Mayer Jamie F, Green Makenna R, White Laura W, Lemley Trey
School of Allied Health and Communicative Disorders, Northern Illinois University, DeKalb, IL.
Department of Physical Therapy, University of South Alabama, Mobile, AL.
Am J Speech Lang Pathol. 2023 Sep 11;32(5):2351-2373. doi: 10.1044/2023_AJSLP-22-00410. Epub 2023 Aug 2.
This scoping review aimed to explore the extant literature on the experiences and views of speech-language pathologists (SLPs) and SLP students regarding the provision of care to people living with dementia (PLWD).
A systematic search was conducted using 10 databases for sources published in English from January 2000 through January 2022. Sources were included if participants were practicing SLPs and/or students enrolled in undergraduate communicative disorders or graduate SLP programs and if the concepts of experiences or views on the provision of SLP services to PLWD were explored in the context of any clinical or educational setting. Included sources were systematically extracted for pertinent study characteristics, including SLP roles and settings, concept domains, measures utilized, and facilitators/barriers to effective dementia care.
The majority of the 29 included sources were published in either academic journals ( = 20) or professional organization publications ( = 5) and used a cross-sectional study design ( = 19). Participants included SLPs ( = 22 studies) and graduate ( = 6 studies), undergraduate ( = 3 studies), and doctoral students ( = 1 study). The included studies addressed five primary conceptual domains: experiences, attitudes, roles, knowledge, and confidence. The most commonly addressed barriers and facilitators of effective dementia care were education and training.
Mapping and analysis of the current body of knowledge within this scoping review illuminated several knowledge gaps that we propose need to be addressed to meet the education and training needs of SLPs to provide optimal care to PLWD. These include systematically measuring access to and outcomes of evidence-based education and training programs both within and outside of an interprofessional collaborative context.
本范围综述旨在探索关于言语语言病理学家(SLP)及SLP专业学生为痴呆症患者(PLWD)提供护理的经验和观点的现有文献。
使用10个数据库对2000年1月至2022年1月期间发表的英文文献进行系统检索。如果参与者为执业SLP和/或就读于本科沟通障碍专业或SLP研究生项目的学生,并且在任何临床或教育背景下探讨了为PLWD提供SLP服务的经验或观点等概念,则纳入这些文献。对纳入的文献系统提取相关研究特征,包括SLP的角色和工作环境、概念领域、使用的测量方法以及有效痴呆症护理的促进因素/障碍。
纳入的29篇文献中,大多数发表于学术期刊(20篇)或专业组织出版物(5篇),并采用横断面研究设计(19篇)。参与者包括SLP(22项研究)以及研究生(6项研究)、本科生(3项研究)和博士生(1项研究)。纳入的研究涉及五个主要概念领域:经验、态度、角色、知识和信心。有效痴呆症护理最常提及的障碍和促进因素是教育和培训。
本范围综述对当前知识体系的梳理和分析揭示了几个知识空白,我们认为需要解决这些空白以满足SLP的教育和培训需求,从而为PLWD提供最佳护理。这些空白包括在跨专业协作背景内外系统地衡量循证教育和培训项目的可及性和成果。