عنوان

Speech and language therapy in practice :

شماره

TLets810541

عنوان اصلي

Speech and language therapy in practice :

نام عام مواد

[Thesis]

نام نخستين پديدآور

Nicoll, Avril

عنوان اصلي به قلم نويسنده ديگر

a critical realist account of how and why speech and language therapists in community settings in Scotland have changed their intervention for children with speech sound disorders

نام ساير پديدآوران

Maxwell, Margaret; Williams, Brian

نام ناشر، پخش کننده و غيره

University of Stirling

تاریخ نشرو بخش و غیره

2017

جزئيات پايان نامه و نوع درجه آن

Thesis (Ph.D.)

امتياز متن

2017

متن يادداشت

Healthcare professionals such as speech and language therapists are expected to change their practice throughout their career. However, from a practice perspective, there is a lack of knowledge around what practice change is, what it really takes, and why there are different trajectories. Consequently, therapists, managers and commissioners lack empirical evidence on which to base decisions about enabling practice change. In addition, intervention researchers lack basic sociological research around implementation that could inform their research designs, reporting and impact. This case-based sociological inquiry, underpinned by critical realist assumptions, was designed to address this knowledge gap. It includes a two-stage qualitative synthesis of 53 (then 16) studies where speech and language therapists explained the work of their practice in depth, and a primary qualitative study focused on one professional jurisdiction, children with speech sound difficulties (SSD). Forty two speech and language therapists from three NHS areas and independent practice in Scotland participated in individual interviews or self-organised pairs or focus groups to discuss in depth how and why they had changed their practice with these children. A variety of comparative methods were used to detail, understand and explain this particular aspect of the social world. The resulting theory of SSD practice change comprises six configured cases of practice change (Transforming; Redistributing; Venturing; Personalising; Delegating; Refining) emerging from an evolving and modifiable practice context. The work that had happened across four key aspects of this context (Intervention; Candidacy; Caseload; Service) explained what made each case possible, and how practice had come to be one way rather than another. Among its practical applications, the theory could help services plan more realistic practice change. In addition, the inductively developed layered model of SSD intervention change has the potential to contribute to speech and language therapy education as well as methodological discussions around complex interventions.

موضوع مستند نشده

practice change; implementation; speech and language therapy; speech sound disorder; case-based sociological inquiry; qualitative methods; comparative methods; critical realism; context; complex interventions; candidacy; caseload; implementation-practice-profession lens; practical social theory; Speech therapy; Speech therapists--Training of--Scotland; Speech therapy for children--Research--Case studies; Speech disorders in children

مستند نام اشخاص تاييد نشده

University of Stirling

مستند نام اشخاص تاييد نشده

Maxwell, Margaret; Williams, Brian

مستند نام تنالگان تاييد نشده

University of Stirling

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y