The working practices and clinical experiences of paediatric speech and language therapists: a national UK survey

Pring, Tim; Flood, Emma; Dodd, Barbara G.; Joffe, Victoria L.

doi:10.1111/j.1460-6984.2012.00177.x

Cited by 39 publications

(39 citation statements)

References 16 publications

(16 reference statements)

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“…We have shown that the 0.6 OT staffing WTE per 10 beds is not sufficient to meet the needs of patients and resulted in patient-to-OT ratios that were spuriously high. However, the overall staffing pattern is consistent with the DH Survey of Stroke Unit Staffing and Patient Dependency [16] which reported that only 25% of units had adequate staff numbers for rehabilitation. Similarly, the Sentinel Audit [5] reports that "access to occupational therapy is slower for many patients than ideal" (p. 35).…”

Section: Discussionsupporting

confidence: 67%

A comparison between reported and ideal patient-to-therapist ratios for stroke rehabilitation

McHugh¹,

Swain²

2013

Health

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Objective: Major improvement has been made in the medical management of stroke in the UK between 2008 and 2010 based on the indicators measured in the National Sentinel Audit. However based on the same audit, no corresponding improvement has been effected to patient functional impairment levels on hospital discharge in the corresponding time frame. This study derived patient-to-therapist ratios as a means of exploring the amount of rehabilitation time for stroke patients while in hospital care. Method: A purpose specific survey was developed for completion by stroke teams. From a contact list compiled primarily in collaboration with the 28 National Stroke Improvement Networks, the N th name technique was used to target stroke teams in each geographical area covered by the 28 networks. Results: A total of 53 surveys were returned representing 20 of the 28 network areas providing 71% national coverage. Analysis conducted on 19 of the 37 inpatient hospital care units that were discrete units, had no missing data for staff numbers, unit bed numbers, number of stroke patients treated per annum, average unit length-of-stay, and unit occupancy rates. Staffing levels for some therapies were below the Department of Health staffing assumptions suggesting that stroke units are challenged to provide the recommended therapy time. Conclusions: Most stroke units surveyed are operating below the DH staffing assumption levels and are therefore challenged in providing the amount of therapy and patient time recommended in the National Institute of Clinical Excellence guidelines to facilitate optimal functional recovery for stroke patients.

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Section: Discussionsupporting

confidence: 67%

A comparison between reported and ideal patient-to-therapist ratios for stroke rehabilitation

McHugh¹,

Swain²

2013

Health

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“…This study partially concurs with existing literature that suggests that SLTs prefer ‘direct’ intervention (Pring et al . ). It also corresponds with evidence from studies suggesting that SLTs expect parents to assume an observer or helper role (Sugden et al .…”

Section: Discussionmentioning

confidence: 97%

“…The growth in parent training (Pring et al . , Roulstone 2012) and parent–child interaction therapy (Falkus et al . , Klatte and Roulstone ) depends on parents assuming a learner role.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, a national survey of 516 paediatric SLTs in the UK reported that SLTs valued professional‐led intervention (direct therapy) more highly than indirect therapy that included parent education programmes (Pring et al . ). SLTs expressed the belief that ‘hands‐on’ therapy, delivered by the professional, was the best approach for intervention.…”

Section: Introductionmentioning

confidence: 97%

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SLTs’ conceptions about their own and parents’ roles during intervention with preschool children

Davies

Marshall

Brown

et al. 2019

Intl J Lang & Comm Disor

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Background Current research investigating collaboration between parents and speech and language therapists (SLTs) indicates that the SLT role is characterized by therapist‐led practice. Co‐working with parents of children with speech and language difficulties is less frequently described. In order to embrace co‐working during intervention, the SLT role may need to be reframed, focusing on acquiring skills in the role of coach as well as the role of planning intervention and treating children. Aims To report (1) SLTs’ conceptions about their own roles during intervention for pre‐school children with speech and language difficulties; and (2) SLTs’ conceptions of parents’ roles during intervention. Methods & Procedures A qualitative study used individual, semi‐structured interviews with 12 SLTs working with pre‐school children. Open‐ended questions investigated SLTs’ expectation of parents, experience of working with families, and the SLTs’ conception of their roles during assessment, intervention and decision‐making. Thematic network analysis was used to identify basic, organizational and global themes. Results & Outcomes SLTs had three conceptions about their own role during intervention: treating, planning and coaching. The roles of treating and planning were clearly formulated, but the conception of their role as coach was more implicit in their discourse. SLTs’ conception of parents’ roles focused on parents as implementers of activities and only occasionally as change agents. Conclusions & Implications Collaboration that reflects co‐working may necessitate changes in the conception about the role for both SLTs and parents. SLTs and parents may need to negotiate roles, with parents assuming learner and adaptor roles and SLTs adopting a coaching role to activate greater involvement of parents. Applying conceptual change theory offers new possibilities for understanding and enabling changes in SLTs’ conception of roles, potentially initiating a deeper understanding of how to achieve co‐working during speech and language intervention.

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“…Specifically, we sought to overview the generic and condition-specific health-related quality of life (HRQoL) measures currently being used in the field, and whether any such measures were suitable for informing service delivery priorities within this population. Because health care needs among children with SaLD tend to be heterogeneous, with the focus being the child's specific needs (Pring, Flood, & Dodd, 2012), it has proven difficult to apply outcome measures in a consistent and systematic way across the population of children with SaLD.…”

Section: Introductionmentioning

confidence: 99%

Measuring quality of life in children with speech and language difficulties: a systematic review of existing approaches

Gomersall

Spencer

Basarir

et al. 2015

Intl J Lang & Comm Disor

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Background Children's and adolescent's speech and language difficulties (SaLD) can affect various domains of quality of life (QoL), and speech and language therapy interventions are critical to improving QoL. Systematically measuring QoL outcomes in this population is highly complex due to factors such as heterogeneity in impairments and differing targets during intervention. However, measurements of QoL are increasingly required by healthcare commissioners and policy‐makers to inform resource allocation. Aims To review the use of QoL measures in research involving children (age ≤ 18 years) with SaLD. Methods & Procedures A systematic review was undertaken. A systematic search across various databases was performed. Information on the methodological details of each relevant study, along with descriptions of the QoL measures employed, were extracted into standardized data extraction forms. Findings were discussed in a narrative synthesis. Outcomes & Results Twenty‐one relevant studies were identified that deal with a range of subpopulations of children with SaLD. For the most part, generic QoL measures were used, although there was little convergence on the type of QoL measures employed throughout the literature. Five studies utilized preference‐based QoL measures, including the 16D/17D, HUI3, EQ‐5D and QWB‐SA. Of these measures, the HUI3 demonstrated the most promising discriminant validity, although the preference weights for this measure were generated with adults. Conclusions & Implications QoL among children with SaLD is not yet being captured in a systematic way. The HUI3 measure appears to show some promise for generating relevant preference‐based QoL estimates, although further testing of the measure is required.

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The working practices and clinical experiences of paediatric speech and language therapists: a national UK survey

Cited by 39 publications

References 16 publications

A comparison between reported and ideal patient-to-therapist ratios for stroke rehabilitation

A comparison between reported and ideal patient-to-therapist ratios for stroke rehabilitation

SLTs’ conceptions about their own and parents’ roles during intervention with preschool children

Measuring quality of life in children with speech and language difficulties: a systematic review of existing approaches

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