Türkiye’de Çalışan Farklı Branşlardaki Doktorların, Dil ve Konuşma Terapistleri ile İlgili Düşüncelerinin ve Çalışma Deneyimlerinin İncelenmesi

Abstract

Amaç: Bu çalışmanın amacı, dil ve konuşma terapistlerinin (DKT) disiplinler arası ve multidisipliner kapasitede çalıştıkları meslek gruplarını oluşturan farklı tıp dallarındaki doktorların düşüncelerini, bilgilerini, işbirliği süreçlerini ve deneyimlerini incelemektir. Gereç ve Yöntem: Türkiye'de çalışan farklı branşlardaki doktorların DKT'lerle ilgili görüşlerine ve çalışma deneyimlerine odaklanan bir Google anketi oluşturuldu. Anket 18 soru ve dört bölümden oluşmaktadır. Bulgular: Çalışma %28,4'ü (n=33) nöroloji, %28,4'ü (n=33) kulak burun boğaz (KBB), %21,6'sı (n=25) pediatrinin herhangi bir alanından ve %21,6'sı (n=25) diğer uzmanlık alanlarından olmak üzere toplam 116 doktor ile gerçekleştirilmiştir. Doktorların sadece %25,9'u (n=30) daha önce bir DKT ile çalışmıştır. Konuşma sesi bozuklukları, akıcı konuşma bozuklukları ve gelişimsel dil bozuklukları, tüm tıp branşlarındaki doktorların çalıştığı tüm uzmanlık alanları arasında en sık seçilen DKT çalışma alanları olmuştur. En az sayıda doktor yutma bozukluklarını, ardından bilişsel iletişim bozukluklarını ve X'e bağlı dil bozukluklarını DKT'lerin çalışma alanı olarak seçmiştir. Sonuç: Doktorların kurumlarında çalışan DKT'lerin sayısının, doktorlar ile DKT iş birliği düzeyinin ve doktorların DKT’lerin çalışma alanları hakkındaki bilgilerinin düşük olduğu tespit edilmiştir. Özellikle yutma ve bilişsel iletişim bozukluklarında doktorların farkındalığının eksik olduğu görülmüştür. Hastalara uygun hizmet sunumu için hekimler ve DKT'ler arasında güçlü bir ortaklık hayati önem taşımaktadır. Bu nedenle, kurumlarda çalışan DKT'lerin sayısı artırılmalı ve farklı tıp dallarındaki doktorların DKT'lerin hizmetlerine ilişkin bilgi düzeyi yükseltilmelidir.

Keywords

• Doktor
• tıp
• hekim
• dil ve konuşma terapistleri
• DKT.

The Opinions and Working Experiences of Doctors from Different Branches of Medicine Working in Turkey Concerning Speech and Language Pathologists

Abstract

Objective: This study aimed to examine the thoughts, knowledge, collaborative processes, and experiences of doctors in different branches of medicine, as these comprise the occupational groups in which speech-language pathologists/therapists (SLPs) work in interdisciplinary and multidisciplinary capacities. Material and Method: A Google survey was created focusing on the opinions about and working experiences of doctors in different branches of medicine working in Turkey with SLPs. The questionnaire consisted of 18 questions and four parts. Results: The study was conducted with 116 doctors, 28.4% of whom were neurologists, 28.4% were otorhinolaryngologists, 21.6% were pediatricians, and 21.6% were other specialists. Only 25.9% (n=30) have worked with an SLP before. Speech sound disorders, fluent speech disorders, and developmental language disorders were the most frequently chosen SLP study areas among all the specialties in which doctors in all branches of medicine work. The lowest number of doctors chose swallowing disorders, followed by cognitive communication disorders and X-linked language disorders, as the field of work of SLPs. Conclusion: It was found that the number of SLPs working in doctors' institutions, the level of cooperation between doctors and SLPs, and doctors' knowledge about the working areas of SLPs were low. It has been observed that physicians' awareness, especially in swallowing and cognitive communication disorders, is lacking. A strong partnership between physicians and SLPs is vital for appropriate service delivery to patients. For this reason, the number of SLPs working in institutions should be increased, as should the level of knowledge among doctors in different branches of medicine concerning SLPs’ services.

