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全球背景下的言语语言病理学与道德实践。

Speech-language pathology and ethical practice in global contexts.

作者信息

Staley Bea, Hickey Ellen, Rule David, Barrett Helen, Salter Claire, Gibson Rachael, Rochus David

机构信息

School of Education, Charles Darwin University, Casuarina, Australia.

School of Communication Sciences & Disorders, Dalhousie University, Halifax, Canada.

出版信息

Int J Speech Lang Pathol. 2021 Feb;23(1):15-25. doi: 10.1080/17549507.2020.1743358. Epub 2020 Apr 19.

DOI:10.1080/17549507.2020.1743358
PMID:32308047
Abstract

Given the growing professional interest of speech-language pathologists (SLP) in global development work and the opportunities for minority world health providers to use their skills internationally, conversations about what SLPs do when working in majority world settings, and how they do it are imperative. This paper presents case studies of speech-language pathology work in global settings examined within the context of ethical frameworks developed by: The American Speech-Language-Hearing Association, Speech-Language and Audiology Canada, and Speech Pathology Australia. These case studies drawn from personal experiences working as SLPs in majority world contexts are used to discuss the following issues: (1) the need for honest and reflective conversations about SLPs' motivations for engagement in global work; (2) the need to consider how funds are used to have the biggest and most sustainable impact on emerging professional contexts; (3) the necessity of long-term mutually beneficial global partnerships; (4) critical examination of culturally appropriate speech-language pathology services and recommendations; (5) learning to listen to majority world colleagues; (6) creating opportunities for majority world colleagues to represent themselves at conferences, meetings and in the literature, and; (7) the crucial role university staff play in fostering ethical and sustainable speech-language pathology practices.

摘要

鉴于言语语言病理学家(SLP)对全球发展工作的专业兴趣日益浓厚,以及少数世界卫生服务提供者在国际上运用其技能的机会,探讨SLP在多数世界环境中工作时的工作内容及方式势在必行。本文介绍了在全球环境中言语语言病理学工作的案例研究,这些研究是在以下机构制定的伦理框架背景下进行考察的:美国言语语言听力协会、加拿大言语语言与听力学协会以及澳大利亚言语病理学协会。这些案例研究取材于在多数世界环境中担任SLP的个人经历,用于讨论以下问题:(1)需要就SLP参与全球工作的动机进行坦诚且反思性的对话;(2)需要考虑如何使用资金,以便对新兴专业环境产生最大且最可持续的影响;(3)长期互利全球伙伴关系的必要性;(4)对符合文化背景的言语语言病理学服务及建议进行批判性审视;(5)学会倾听多数世界的同事;(6)为多数世界的同事创造在会议及文献中展示自己的机会;以及(7)大学工作人员在促进符合伦理和可持续的言语语言病理学实践方面所发挥的关键作用。

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