Browsing by Author "Ferraris, Daniela Mary"

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    Speech and language therapy for burn injuries in South Africa : knowledge and experience, evidence-based involvement, access, referral pathways, and training and education needs
    (Stellenbosch : Stellenbosch University, 2021-03) Ferraris, Daniela Mary; De Beer, Alida; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Speech Language and Hearing Therapy.
    ENGLISH SUMMARY : Background: In South Africa (SA), there is a high incidence of burn injuries (BIs) which is a growing area of involvement and interest among South African speech and language therapists (SLTs). However, there is limited knowledge and experience among practising SLTs. This includes a poor understanding of the aetiology of BIs, the physical and psychosocial acute and long-term effects of BIs, and the specific role of SLTs in the assessment and management of BIs. This novel study is exploratory in nature due to limited existing evidence. Objectives: The study aimed to determine SLTs’ knowledge and experience, referral pathways and SLT accessibility, the use of evidence-based practice (EBP), and education and training required to equip SLTs to work in the BI population. Method: A convergent mixed method design was utilised for this study in which quantitative and qualitative data were collected simultaneously. Two instruments were utilised for data collection: an online questionnaire aimed at SLTs practising in SA, and semi-structured interviews with heads of departments of burn units or wards caring for people with BIs in SA. The questionnaire yielded both quantitative and qualitative data, and the interviews yielded further qualitative data. Results: Results indicated limited knowledge and experience in BIs among SLTs in SA leading to a lack of awareness and involvement in this population. Despite a willingness from SLTs to work in this population, low levels of confidence and competence were described. Although there appeared to be established methods for referral and general accessibility to SLT, there was a lack of criteria for referral. This may due to a lack of education and training opportunities at undergraduate and postgraduate levels, and a lack of contextually relevant evidence and guidance. Conclusion: Due to the high incidence of burns in SA and the clinical relevance of SLT in this population, there is a need for undergraduate and post-graduate training and exposure to BIs in SLT. The assessment and management of BIs is contextually relevant in SA and should be included in the scope of practice with clear practice or competency guidelines from professional bodies. This will ensure adequate knowledge, experience, and awareness so that SLTs can confidently provide competent services to this population. The findings of this study will be useful in informing future planning and the provision of education and training. It may encourage awareness among SLTs of their role in burns and lead to research and the emergence of contextually relevant practice-based evidence.