2012
DOI: 10.1111/j.1460-6984.2011.00103.x
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Preparation, clinical support, and confidence of speech–language therapists managing clients with a tracheostomy in the UK

Abstract: Tracheostomy training and support in the UK What this paper adds What is already known on this subject?Literature regarding the education, training, clinical support and confidence of Speech Language Therapists (SLTs) working with patients with a tracheostomy is scarce. However, it suggests that many SLTs have reduced clinical confidence regarding managing this complex population, many face role and team challenges practicing in this area, and most are seeking more opportunities for professional development an… Show more

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Cited by 27 publications
(25 citation statements)
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“…Ward et al . () found that only one‐third of SLTs felt they worked in an optimal team for managing patients with a tracheostomy, and this is supported by the findings of this research. Interestingly, in the current study SLTs did not necessarily want to relinquish control over swallow screening, whilst sometimes nurses did not want to take on this role.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Ward et al . () found that only one‐third of SLTs felt they worked in an optimal team for managing patients with a tracheostomy, and this is supported by the findings of this research. Interestingly, in the current study SLTs did not necessarily want to relinquish control over swallow screening, whilst sometimes nurses did not want to take on this role.…”
Section: Discussionmentioning
confidence: 99%
“…The role of the SLT is also more established in this patient population and the MDTs working with them. In contrast, the presence of SLT and the recognition of swallowing problems and what SLT can offer in the tracheostomy population, especially the intensive care population, is relatively new, with only half of SLTs feeling they have a defined role within their MDT when working with tracheostomised patients (Ward et al 2012). A factor that further compounds this situation is that the majority of SLT services are not funded for this client group (RCSLT 2014).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The RCSLT Tracheostomy Competencies (2013) [34 && ] support this view and provide a knowledge and skills framework for SLTs working with a range of tracheostomized patients in different settings, including critical care, head and neck cancer, burns, paediatrics and long-term tracheostomy patients in community. A recent UK survey by Ward et al [54], reporting training and confidence of SLTs working with patients with a tracheostomy, found that most were actively seeking training, had support available and were confident, except when managing more complex, medically fragile ventilator-assisted patients. Adopting formal competency training programmes encouraged training and support for clinicians managing complex patients.…”
Section: New Guidance For Speech and Language Therapistsmentioning
confidence: 97%
“…A recent survey of speech-language pathologists in the United Kingdom indicated that the majority (71%) were confident managing patients with a tracheostomy while still seeking professional development opportunities [99].…”
Section: Communicationmentioning
confidence: 99%