them had a negative attitude.
• 68.9% of nurses had a negative attitude against newborn hearing screening, while 31.1% of them had a positive attitude.
• There was only a statistically significant difference between the level of nurses’ knowledge and their age (p-value = 0.016)
• There was a statistically significant difference between the level of nurses’ attitude about newborn hearing impairment and their years of experience (p-value = 0.031).
• There was a statistically significant difference between the level of nurses’ attitude about newborn hearing screening, their age, and years of experience (p-value = 0.013 and 0.010) respectively.
• There was a positive correlation between the total score of knowledge and attitude among nurses regarding newborn hearing impairment (r= 0.335, p= 0.000).
Conclusion: A deficit in nurses’ knowledge regarding newborn hearing impairment and screening; and fluctuation in their attitude between negative and positive.
Recommendation
The study recommended that:
- In-service training programs can be developed and implemented for nurses to increase their awareness about newborn hearing impairment and screening.
- Nursing education can pay more attention to newborn hearing impairment, and screening as it is their responsibility to prepare competent nurses for the common issues they will face in practice.
- Specific recommendation for future research to replicate this study in other MCH centers with different nurses to increase the ability to generalize the findings.