scholarly journals Tutorial on Clinical Practice for Use of the Fiberoptic Endoscopic Evaluation of Swallowing Procedure With Adult Populations: Part 1

Author(s):  
Susan E. Langmore ◽  
Donna R. Scarborough ◽  
Lisa N. Kelchner ◽  
Nancy B. Swigert ◽  
Joseph Murray ◽  
...  

Purpose: Representatives of the American Board of Swallowing and Swallowing Disorders (AB-SSD) and American Speech-Language-Hearing Association (ASHA) Special Interest Group (SIG) 13: Swallowing and Swallowing Disorders (Dysphagia) developed this tutorial to identify and recommend best practice guidelines for speech-language pathologists who conduct and interpret fiberoptic endoscopic evaluation of swallowing (FEES) procedures in adults. This document also includes proposed training needs and methods for achieving competency. Expert opinion is provided regarding indications for performing the FEES exam, potential contraindications, adverse effects and safety, equipment and personal protection, the exam protocol, interpretation and documentation of findings, and training requirements to perform and interpret the exam. Conclusions: This tutorial by the AB-SSD and SIG 13 represents the first update about the FEES procedure since ASHA's position paper and technical report published in 2004. Creation of this document by members of the AB-SSD and SIG 13 is intended to guide professionals who are training for or practicing FEES in the adult population toward established best practices and the highest standards of care.

2020 ◽  
Vol 31 (2) ◽  
pp. 209-218
Author(s):  
Jaime Ballard ◽  
Lynne Borden

Military spouses face employment obstacles such as relocations, leading to un- or underemployment. The Department of Defense (DoD) proposed three best practice guidelines for transfer of licenses for military spouses. In this study, we (a) reviewed state legislation on military spouse licensure portability and identified how states addressed DoD best practices, and (b) interviewed staff and reviewed websites at six occupational boards of each state. Most states have implemented at least two guidelines, while occupational boards have implemented only some of the legislated guidelines. Thirty-seven percent of boards in states with legislation supporting expedited applications for military spouses did not offer them, and not all accommodations are publicly displayed. Financial counselors should recommend military spouses call regulatory offices about accommodations.


2017 ◽  
Vol 49 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Laura A. Reese ◽  
Kellee M. Remer

Inadequate animal control ordinances can lead to increased health risks from dog bites, lawsuits from dog attacks, complaints about nuisance issues, improper care of and lack of protection for companion animals, and animal suffering. Yet, no research to date has explored the nature of extant local animal control ordinances nor assessed how closely they match best practice guidelines. This article provides information to public officials on model policy by examining local animal control ordinances in Michigan, comparing existing policy to best practice models, identifying the types of communities most likely to promulgate model policy, and making recommendations regarding local animal control ordinances. The findings make clear that cities on the whole do not have animal control ordinances that follow best practice guidelines. Generally, control issues are emphasized over animal welfare concerns, and policies are not sufficiently detailed to protect the community, animal guardians, or the animals themselves.


2020 ◽  
Vol 40 (4) ◽  
pp. 270-276 ◽  
Author(s):  
Anne V. Kirby ◽  
Alexandra L. Terrill ◽  
Ariel Schwartz ◽  
Jarrett Henderson ◽  
Brandi N. Whitaker ◽  
...  

Suicide rates for young people are climbing in the United States and worldwide. Increasing rates of youth suicide are of concern to occupational therapy (OT) practitioners in pediatric settings, yet the profession’s role in this area is poorly defined. To understand OT practitioners’ awareness and needs related to youth suicide, we administered a survey including objective (e.g., knowledge of suicide-related facts) and subjective items (open- and close-ended questions) related to youth suicide to 134 OT practitioners working in pediatric settings. Only 5.2% of respondents correctly answered four items about youth suicide facts and only 32% reported they had received suicide-focused education. Just under half (45%) of respondents were able to identify all best practice responses to clinical scenarios related to youth suicide; older practitioner age was the only significant predictor of best practices. OT practitioners in pediatric settings would benefit from youth-focused suicide education and training.


2013 ◽  
Vol 29 (4) ◽  
pp. 305-327 ◽  
Author(s):  
Julia Ogg ◽  
Sarah Fefer ◽  
Ashley Sundman-Wheat ◽  
Melanie McMahan ◽  
Tiffany Stewart ◽  
...  

2021 ◽  
Vol 26 ◽  
Author(s):  
Allison H. Du Plessis ◽  
Dalena Van Rooyen ◽  
Wilma Ten Ham-Baloyi

Background: Screening for chorioamnionitis, or the risk thereof, by midwives is largely lacking during antenatal care and no best practice guidelines for chorioamnionitis in South Africa was noted.Aim: To explore and describe midwives’ knowledge and practices related to the screening and management of women who are at risk of or diagnosed with chorioamnionitis.Setting: Public healthcare institutions in a health district in the Eastern Cape province of South Africa.Methods: A qualitative, exploratory, descriptive and contextual research design was used. Ten midwives were purposively included in this study, and semi-structured interviews were conducted with them. The data were analysed using an adapted version of Tesch’s eight steps for data analysis.Results: The main theme revealed that midwives lack knowledge regarding chorioamnionitis, resulting in incorrect practices including a lack of screening, misdiagnosis and mismanagement of the infectious condition.Conclusions: Findings of this research showed that midwives lacked knowledge regarding the screening and management of women with chorioamnionitis resulting in incorrect practices in this regard. There is thus a need for midwives to update their knowledge regarding the screening and management of chorioamnionitis and training (e.g. through a short learning programme).Contribution: Findings of this study could be used by midwives to update their knowledge regarding screening and managing women with chorioamnionitis, which is expected to translate to better practices. Moreover, study findings were synthesised with the results of a literature review study to form the basis for the development of a best practice guideline for screening and managing women with chorioamnionitis.


