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Supervising international students in clinical placements: perceptions of experiences and factors influencing competency development
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Predictors of professional placement outcome: cultural background, English speaking and international student status
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Implications of Variability in Clinical Bedside Swallowing Assessment Practices by Speech Language Pathologists
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Abstract:
Author version made available following 12 month embargo from date of publication (12 July 2016) in accordance with publisher copyright. The final publication is available at link.springer.com. ; Speech language pathology (SLP) clinical bedside swallowing assessments (CBSA) are a cornerstone of quality care for patients in acute hospitals who have dysphagia. The CBSA informs clinical diagnosis and decisions regarding further instrumental assessment, and is used to develop a management plan and monitor progress. However, self-report and retrospective research shows that SLPs are highly variable in their use of assessment components considered by experts to be important for quality CBSA, casting doubt on the validity and reliability of CBSA. This prospective study describes the components included by SLPs when designing a standardised evidence based dysphagia assessment protocol for acute care patients and observed patterns of component use. The findings confirm that SLPs use the CBSA for multiple purposes beyond diagnosis of aspiration risk and dysphagia presence/severity. They are highly variable in their use of certain components, but also demonstrate consistent use of a core set. It is apparent that SLPs prioritise the application of clinical reasoning to tailor their CBSA to the patient over following a highly structured item-based protocol. The variability in component use likely reflects a complex clinical reasoning process that draws on a wide variety of information combined with expert knowledge as is also observed in many other medical specialties. Rather than promoting the standardisation of CBSA protocols that constrain SLP practice to strict item-based assessment protocols, consideration should be given to promoting the value and facilitating the clinical reasoning process that supports the utility of the CBSA for diagnosis, patient centred management and treatment planning. ; Springer Science+Business Media New York
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Keyword:
Clinical bedside assessment; Clinical reasoning; Deglutition; Deglutition disorders; Dysphagia; Validity
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URL: http://hdl.handle.net/2328/36285
https://doi.org/10.1007/s00455-016-9724-8
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International students in speech-language pathology clinical education placements: perceptions of experience and competency development
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Redefining ‘Chinese’ L1 in SLP: Considerations for the assessment of Chinese bilingual/bidialectal language skills
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Impact of placement type on the development of clinical competency in speech–language pathology students
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Assessment of student competency in a simulated speech-language pathology clinical placement
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A systematic program of research regarding the assessment of speech-language pathology competencies
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Becoming familiar with competency based student assessment: An evaluation of workshop outcomes
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