在必要性和可行性之间:关于临床医生如何导航床边语音评估的定性研究
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.
概括
语音语言病理学家 (SLP) 优先考虑吞,而不是语音评估,因为工作流的需求,依靠非正式的方法. 整合便携式,经过验证的工具对于在医疗环境中有效的床边语音评估至关重要.
科学领域:
- 医学研究 医学研究
- 临床听力学 临床听力学
- 语音语言病理学 语言病理学
背景情况:
- 床边语音评估对于患者的康复和福祉至关重要.
- 医疗机构当前的做法面临着重大后勤和系统障碍.
- 语音语言病理学家 (SLP) 是语音评估服务的关键提供者.
研究的目的:
- 探索SLP如何在医疗环境中进行床边语音评估.
- 确定这些评估过程中遇到的实际挑战和障碍.
- 评估将客观语音评估工具整合到常规临床护理中的可行性.
主要方法:
- 与25名经验丰富的SLPs进行了半结构化采访.
- 采访数据采用了混合感应-演主题分析.
- 编码侧重于评估实践,障碍,研究翻译和以患者为中心的护理.
主要成果:
- 由于工作流程和风险优先级,吞评估通常优先于语音评估.
- 临床医生经常使用非正式的感知方法和非标准化工具,因为对仪器设备的访问有限.
- 尽管有实际的局限性,但SLPs认识到声音对患者的情感福祉和身份有重大影响.
结论:
- 系统和后勤限制塑造了当前的床边语音评估实践.
- 研究支持的工具与在临床环境中可行的实施之间存在着显著的差距.
- 开发便携式,经过验证的工具和促进合作对于改善床边语音评估至关重要.
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