Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change.

Autor: Foley J; The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia., Ward EC; The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.; Speech Pathology Department, The Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia., Burns CL; The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.; Speech Pathology Department, The Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia., Nund RL; The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia., Wishart L; The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.; Centre of Functioning and Health Research, Metro South Hospital and Health Service, Brisbane, Queensland, Australia.; Princess Alexandra Hospital, Metro South Hospital and Health Service, Brisbane, Queensland, Australia., Graham N; Speech Pathology Department, Children's Health Queensland Hospital and Health Service, Wondai Hospital, Wondai, Queensland, Australia., Patterson C; Speech Pathology Department, The Townsville University Hospital, The Townsville Hospital and Health Service, Townsville, Queensland, Australia., Ashley A; Speech Pathology Department, The Townsville University Hospital, The Townsville Hospital and Health Service, Townsville, Queensland, Australia., Fink J; Speech Pathology Department, The Townsville University Hospital, The Townsville Hospital and Health Service, Townsville, Queensland, Australia., Tiavaasue E; Speech Pathology Department, The Mount Isa Hospital, North West Hospital and Health Service, Mount Isa, Queensland, Australia., Comben W; Speech Pathology Department, The Townsville University Hospital, The Townsville Hospital and Health Service, Townsville, Queensland, Australia.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2021 Nov; Vol. 43 (11), pp. 3504-3521. Date of Electronic Publication: 2021 Sep 03.
DOI: 10.1002/hed.26850
Abstrakt: Background: Speech pathology (SP) services provide swallowing and communication intervention to people with head and neck cancer (HNC) across the continuum of care. However, difficulties exist with access and delivery of services in rural areas. The study aim was to identify actionable goals for SP change, utilizing a concept mapping approach.
Methods: Eleven SP staff from two regional/remote services completed the concept mapping process. Multivariate analysis and multidimensional scaling were used to develop a final set of prioritized goals for change.
Results: Between the two participating health services, 30 actionable goals were identified within the "green-zone" on the go-zone graph of importance and changeability. Among the most highly rated areas for change was the need to deliver and receive more support for training, mentoring, and supervision to consolidate skills.
Conclusions: This methodology enabled identification of prioritized, actionable changes to improve SP services for people with HNC living in regional/remote areas.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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