Meghan P McCormick, Mirjana Pralica, Christina Weiland, JoAnn Hsueh, Lillie Moffett, Paola Guerrero-Rosada, Amanda Weissman, Kehui Zhang, Michelle F Maier, Catherine E Snow, Emily Davies, Anne Taylor, Jason Sachs
Does kindergarten instruction matter for sustaining the prekindergarten (PreK) boost? Evidence from individual- and classroom-level survey and observational data
Developmental psychology
study aimed explore facilitators barriers delivering personcentered care perspective speechlanguage pathologists audiologists socio economically diverse workplace across micro meso macro levels national crosssectional esurvey conducted among pooled speechlanguage pathologists andor audiologists south africa esurvey included quantitative components describe participant demographics analysed using descriptive inferential statistics qualitative data analyzed using metaphor thematic analysis approaches describe respondents perspectives barriers facilitators delivering personcentered care esurvey completed 63 clinicians 365 audiologists 365 speechlanguage therapists 270 dually qualified speechlanguage therapists audiologists mostly ages 26 35 years old 333 respondents working various settings including public sector 413 private sector 444 academia 143 facilitators barriers identified within three systems macro meso micro metaphor analysis resulted six categories uncertainty person centered care essential nature associated challenges relational aspect analogies referring animals foodrelated analogies thematic analysis openended questions revealed five barriers three relating micro systems clinician factors ii client factors iii clinician client interaction two related factors within meso system iv resources v workplace two themes identified facilitators towards pcc clinician factors mirco workplace factors meso insights gained exploring speechlanguage pathologists audiologists perceptions implementing pcc socioeconomically diverse setting highlight need address contextual meso macro systems personal micro system factors promote deliver pcc effectively notably public sector resources emerged major concern barrier macro system level despite challenges investigation revealed two noteworthy facilitators clinician factors micro level workplace factors meso level nuanced understanding emphasizes necessity tailored interventions targeting individual systemic aspects enhance successful implementation personcentered care strategies focus enhancing clinicians communication skills collaboration teamwork well addressing resource limitations adaptation tools implementation pcc iso standards