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Simulation can replace part of speech-language pathology placement time: A randomised controlled trial ...
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Simulation can replace part of speech-language pathology placement time: A randomised controlled trial ...
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A framework to support the development of quality simulation-based learning programmes in speech-language pathology
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Student perceptions of factors that influence clinical competency in voice
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Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice
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A framework to support the development of quality simulation-based learning programmes in speech-language pathology
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Simulation can replace part of speech-language pathology placement time: a randomised controlled trial
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Determining global citizenship capabilities for speech-language pathologists and other health professionals: a study protocol
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Global citizenship: Defining capabilities for speech-language pathology
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In: School of Health and Human Sciences (2019)
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Speech and language therapists’ reflections on developing and maintaining confidence in tracheoesophageal speech rehabilitation
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Abstract:
Background The management of tracheoesophageal speech (TES) rehabilitation is an area of speech and language therapists' (SLTs) clinical practice where knowledge and skills are primarily developed through postgraduate workplace experience and training. Although recent research suggests clinicians in Australia perceive there is adequate access to workplace training, little is known about how clinicians develop and/or maintain clinical confidence when working in this specialist caseload. Aims To investigate factors that contribute to development of clinician confidence as well as the factors that impact on improving and maintaining confidence when working in the clinical area of TES rehabilitation. Methods & Procedures SLTs working in an Australian clinical service and in a current or recent caseload including patients using TES were eligible to participate. A total of 36 SLTs were recruited and then grouped by level of experience (novice n = 15, intermediate n = 7, experienced n = 14). Ten focus groups of 60-min duration were conducted each with three to four participants from the same experience level. A semi-structured interview guide was used to facilitate the discussion of issues relating to training and confidence; however, only the content pertaining to clinical confidence is reported. Thematic analysis was used to analyse the transcripts. Outcomes & Results Four themes were identified as contributing to the development of confidence: training, exposure, accessing support and mentorship, and leadership opportunities. Three themes were identified as critical for improving or maintaining clinical confidence: ongoing management of a caseload, ongoing support and further learning. An additional overarching theme was the desire for SLTs to classify or quantify their level of confidence, typically using a numeric scale or in years of clinical experience. The impact of varying contexts and caseloads on confidence levels was highlighted by all participants, but particularly those in the novice focus groups. Conclusions & Implications The findings highlight the fact that the acquisition and maintenance of confidence is an ongoing consideration for SLTs, both those starting out and those with years of clinical experience. With patient presentation increasing in complexity, the importance of understanding contributing factors for gaining and maintaining confidence should be considered alongside postgraduate training and the provision of ongoing support for SLTs working in this specialized clinical area, regardless of experience level.
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Keyword:
1203 Language and Linguistics; 3310 Linguistics and Language; 3616 Speech and Hearing; Language and Linguistics; Linguistics and Language; Speech and Hearing
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URL: https://espace.library.uq.edu.au/view/UQ:7e3c6b8
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Global citizenship: Defining capabilities for speech-language pathology
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Global citizenship: defining capabilities for speech-language pathology
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A tool for assessing case history and feedback skills in audiology students working with simulated patients
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Simulated patients versus seminars to train case history and feedback skills in audiology students: a randomized controlled trial
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The future of speech pathology in aged care: Students’ confidence and interest in working with older people
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Developing clinical skills in paediatric dysphagia management using human patient simulation (HPS)
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Assessment of student competency in a simulated speech-language pathology clinical placement
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