ERIC Number: EJ1431160
Record Type: Journal
Publication Date: 2024-Jul
Pages: 13
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1368-2822
EISSN: EISSN-1460-6984
Factors Influencing Speech Pathology Practice in Dysphagia after Stroke: A Qualitative Focus Group Study
Jacinda Choy; Fereshteh Pourkazemi; Hans Bogaardt; Caitlin Anderson; Shing Yee Chai; Roxanna N. Pebdani
International Journal of Language & Communication Disorders, v59 n4 p1599-1611 2024
Background: Dysphagia affects over half of adults after stroke. Dysphagia rehabilitation aims to improve swallowing and reduce negative outcomes for these adults. However, significant variability exists in dysphagia rehabilitation. Research is needed to explore the underlying clinician-specific and workplace factors that contribute to variability in dysphagia rehabilitation after stroke. Aim: To explore factors influencing speech pathology practice in dysphagia rehabilitation after stroke. Methods & Procedures: We used a phenomenological approach with an interpretivist perspective. Twenty speech pathologists working in dysphagia rehabilitation participated from different workplace settings around Australia. Five semi-structured focus groups were conducted online. Data were inductively analysed using thematic analysis with a coding reliability method. Outcomes & Results: Four themes were discussed within focus groups: (1) relationship between experienced and less experienced clinicians: 'Following what other people have done', (2) need for collaborative learning: 'A safe space to share and train', (3) variation between settings impacts on continuity of care: 'There's a difference between community and acute', and (4) working effectively with multidisciplinary teams (MDT): 'An MDT which can listen to the voice of speech pathology'. Conclusions & Implications: Relationships between senior and junior speech pathologists, within speech pathology and MDT, and across inpatient and community settings influenced speech pathology practice. Flattened hierarchies in speech pathology, collaborative learning in workplaces, mutual respect within teams and connection across inpatient and community settings could improve the quality and consistency of dysphagia rehabilitation after stroke.
Descriptors: Speech Language Pathology, Aphasia, Neurological Impairments, Speech Therapy, Rehabilitation, Allied Health Personnel, Patients, Eating Disorders, Medical Care Evaluation, Skill Development, Clinical Experience
Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://bibliotheek.ehb.be:2191/en-us
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A