Academic Journal
Thoughts From the Front Lines: Canadian Perspectives in Adopting and Implementing Recommended Clinical Labels in Preschool Speech-Language Pathology
| Τίτλος: | Thoughts From the Front Lines: Canadian Perspectives in Adopting and Implementing Recommended Clinical Labels in Preschool Speech-Language Pathology |
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| Συγγραφείς: | Alison Lynn Csercsics, Lauren Denusik, Barbara Jane Cunningham |
| Πηγή: | PRECISe Preschool Speech and Language Publications |
| Στοιχεία εκδότη: | American Speech Language Hearing Association, 2025. |
| Έτος έκδοσης: | 2025 |
| Θεματικοί όροι: | Male, Canada, Health Knowledge, Attitudes, Practice, Speech-Language Pathology, Attitude of Health Personnel, clinical labels, 05 social sciences, Communication Sciences and Disorders, Speech Pathology and Audiology, Quality Improvement, implementation barriers, 03 medical and health sciences, 0302 clinical medicine, Child, Preschool, Terminology as Topic, Communication Disorders, Humans, Female, 0501 psychology and cognitive sciences, Diffusion of Innovation, preschool communication disorders, Child Language |
| Περιγραφή: | Purpose: Previous literature has proposed barriers to speech-language pathologists (SLPs) using standard clinical labels; however, the perspectives of SLPs have been studied to a lesser extent. This quality improvement project reports on SLPs' perceived barriers and facilitators to using currently recommended clinical labels for preschool communication disorders and identifies next steps to support implementation in one preschool communicative health system. Method: This project aimed to establish the consistent use of clinical labels in one large Canadian preschool speech and language program. After completing a web-based training and a 3-month trial period, 387 SLPs completed an exit survey to share their perceived barriers and facilitators to label use. Qualitative survey data were analyzed using a hybrid codebook inductive/deductive thematic analysis approach. Results: Six themes were identified, which aligned with the diffusion of innovations theory. SLPs identified several facilitators and barriers to using the recommended clinical labels within each theme. Major facilitators included improved communication, better caregiver understanding of children's communication, positive feedback from caregivers, SLPs' increased confidence in sharing labels, and improved access to services for children. Major barriers related to additional time required to share labels, SLPs' perceptions of caregivers' values, SLPs' views surrounding the recommended labels, lack of comfort using some labels, and limited opportunity to practice label use or observe successful label use by others. Conclusions: Contextual barriers continue to impact SLPs' use of the recommended clinical labels. Ongoing collaboration with SLPs and caregivers will be critical for supporting implementation. Further research examining SLPs' perspectives across other clinical settings and geographic areas is needed. Supplemental Material: https://doi.org/10.23641/asha.27296970 |
| Τύπος εγγράφου: | Article Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 1558-9110 1058-0360 |
| DOI: | 10.1044/2024_ajslp-24-00272 |
| Σύνδεσμος πρόσβασης: | https://pubmed.ncbi.nlm.nih.gov/39496094 https://ir.lib.uwo.ca/precisepreschoolpubs/32 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....37ffdd62fc04d022484ba3ee74a6757c |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 15589110 10580360 |
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| DOI: | 10.1044/2024_ajslp-24-00272 |