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Tracheostomy management by speech-language pathologists in Sweden.
Sara Wiberg1,2, Susanna Whitling2, Liza Bergström3,4
1Department of Speech and Language Therapy, Helsingborg Hospital, Helsingborg, Sweden.
Logopedics, Phoniatrics, Vocology
|December 28, 2020
Summary
Swedish speech-language pathologists (SLPs) manage tracheostomised patients, but face challenges with collaboration and unclear roles. Improved education and clearer roles are recommended for better tracheostomy management.
Area of Science:
- Clinical Practice
- Speech-Language Pathology
- Tracheostomy Management
Background:
- International studies show consistent speech-language pathologist (SLP) roles in tracheostomy management.
- Swedish SLPs' involvement in tracheostomy care is not well-documented.
- This study explores current SLP practices in Sweden concerning tracheostomised patients.
Purpose of the Study:
- To investigate the current practices of SLPs in Sweden managing tracheostomised patients.
- To identify similarities and differences in SLP tracheostomy management compared to international standards.
- To determine facilitators and barriers impacting SLP tracheostomy management in Sweden.
Main Methods:
- An online questionnaire was administered to 28 SLPs who had managed tracheostomised patients.
- Data collection occurred in 2018, prior to the COVID-19 pandemic.
- Exploratory descriptive analysis and content analysis of open-ended responses were employed.
Main Results:
- Swedish SLPs manage tracheostomised patients for both dysphagia and communication.
- Limited use of protocols and guidelines, and infrequent participation in tracheostomy teams were reported.
- Key challenges identified include interprofessional collaboration, role ambiguity, and perceived inexperience.
Conclusions:
- This study offers novel insights into Swedish SLP tracheostomy management.
- Enhanced interprofessional collaboration and clearer role definitions are crucial.
- Further education and clinical training are recommended to strengthen the SLP's role in tracheostomy care.
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