Keywords

• Doctor
• medicine
• physician
• speech and language pathologists
• SLP

References

1. Association, American Speech-Language-Hearing. Scope of practice in speech-language pathology [homepage on the Internet]. 2016 [cited 2023 Apr 4]. Available from: https://www.asha.org/policy/sp2016-00343/.
2. Association, American Speech-Language-Hearing. Preferred practice patterns for the profession of speech-language pathology. 2004 [cited 2023 Apr 14]. Available from: https://www.asha.org/policy/pp2004- 00191/.
3. DKTD. Dil ve konuşma terapisti nasıl olunur? [homepage on the Internet]. [cited 2023 Apr 28]. Available from: https://www.dktd.org/tr/ dil-ve-konusma-terapisti-ol-a.
4. Bakanlığı TS. Sağlık meslek mensupları ile sağlık hizmetlerinde çalışan diğer meslek mensuplarının iş ve görev tanımlarına dair yönetmelik. Ankara, Türkiye. 2014:20140522-14.
5. Dodd B. Evidence-based practice and speech-language pathology: Strengths, weaknesses, opportunities and threats. Folia Phoniatr. 2007;59(3):118-29.
6. Togher L, Yiannoukas C, Lincoln M, Power E, Munro N, Mccabe P, et al. Evidence-based practice in speech-language pathology curricula: A scoping study. Int J Speech Lang Pathol. 2011;13(6):459-68.
7. Parlak MM, Köse A. Investigation of the knowledge, experiences, and opinions of Speech and Language Pathologists on assessments and therapies for cognitive communication disorders in people with Alzheimer's disease-A cross-sectional survey in Turkey. Hacettepe University Faculty of Health Sciences Journal. 2023;10(1):45-57.
8. Parlak MM, Altan E, Saylam G. Dysphagia in individuals with dementia. Journal of Ear Nose Throat and Head Neck Surgery. 2022(30(2)):88-96. doi: DOI: 10.24179/kbbbbc.2021-86783.

9. Parlak MM, Bizbinar Ö, Köse A. The Effect of holistic therapy in Alzheimer's disease. Altern Ther Health Med. 2023:AT7591.
10. Passmore C, Dobbie AE, Parchman M, Tysinger J. Guidelines for constructing a survey. Family Medicine-Kansas City-. 2002;34(4):281-6.
11. Pauranik A, Pauranik N, Singh P, Lahiri D, Krishnan G. Aphasia in neurology practice: A survey about perceptions and practices. Ann Indian Acad Neurol. 2020;23(Suppl 2):S162.
12. DeZeeuw K, Lalonde Myers E. The role of speech-language pathologists in medical assistance in dying: canadian experience to inform clinical practice. Can J Speech Lang Pathol Audiol. 2020;44(2).
13. Alhamidi S, Alshahwan M, Tumala R. Knowledge and perception of registered nurses regarding the scope of practice of speech-language pathologists. Int J Environ Res Public Health. 2021;18(19):10534.
14. Lesser R, Hassıp S. Knowledge and opinions of speech therapy in teachers, doctors and nurses. Child Care Health Dev.1986;12(4):235-49.
15. Zikria M, Mumtaz N, Saqulain G, Naveed Babur M. The Role of Speech-language Pathologists in the Hospitals of Pakistan. Iranian Rehabilitation Journal. 2021;19(2):165-72.
16. Jeanne N, Phillips D, Molt L. Internal medicine and family medicine physicians' perceptions of speech-language pathology. J Med Speech Lang Pathol. 2011;19(4):49-57.
17. Kiyani SA, Butt AK. Dysphagia; Awareness & knowledge of medical practitioners and understanding of role of SLP in its assessment & management: JRCRS. 2014; 2 (1): 25-29. Journal Riphah College of Rehabilitation Sciences. 2014;2(1):25-9.
18. Hacettepe Üniversitesi. ''Dil ve Konuşma Terapisi Programı''. [cited 2023 Apr 29]. Available from https://akts.hacettepe.edu.tr/program_ detay.php?prg_oid=410c62643eac135f013ed6f88b192acf&birim_ kod=639&programduzey=2&submenuheader=2&durum=&prg_ kod=639#gnl1.
19. McCauslin LS, Florance CL, Rabidoux PC, editors. Evaluation of physician understanding of aphasia and the role of the speech pathologist. Clinical Aphasiology: Proceedings of the Conference 1980; 1980: BRK Publishers.
20. Leslie P, Scholten I, Stanschus S. International multidisciplinary perspectives on swallowing. Perspectives on Swallowing and Swallowing Disorders (Dysphagia). 2004;13(2):7-18.
21. Boominathan P, Desai V. Synergy between speech language pathologists and ENT surgeons to promote patient care. Journal of Laryngology and Voice. 2012;2(2):51.
22. Parlak MM, Babademez MA, Tokgöz SA, Bizpınar Ö, Saylam G. Evaluation of swallowing function according to the stage of Alzheimer’s Disease. Folia Phoniatr Logop. 2022;74(3):186-94.
23. Munis ÖB, Parlak MM, Köse A. Analysis of the consistency of information received from Alzheimer’s disease patients and their families in the quality of life and depression scales. Turkish Journal of Clinics and Laboratory. 2021;12(4):372-8.
24. Schwarz M, Ward EC, Seabrook M, Davis J, Whitfield BC. Outcomes from an extended scope of practice speech-language pathology service for low risk ENT outpatients: a 5-year service review. Int J Speech Lang Patho. 2022;24(1):3-11.
25. Brady MC, Godwin J, Enderby P, Kelly H, Campbell P. Speech and language therapy for aphasia after stroke: An updated systematic review and meta-analyses. Stroke. 2016;47(10):e236-e7.
26. Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clinical pediatrics. 2009;48(3):247-51.
27. Sherman V, Martino R, Bhathal I, DeVeber G, Dlamini N, MacGregor D, et al. Swallowing, oral motor, motor speech, and language impairments following acute pediatric ischemic stroke. Stroke. 2021;52(4):1309-18.