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Between Necessity and Feasibility: A Qualitative Study on How Clinicians Navigate Bedside Voice Assessment
Adrián Castillo-Allendes1, Jeff Searl2, Thea Knowles2
1Department of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan; Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa.
Speech-language pathologists (SLPs) prioritize swallowing over voice assessment due to workflow demands, relying on informal methods. Integrating portable, validated tools is crucial for effective bedside voice assessment in medical settings.
Area of Science:
- Medical research
- Clinical audiology
- Speech-language pathology
Background:
- Bedside voice assessment is crucial for patient recovery and well-being.
- Current practices in medical settings face significant logistical and systemic barriers.
- Speech-language pathologists (SLPs) are key providers of voice assessment services.
Purpose of the Study:
- To explore how SLPs conduct bedside voice assessments in medical environments.
- To identify practical challenges and barriers encountered during these assessments.
- To evaluate the feasibility of integrating objective voice assessment tools into routine clinical care.
Main Methods:
- Semi-structured interviews were conducted with 25 experienced SLPs.
- A hybrid inductive-deductive thematic analysis was applied to interview data.
- Coding focused on assessment practices, barriers, research translation, and patient-centered care.
Main Results:
- Swallowing assessment often takes precedence over voice assessment due to workflow and risk prioritization.
- Clinicians frequently use informal perceptual methods and non-standardized tools due to limited access to instrumental equipment.
- Despite practical limitations, SLPs recognize the significant impact of voice on patients' emotional well-being and identity.
Conclusions:
- Systemic and logistical constraints shape current bedside voice assessment practices.
- There is a notable gap between research-backed tools and their feasible implementation in clinical settings.
- Developing portable, validated tools and fostering collaboration are essential for improving bedside voice assessment.
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