ISSN: 2472-5005

Journal of Speech Pathology & Therapy
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  • Research Article   
  • J Speech Pathol Ther 2018, Vol 3(2): 133
  • DOI: 10.4172/2472-5005.1000133

School-Based Speech-Language Pathologists' Clinical Decision-Making Process in the State of California

Lei Sun* and Pei-Fang Hung
Department of Speech-Language Pathology, California State University, Long Beach, CA, USA
*Corresponding Author : Lei Sun, Department of Speech-Language Pathology, California State University, Long Beach, 1250 Bellflower Blvd., LAB 215 Long Beach, CA 90840, USA, Tel: (562) 985-2907, Email: Lei.Sun@csulb.edu

Received Date: May 23, 2018 / Accepted Date: Jun 18, 2018 / Published Date: Jul 25, 2018

Abstract

Purpose: The purpose of this survey study was to examine the relationships between knowledge and training in evidence-based practice (EBP) and ethical decision-making processes among school based speech-language pathologists (SLPs) in the state of California, U.S.A. The possible factors that may prevent SLPs from making ethical clinical decision were also explored.
Method: An online survey collected demographic information as well as responses pertaining to school-based SLPs’ understanding and implementation of EBP and ASHA Code of Ethics, and perceptions of possible constraints to ethical decision-making.
Result: All demographic factors are not related to EBP implementation and ethical decision-making. Weak positive correlations were found between ethical decision-making and the use of research evidence as well as between EBP training and understanding the role of school-based SLPs. Factors that may have a notable impact on ethical decision-making include parent’s preference, school district policies, and lack of administrator’s support while caseload, workload, and service delivery model have relatively less impact.
Conclusion: School-based SLPs who had the EBP training more likely incorporated EBP components during their decision-making process. However, the lack of comprehensive understanding of EBP and explicit guidelines of applying EBP to clinical practice may limit the effective implementation of EBP.

Keywords: Ethics; Evidence-based practice (EBP); Clinical decisionmaking; School-based speech-language pathologists; EBP training; Survey

Citation: Sun L, Hung PF (2018) School-Based Speech-Language Pathologists' Clinical Decision-Making Process in the State of California. J Speech Pathol Ther 3: 133. Doi: 10.4172/2472-5005.1000133

Copyright: © 2018 Sun L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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