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Do best practice recommendations align with current aphasia practices in the Swedish care context: a national survey
Aphasiology ( IF 2 ) Pub Date : 2021-06-03 , DOI: 10.1080/02687038.2021.1917504
Klara Josefina Persson 1 , Rut Bråndal 1 , Fredrik Karlsson 1 , Monica Blom Johansson 2
Affiliation  

ABSTRACT

Background

For healthcare professionals, decision-makers and taxpayers, clinical guidelines and recommendations are tools for implementing interventions supported by research evidence. To ensure efficient, safe, and equal care for people with aphasia (PWA) in Sweden, it is vital that speech and language pathologists (SLPs) can work in accordance with evidence-based practice.

Aim

To investigate to which degree the Best practice recommendations for aphasia (BPRA) are already well aligned with current practice in the management of aphasia and to what extent they would require adjustment to fit the Swedish care contexts.

Methods and procedures

The BPRA were translated from English to Swedish according to steps 1 and 2 in the translation method recommended by the World Health Organization (WHO). A web-based questionnaire was used for data collection. All healthcare regions in Sweden were represented, and the study included a total of 109 SLPs. The participants’ perceived knowledge and application of the recommendations and whether the recommendations can serve as a basis for national clinical guidelines were summarized quantitatively. The participants’ comments on the applicability of the BPRA were analyzed with qualitative content analysis according to an established model.

Outcomes and results

Only a few participants indicated they had good knowledge of the BPRA. The responses additionally showed that the application of the BPRA varied between the participants and across clinical settings. Lacking SLP resources was stated to be the main perceived barrier for complying with the recommendations. The participants also stated that the BPRA requires adjustment to provide a partial basis for national clinical guidelines for aphasia and the need for national clinical guidelines to be adjusted to prevalent SLP resources.

Conclusions

There are challenges in following up on some of the interventions that, according to both multinational recommendations and Swedish guidelines, should be given priority in the care of PWA. The barriers that are stated to complicate Swedish SLPs’ compliance with some of the multinational recommendations are similar to the barriers posed by SLPs in other national studies on the uptake of aphasia rehabilitation recommendations. In Sweden, SLPs experience a lack of resources of various kinds to be able to fully comply with the BPRA.



中文翻译:

最佳实践建议是否与瑞典护理环境中当前的失语症实践保持一致:一项全国调查

摘要

背景

对于医疗保健专业人员、决策者和纳税人来说,临床指南和建议是实施有研究证据支持的干预措施的工具。为确保瑞典失语症患者 (PWA) 获得有效、安全和平等的护理,言语和语言病理学家 (SLP) 必须能够按照循证实践开展工作。

目标

调查失语症最佳实践建议(BPRA) 在何种程度上已经与失语症管理的当前实践保持一致,以及它们需要在何种程度上进行调整以适应瑞典的护理环境。

方法和程序

根据世界卫生组织 (WHO) 推荐的翻译方法中的步骤 1 和 2,将 BPRA 从英语翻译成瑞典语。使用基于网络的问卷进行数据收集。瑞典的所有医疗保健地区都有代表,该研究共包括 109 个 SLP。量化总结了参与者对建议的认知和应用以及这些建议是否可以作为国家临床指南的基础。根据已建立的模型,通过定性内容分析来分析参与者对 BPRA 适用性的评论。

结果和结果

只有少数参与者表示他们对 BPRA 有很好的了解。回复还表明,BPRA 的应用因参与者和临床环境而异。据称,缺乏 SLP 资源是遵守建议的主要障碍。与会者还表示,BPRA 需要进行调整,以便为国家失语症临床指南提供部分依据,并且需要对国家临床指南进行调整以适应流行的 SLP 资源。

结论

根据多国建议和瑞典指南,在对某些干预措施进行跟进方面存在挑战,这些干预措施应在 PWA 的护理中得到优先考虑。据称使瑞典 SLP 遵守一些多国建议复杂化的障碍与其他国家研究中关于采纳失语症康复建议的 SLP 所构成的障碍相似。在瑞典,SLP 缺乏能够完全遵守 BPRA 的各种资源。

更新日期:2021-06-03
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