Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation

South African Journal of Communication Disorders

Field Value
Title Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation
Creator Pillay, Thiani Pillay, Mershen
Subject Speech therapy; medicine; nursing clinical reasoning; dysphagia; clinical swallow evaluation; speech-language pathology; contextualisation
Description Background: This study explored the available literature on the phenomenon of clinical reasoning and described its influence on the clinical swallow evaluation. By exploring the relationship between clinical reasoning and the clinical swallow evaluation, it is possible to modernise the approach to dysphagia assessment.Objectives: This study aimed to contextualise the available literature on clinical reasoning and the CSE to low-middle income contexts through the use of a scoping review and expert consultation.Method: A scoping review was performed based on the PRISMA-ScR framework. The data was analysed using thematic analysis. Articles were considered if they discussed the clinical swallow evaluation and clinical reasoning, and were published in the last 49 years.Results: Through rigorous electronic and manual searching, 12 articles were identified. This review made an argument for the value of clinical reasoning within the clinical swallow evaluation. The results of the study revealed three core themes related to the acquisition, variability and positive impact of clinical reasoning in the clinical swallow evaluation.Conclusion: The results of this review showed that the clinical swallow evaluation is a complex process with significant levels of variability usually linked to the impact of context. This demonstrates that in order to deliver effective and relevant services, despite challenging conditions, healthcare practitioners must depend on clinical reasoning to make appropriate modifications to the assessment process that considers these salient factors.
Publisher AOSIS
Date 2021-07-29
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Scoping Review; consultation
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v68i1.832
Source South African Journal of Communication Disorders; Vol 68, No 1 (2021); 12 pages 2225-4765 0379-8046
Language eng
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Coverage South African; Low-middle income countries — —
Rights Copyright (c) 2021 Thiani Pillay, Mershen Pillay