魁北克语言病理学家嗓音评估实践与职业认同实践社区的成果

Ingrid Verduyckt, Lyne Defoy, Imane Hocine, Vicent Martel-Sauvageau
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引用次数: 0

摘要

在临床嗓音评估的推荐实践中存在着不同的协议,而有关支持评估程序和措施的证据基础的文献也存在着空白,在这种情况下,来自缺乏临床和科学嗓音实践专业知识的地区的临床医生可能很难自信地开展他们的嗓音评估实践。为了改进嗓音评估实践并加强加拿大魁北克省言语病理学家的专业认同感,我们建立了一个实践社区(CoP),旨在促进知识共享、改变临床实践并提高专业认同感。39 名参与者参加了为期四个月的实践社区活动,包括虚拟会议和现场研讨会。参与者的出席率很高(虚拟会议的参与率大于 74%),他们对自己的参与非常满意,并打算在项目结束后继续参与。据统计,嗓音评估实践在合作项目结束后发生了重大变化,包括进行评估的概率(p < .001)和对评估目的重要性的认识(p < .001),以及对具体评估信心的提高,特别是对听觉感知评估程序(p < .001)和空气动力学评估目的(p = .05)的信心。此外,CoP 后的专业认同感也有所提高(p < .001),参与者认为他们学到了很多东西。本研究强调,在未来的研究中,有必要让嗓音康复师参与进来,以确定与嗓音康复师的特定评估目标相关的评估,并表明 CoPs 是实现这一目的的有效工具。
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Outcomes of a Community of Practice on Quebec Speech Language Pathologists’ Voice Assessment Practices and Professional Identity
In a context where different protocols for recommended practices in clinical voice assessment exist, while there are gaps in the literature regarding the evidence base supporting assessment procedures and measures, clinicians from regions where a strong community holding expertise in clinical and scientific voice practices lack can struggle to confidently develop their voice assessment practices. In an effort to improve voice assessment practices and strengthen professional identity among speech-language pathologists in Quebec, Canada, a community of practice (CoP) was established, with the aim of promoting knowledge sharing, implementing change in clinical practice, and improving professional identity. Thirty-nine participants took part in the CoP activities conducted over a four-month period, including virtual meetings and in-person workshops. Participants had a high rate of attendance (> 74% participation rate in virtual meetings), and were highly satisfied with their participation and intended to remain involved after the project’s end. Statistically significant changes in voice assessment practices were observed post-CoP, regarding probability of performing assessments (p < .001), and perceived importance of assessment for evaluative purposes (p <.001), as well as improvements in assessment specific confidence, specifically for procedure of auditory-perceptual assessment (p < .001) and purpose of aerodynamic assessment (p = .05). Moreover, there was an increase in professional identity post-CoP (p < .001) and participants felt they made significant learnings. The present study highlighted the need to involve SLPs in future research to identify assessments that are relevant to the specific evaluative objectives of SLPs working with voice, and suggests CoPs are an efficient tool for that purpose.
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