Matthew R Jeans, Matthew J Landry, Sarvenaz Vandyousefi, Erin A Hudson, Marissa Burgermaster, Molly S Bray, Joya Chandra, Jaimie N Davis
Effects of a School-Based Gardening, Cooking, and Nutrition Cluster Randomized Controlled Trial on Unprocessed and Ultra-Processed Food Consumption
The Journal of nutrition
dysphagia affects half adults stroke dysphagia rehabilitation aims improve swallowing reduce negative outcomes adults however significant variability exists dysphagia rehabilitation research needed explore underlying clinicianspecific workplace factors contribute variability dysphagia rehabilitation stroke explore factors influencing speech pathology practice dysphagia rehabilitation stroke used phenomenological approach interpretivist perspective twenty speech pathologists working dysphagia rehabilitation participated different workplace settings around australia five semistructured focus groups conducted online data inductively analysed using thematic analysis coding reliability method four themes discussed within focus groups 1 relationship experienced less experienced clinicians following people done 2 need collaborative learning safe space share train 3 variation settings impacts continuity care theres difference community acute 4 working effectively multidisciplinary teams mdt mdt listen voice speech pathology relationships senior junior speech pathologists within speech pathology mdt across inpatient community settings influenced speech pathology practice flattened hierarchies speech pathology collaborative learning workplaces mutual respect within teams connection across inpatient community settings could improve quality consistency dysphagia rehabilitation stroke already known subject dysphagia rehabilitation improve swallowing stroke however dysphagia rehabilitation characterised variability clinical practice clinicianspecific workplace factors influence clinical practice may contribute variability dysphagia rehabilitation study adds professional relationships influence speech pathologists clinical practice including relationships senior junior clinicians inpatient community settings peers multidisciplinary teams workplace norms hierarchies poor continuity care settings competing priorities disciplines hinder dysphagia rehabilitation however collaborative learning positive workplace cultures respectful transdisciplinary care improve quality consistency clinical practice clinical implications work flattening hierarchies workplace foster safe learning space questioning workplace norms seeking peer learning within across settings build clinical skills confidence developing positive workplace cultures support continuous development may key empowering speech pathologists provide highquality consistent dysphagia rehabilitation