2016 ◽  
Vol 13 (2) ◽  
pp. 238-249 ◽  
Author(s):  
Eldi Metushi ◽  
Jackie Di Vito ◽  
Andrea Fradeani

Our study examines corporate governance practices in Europe according to the best practice guidelines of 17 countries. We particularly focus on the independence criteria of Board members. Doing so, we wish to understand how these best practices are enforced in the actual corporate governance guidelines in each country. To better define the independence criteria, which is very different among European countries, we develop our own measure of independence, taking into account the strictest criteria of independence recommended in the corporate governance codes of the studied countries. Then, we gather firm-level statistics on a sample of 463 European firms to understand whether the best practice guidelines are actually enforced by these firms. Hence, we contribute to the existent literature by presenting descriptive statistics on the compliance of European firms to their national guidelines. Our findings show that most European firms tend to comply with their local best practice guidelines of corporate governance. We also document a high compliance of our European sample-firm with the Anglo - Saxon best practices of corporate governance.


2014 ◽  
Vol 38 (3) ◽  
pp. 231-253 ◽  
Author(s):  
Steven A. Gedeon

Purpose – The purpose of this paper is to identify and apply best practices in university entrepreneurship education to the creation of a new MBA in entrepreneurship and innovation management. It is a direct response to calls for a total re-envisioning of entrepreneurship education and criticism that existing programs lack rigour, content, pedagogy, measurement and an established definition. Design/methodology/approach – This article uses reviews of the literature to identify normative best practices and how to apply them to the new program. An entrepreneurship program design framework (EPDF) was created and applied to a new MBA program being developed in central Germany. Findings – Most studies describe aspects of current programs (e.g. lists of courses) but almost none say what should be in a program. Others provide abstract guidance (e.g. programs should define entrepreneurship) but do not give specific recommendations (e.g. what the definition should be). The proposed EPDF provided a rigorous structure for reviewing the literature, designing the new program and establishing specific best practice recommendations for defining program goals, content, pedagogy and measurement of student transformation. Research limitations/implications – The entrepreneurship literature is largely silent on normative best practice guidance, so the proposed application of best practices should be evaluated in that context. Originality/value – Previous articles present relatively abstract frameworks and concepts, whereas this article is a direct application of the practical implications of these concepts. The proposed normative best practice guidelines may be somewhat controversial, but should stimulate useful discussion.


2019 ◽  
Vol 5 (2) ◽  
pp. 22 ◽  
Author(s):  
Adrianna Evans ◽  
Keri LeBlanc ◽  
Natasha Bonhomme ◽  
Scott M. Shone ◽  
Amy Gaviglio ◽  
...  

Newborn screening is a process-based public health service. Newborn screening staff and families alike are essential to maintaining the timeliness of the screening process. Newborn screening education must be accurate and accessible. Past newborn screening conferences have highlighted gaps in best practice and evidence-based guidance on newborn screening education. Sharing successful strategies across programs mitigates the scarcity of resources by cutting costs and reducing the burden of work. These factors illustrate the need for an education framework to guide newborn screening education efforts. The Newborn Screening Education Best Practices Framework responds to these issues by outlining guidance for newborn screening education approaches. Experts in the fields of newborn screening, genetics, and bioethics as well as previous research on best practice guidelines have contributed to the development of this framework. The framework outlines a process for users to evaluate newborn screening education approaches as best practices. This framework reviews best practices using a two-step approach, looking at guiding questions, implementation of the newborn screening issue, and evaluation. The framework helps the user define the characteristics of the newborn screening issue, intended audience, and practical steps to implementation, and then decide whether or not it can be used as a best practice.


2014 ◽  
Vol 23 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Kristin Uhler ◽  
Vickie Thomson ◽  
Nicole Cyr ◽  
Sandra Abbott Gabbard ◽  
Christine Yoshinaga-Itano

Purpose The purpose of this study was to define the information currently collected by state and territory Early Hearing Detection and Intervention (EHDI) coordinators and to determine whether best practice guidelines are used. Method A multiple-choice electronic survey querying areas of diagnostic assessment, amplification, early intervention (EI) and medical information regarding hearing loss was sent to all state and territory EHDI coordinators. Results Seventy percent of surveys were completed. Diagnostic, amplification, and Part C services were tracked by the majority of respondents. Additionally, medical prenatal and postnatal risks were collected. Conclusion Data collected on audiologic screening and diagnostic evaluations has increased. On the basis of these results, it is difficult to discern whether best practices are being used for each child. A delay in reporting a confirmed hearing loss was observed. Amplification results suggest that systems are not in place to ensure consistency and accountability for fitting amplification in infants. The results of this survey identified audiologic and EI information tracked by states to help provide a framework to monitor quality care in the future.


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