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All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year Sort by creator [A → Z]' creator [Z → A]' publishing year ↑ (asc)' publishing year ↓ (desc)' title [A → Z]' title [Z → A]' Simple Search Page: 1 2 3 4 5...23 Hits 1 – 20 of 457 1 Whiplash-associated dysphagia and dysphonia: a scoping review Stone, D. B.; Ward, E. C.; Knijnik, S. R.. - : Springer, 2020 BASE Show details 2 Auditory Training Supports Auditory Rehabilitation: A State-of-the-Art Review Stropahl, Maren; Besser, Jana; Launer, Stefan. - : Lippincott Williams & Wilkins, 2020 BASE Show details 3 Verbal contingencies in the lidcombe program: a noninferiority trial O’Brian, Sue; Donaghy, Michelle; Menzies, Ross G.. - : American Speech-Language-Hearing Association, 2020 BASE Show details 4 Student perceptions of factors that influence clinical competency in voice Rumbach, Anna F.; Dallaston, Katherine; Hill, Anne E.. - : Taylor & Francis, 2020 BASE Show details 5 Elizabeth Usher Memorial Lecture: lost in translation? Challenges and future prospects for a neurobiological approach to aphasia rehabilitation Copland, David A.. - : Taylor & Francis, 2020 BASE Show details 6 The Communication Research Registry: facilitating access to research experiences for people with a communication disability Rose, Tanya; Waterson, Jessica; Caird, Emma. - : Taylor & Francis, 2020 BASE Show details 7 What does a family who is “engaged” in early intervention look like? Perspectives of Australian speech-language pathologists Melvin, Katelyn; Meyer, Carly; Scarinci, Nerina. - : Taylor and Francis, 2020 BASE Show details 8 Multisession transcranial direct current stimulation facilitates verbal learning and memory consolidation in young and older adults Perceval, Garon; Martin, Andrew K.; Copland, David A.. - : Academic Press, 2020 BASE Show details 9 Identifying clients’ readiness for hearing rehabilitation within initial audiology appointments: a pilot intervention study Ekberg, Katie; Barr, Caitlin. - : Taylor and Francis, 2020 BASE Show details 10 Speech language therapy services for children in Small Island Developing States – the situation in the Maldives Zahir, Mariyam Z.; Miles, Anna; Hand, Linda. - : Taylor and Francis, 2020 BASE Show details 11 An evaluation of an integrated stuttering and parent-administered self-regulation program for early developmental stuttering disorders Druker, Kerianne; Mazzucchelli, Trevor; Hennessey, Neville. - : American Speech Language Hearing Association, 2020 BASE Show details 12 Client perspectives on living with dysphagia in the community Howells, Simone R.; Cornwell, Petrea L.; Ward, Elizabeth C.. - : Taylor & Francis, 2020 BASE Show details 13 Prognostication in post‐stroke aphasia: how do speech pathologists formulate and deliver information about recovery? Cheng, Bonnie B. Y.; Worrall, Linda E.; Copland, David A.. - : John Wiley & Sons, 2020 BASE Show details 14 Identifying the approaches used by audiologists to address the psychosocial needs of their adult clients Bennett, Rebecca J.; Barr, Caitlin; Montano, Joseph. - : Taylor & Francis, 2020 BASE Show details 15 Is cortical automatic threshold estimation a feasible alternative for hearing threshold estimation with adults with dementia living in aged care? Bott, Anthea; Hickson, Louise; Meyer, Carly. - : Taylor and Francis, 2020 BASE Show details 16 Clinical reasoning and hypothesis generation in expert clinical swallowing examinations McAllister, Sue; Tedesco, Helen; Kruger, Samantha; Ward, Elizabeth C.; Marsh, Claire; Doeltgen, Sebastian H.. - : John Wiley & Sons, 2020 Abstract: Background: A clinical swallow examination (CSE) provides integral information that informs the diagnostic decision-making process within dysphagia management. However, multiple studies have highlighted a high degree of reported variability within the CSE process. It has been hypothesized that such variability may be the result of the clinical reasoning process rather than poor practices. Aims: To elucidate the nature of expert, speech–language therapists’ (SLTs) clinical reasoning during an initial bedside assessment of patients referred for suspected dysphagia in the acute care environment. Methods & Procedures: An exploratory ‘observation of practice’ qualitative methodology was used to achieve the aim. Four expert SLTs, from two clinical services, completed CSEs with 10 new referrals for suspected dysphagia. All assessments were video-recorded, and within 30 min of completing the CSE, a video-stimulated ‘think aloud’ semi-structured interview was conducted in which the SLT was prompted to articulate their clinical reasoning at each stage of the CSE. Three types of concept maps were generated based on this video and interview content: a descriptive concept map, a reasoning map and a hypothesis map. Patterns that consistently characterized the assessment process were identified, including the overall structure; types of reasoning (inductive versus deductive), facts (i.e., clinical information) drawn upon; and outcomes of the process (diagnosis and recommendations). Interview content was examined to identify types of expert reasoning strategies using during the CSE. Outcomes & Results: SLTs’ approach to clinical assessment followed a consistent structure, with data gathered pre-bedside, during the patient interview and direct assessment before a management recommendation was made. Within this structure, SLTs engaged in an iterative approach with inductive hypothesis-generating and deductive hypothesis-testing, with each decision-making pathway individually tailored and informed by patient-specific facts collected during the assessment. Clinical assessment was primarily geared towards management of an initial acute presentation with less focus on formulating a diagnostic statement. Conclusions & Implications: Variability in reported dysphagia practice is likely the result of a patient-centred assessment process characterized by iterative cycles of fact-gathering in order to generate and test clinical hypotheses. This has implications for the development of novel assessment tools, as well as professional development and education of novice SLTs. What this paper adds What is already known on the subject CSE practices are reportedly variable, which has led to calls for more stringent, standardized assessment tools. Emerging evidence suggests that this variation is non-random, but may arise from clinical reasoning processes. What this paper adds to existing knowledge We directly observed expert SLTs conducting CSEs and identified patterns in practice that were consistent across all CSEs evaluated. These patterns were consistent in structure, whereas the content of the assessment items varied and was tailored to individual patient presentation. Overall, expert SLTs engaged in balanced cycles of inductive hypothesis generation and deductive hypothesis-testing, a hallmark of good clinical assessment and practice. What are the potential or actual clinical implications of this work? Ensuring quality CSE requires a more nuanced approach that considers the role of clinical reasoning in SLTs’ decision-making and the potential unintended negative consequences of standardized assessment tools. Keyword: 1203 Language and Linguistics; 3310 Linguistics and Language; 3616 Speech and Hearing; Acute; Clinical reasoning; Deductive; Dysphagia; Hypothesis; Inductive URL: https://espace.library.uq.edu.au/view/UQ:c849fdb https://espace.library.uq.edu.au/view/UQ:c849fdb/UQc849fdb_OA.pdf BASE Hide details 17 Audiological approaches to address the psychosocial needs of adults with hearing loss: perceived benefit and likelihood of use Bennett, Rebecca J.; Barr, Caitlin; Cortis, Alex. - : Taylor & Francis, 2020 BASE Show details 18 Engaging, collaborating and empowering through research and innovation Wishart, Laurelie R.; McCann, Clare. - : Taylor and Francis, 2020 BASE Show details 19 The validity of an isiZulu speech reception threshold test for use with adult isiZulu speakers Panday, Seema; Kathard, Harsha; Wilson, Wayne J.. - : AOSIS OpenJournals, 2020 BASE Show details 20 Knowing the costs of change: an introduction to health economic analyses and considerations for their use in implementation research Burns, Clare L.; Wishart, Laurelie R.; Kularatna, Sanjeewa. - : Taylor & Francis, 2020 BASE Show details Page: 1 2 3 4 5...23

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