Show simple item record

dc.contributor.authorMcAllister, Sue Margery
dc.contributor.authorKruger, Samantha
dc.contributor.authorDoeltgen, Sebastian
dc.contributor.authorTyler-Boltrek, Emma
dc.date.accessioned2016-07-28T00:32:33Z
dc.date.available2016-07-28T00:32:33Z
dc.date.issued2016-07-12
dc.identifier.citationMcAllister S, Kruger S, Doeltgen S, Tyler-Boltrek E. Implications of Variability in Clinical Bedside Swallowing Assessment Practices by Speech Language Pathologists. Dysphagia. 2016 Jul 12.en
dc.identifier.issn0179-051X
dc.identifier.urihttp://hdl.handle.net/2328/36285
dc.descriptionAuthor 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.en
dc.description.abstractSpeech 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.en
dc.description.sponsorshipSpringer Science+Business Media New Yorken
dc.language.isoen
dc.publisherSpringeren
dc.rightsCopyright (2016) Springer Science+Business Media New Yorken
dc.subjectClinical bedside assessmenten
dc.subjectClinical reasoningen
dc.subjectDeglutitionen
dc.subjectDeglutition disordersen
dc.subjectDysphagiaen
dc.subjectValidityen
dc.titleImplications of Variability in Clinical Bedside Swallowing Assessment Practices by Speech Language Pathologistsen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1007/s00455-016-9724-8en
dc.rights.holderSpringer Science+Business Media New Yorken
local.contributor.authorOrcidLookupDoeltgen, Sebastian: https://orcid.org/0000-0002-6722-2666en_US
local.contributor.authorOrcidLookupMcAllister, Sue Margery: https://orcid.org/0000-0003-1597-0563en_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record