So Yeon Joyce Kong, Ankit Acharya, Omkar Basnet, Solveig Haukås Haaland, Rejina Gurung, Øystein Gomo, Fredrik Ahlsson, Øyvind Meinich-Bache, Anna Axelin, Yuba Nidhi Basula, Sunil Mani Pokharel, Hira Subedi, Helge Myklebust, Ashish Kc
Mothers' acceptability of using novel technology with video and audio recording during newborn resuscitation: A cross-sectional survey
PLOS digital health
despite high prevalence bilingualism united kingdom speech language therapists slts bilingual slt research bilingualism generated knowledge inform service delivery bilingual clients studies investigated bilingual slt influences ones professional experiences practices better understanding unique positionality bilingual slts yield critical insights meaningfully address issues diversity inclusion equity profession investigate experiences practices bilingual paediatric slts united kingdom lens culturalhistorical activity theoryinternational classification functioning disability health chaticf new theoretical framework developed conceptualise activities professionals working field disability qualitative study 19 bilingual paediatric slts practising united kingdom interviewed individually participants recruited snowball sampling strategy semistructured interviews conducted online data analysed using reflexive thematic analysis following hybrid inductivedeductive approach map results onto chaticf framework six overarching components chaticf framework hosted 12 subthemes identified capture experiences practices bilingual slts 1 subject intersectionality 2 tools language skills education clinical resources 3 rules systemic barriers sense responsibility 4 community sense inclusion 5 division labour parents colleagues 6 practice empathy children holistic mindset flexible approaches use chaticf theoretical lens revealed two fundamental structural phenomena 1 distribution subthemes across many components chaticf demonstrated bilingual slt multifactorial experience 2 chain reactions subthemes illustrated dynamic nature bilingual slts experiences harnessed challenge marginalisation promote equity profession first qualitative study date provide indepth insights experiences practices bilingual slts united kingdom insights mobilised inform meaningful inclusion bilingual slts workforce planning efforts service development recommendations include using intersectional lenses providing cultural antiracism awareness training slts developing diverse clinical resources flexible approaches bilingual families valuing bilingualism recruitment processes increasing accountability leadership level research giving voice bilingual slts underrepresented demographics slt workforce catalyse action promote diverse inclusive profession line royal college speech language therapists strategic vision 20222027 already known subject research bilingualism speech language therapy focused issues related service provision delivery bilingual clients little consideration bilingual speech language therapists slts unique positionality survey studies shown bilingual slts report significantly higher competency greater confidence working clients speak multiple languages significant gaps understanding bilingualism impacts aspects professional experiences paper adds existing knowledge first study provide indepth insights experiences practices bilingual slts united kingdom show bilingual profoundly impacts many aspects professional experiences including clinical identity skillset sense inclusion workplace work relationships clinical approaches bilingual slts expressed developing trust relationships bilingual families adopting flexible approaches account clients environmental factors contribute equitable slt services study also makes novel contribution proposing using culturalhistorical activity theoryinternational classification functioning disability health chaticf framework conceptualise investigate slts experiences practices potential actual clinical implications work study provides evidencebased recommendations inform progress towards royal college speech language therapists strategic vision 20222027 diversification profession actions support bilingual slts diversify profession include shifting rigid mindset linguistic cultural competence selfgrowth awareness developing diverse clinical resources flexible approaches bilingual families valuing bilingualism slt recruitment processes career progression increasing accountability leadership around issues diversity workplace novel chaticf framework potential used support therapists reflexivity practice structure audits rehabilitation services intersectionality theories transformative processes catalyse positive change clinical services research around bilingualism