Date of Award

5-2024

Degree Type

Honors College Thesis

Academic Program

Speech Pathology and Audiology BA

Department

Speech and Hearing Sciences

First Advisor

Amy LeBert, Ed.D.

Advisor Department

Speech and Hearing Sciences

Abstract

This study explores the factors that inform a Speech-Language Pathologist’s (SLP’s) process for diagnosing dysphagia (disordered swallowing) and seeks to determine what barriers they perceive to performing their standard of care. To achieve a qualitative data set, 10 SLPs were interviewed using a semi-structured format and their responses were analyzed using Reflexive Thematic Analysis to produce four themes. Theme one gave insight into the SLPs prerogative to provide patient-centered care. Theme two expounded upon this, emphasizing how the SLPs treat dysphagia as part of a collection of disorders, and not in isolation. Theme three explained a lack of understanding as the root cause of many barriers that SLPs face. Finally, theme four investigated the SLPs methods of advocacy, and suggested ways that clinicians can address challenges in their practice. These four themes also highlight the variation among SLPs in their practices, settings, and in meeting the needs of their patients. One desired outcome of this study is to empower SLPs, both new and experienced, to advocate for their patients, their methods, and themselves as they navigate challenges in their dysphagia careers. Another hope is that this research will add to the discussion of variability in diagnosing dysphagia and consider the factors that contribute to the field’s natural variation.

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