Communication Strategies Between Occupational Hearing Conservationists and Spanish-Speaking Workers

Author(s):  
Emily Wakefield ◽  
Deanna K. Meinke

This survey study investigated current hearing loss prevention practices among 300 certified occupational hearing conservationists (OHCs) with regard to service delivery to Spanish-speaking workers. OHCs responded to a written survey designed to investigate the current service delivery methods and strategies used by OHCs when providing services to Spanish-speaking workers specific to the audiometric testing, hearing protection, and training program components of hearing loss prevention programs (HLPPs). Data analyses outcomes indicated that there is a statistically significant relationship between certified OHCs' perceived proficiency in Spanish (ability to speak, understand, and/or read/write Spanish) and their perceived ability to communicate (effectively exchange information), their competence level (possessing the requisite knowledge and skills), and their confidence (self-perceived ability) when providing HLPP services to workers who primarily speak Spanish. There is a significant difference between the services provided to Spanish-speaking workers by Spanish-speaking and non-Spanish-speaking OHCs. Consequently, Spanish-speaking workers may not be receiving care comparable to their English-speaking coworkers. Implications from this study suggest the need for expanded training of certified OHCs relative to multicultural/linguistic issues and additional language-relevant hearing loss prevention resources to effectively provide HLPP services to this growing minority population.

1999 ◽  
Vol 30 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Carole E. Johnson

Educational audiologists often must delegate certain tasks to other educational personnel who function as support personnel and need training in order to perform assigned tasks. Support personnel are people who, after appropriate training, perform tasks that are prescribed, directed, and supervised by a professional such as a certified and licensed audiologist. The training of support personnel to perform tasks that are typically performed by those in other disciplines is calledmultiskilling. This article discusses multiskilling and the use of support personnel in educational audiology in reference to the following principles: guidelines, models of multiskilling, components of successful multiskilling, and "dos and don’ts" for multiskilling. These principles are illustrated through the use of multiskilling in the establishment of a hearing aid monitoring program. Successful multiskilling and the use of support personnel by educational audiologists can improve service delivery to school-age children with hearing loss.


2020 ◽  
Vol 51 (2) ◽  
pp. 469-478
Author(s):  
Sarah Allen ◽  
Robert Mayo

Purpose School-aged children with hearing loss are best served by a multidisciplinary team of professionals. The purpose of this research was to assess school-based speech-language pathologists' (SLPs) perceptions of their access to, involvement of, and working relationships with educational audiologists in their current work setting. Method An online survey was developed and distributed to school-based SLPs in North Carolina. Results A significant difference in access to and involvement of educational audiologists across the state was found. Conclusions This research contributes to professional knowledge by providing information about current perceptions in the field about interprofessional practice in a school-based setting. Overall, SLPs reported positive feelings about their working relationship with educational audiologists and feel the workload is distributed fairly.


Author(s):  
David C. Byrne ◽  
Christa L. Themann ◽  
Deanna K. Meinke ◽  
Thais C. Morata ◽  
Mark R. Stephenson

An audiologist should be the principal provider and advocate for all hearing loss prevention activities. Many audiologists equate hearing loss prevention with industrial audiology and occupational hearing conservation programs. However, an audiologist’s involvement in hearing loss prevention should not be confined to that one particular practice setting. In addition to supervising occupational programs, audiologists are uniquely qualified to raise awareness of hearing risks, organize public health campaigns, promote healthy hearing, implement intervention programs, and monitor outcomes. For example, clinical audiologists can show clients how to use inexpensive sound level meters, noise dosimeters, or phone apps to measure noise levels, and recommend appropriate hearing protection. Audiologists should identify community events that may involve hazardous exposures and propose strategies to minimize risks to hearing. Audiologists can help shape the knowledge, beliefs, motivations, attitudes, and behaviors of individuals toward self-protection. An audiologist has the education, tools, opportunity, and strategic position to facilitate or promote hearing loss surveillance and prevention services and activities. This article highlights real-world examples of the various roles and substantial contributions audiologists can make toward hearing loss prevention goals.


ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 56-56

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions


ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 61-61

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions


ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 57-57

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions


2021 ◽  
pp. 1-8
Author(s):  
Mustafa Avcu ◽  
Mehmet Metin ◽  
Raşit Kılıç ◽  
Muhammed Alpaslan

Background: In this study, optic coherence tomography (OCT) examination was performed to check whether there was any interaction between ophthalmic axonal structures in unilateral tinnitus patients, and the relationship between optic nerve thickness and cochlear nerve thickness was evaluated. Objective: The aim of the study was to evaluate the relatioship between hearing loss, tinnitus, and nerve thicknesses. Study Design: Prospective study. Setting: Tertiary referral university hospital. Patients: The study included 88 patients with unilateral tinnitus, for which no organic cause could be found in physical examination, psychiatric evaluation, or with imaging methods. Study groups were formed of the tinnitus side and control groups were formed of the healthy side as follows: Group 1 (Non-tinnitus side normal hearing values – n = 30), Group 2 (non-tinnitus side minimal hearing loss – n = 27), Group 3 (non-tinnitus side moderate hearing loss – n = 31), Group 4 (tinnitus side normal hearing values – n = 25), Group 5 (tinnitus side minimal hearing loss – n = 25), and Group 6 (tinnitus side moderate hearing loss – n = 38). Intervention: Retinal nerve fiber layer (RNFL) thickness was evaluated with OCT, and the cochlear nerve cross-sectional area was evaluated with MRI. Main Outcome Measures: RNFL measurements were taken with OCT from the subfoveal area (RNFL-SF) and 1.5 mm temporal to the fovea (RNFL-T µm) and nasal (RNFL-N µm) sectors. On MRI, 3 measurements were taken along the nerve from the cerebellopontine angle as far as the internal auditory canal, and the mean value of these 3 measurements was calculated. Results: When the groups were evaluated in respect of cochlear nerve thickness, a significant difference was seen between Group 1 and both the groups with hearing loss and the tinnitus groups. In the subgroup analysis, a statistically significant difference was determined between Group 1 and Groups 3, 4, 5, and 6 (p = 0.013, p = 0.003, p < 0.001, and p < 0.001, respectively). When the groups were evaluated in respect of the RNFL-SF (µm), RNFL-T (µm), and RNFL-N (µm) values, the differences were determined to be statistically significant (p < 0.001 for all). In the correlation analysis, a negative correlation was determined between hearing loss and cochlear nerve diameter (r: −0.184, p = 0.014), and RNFL-N (r: −0.272, p < 0.001) and between tinnitus and cochlear nerve diameter (r: −0.536, p < 0.001), and RNFL-T (r: −0.222, p < 0.009). Conclusion: The study results clearly showed a relationship between cochlear nerve fiber thickness and hearing loss and the severity of tinnitus in cases with unilateral tinnitus and that there could be neurodegenerative factors in the disease etiology. A similar relationship seen with the RNFL supports the study hypothesis.


2021 ◽  
pp. 014556132199018
Author(s):  
Murat Koc ◽  
Abdullah Dalgic ◽  
Mehmet Ziya Ozuer

Objective: To investigate the effects of the mechanical trauma to the round window, a model electrode inserted into the scala tympani on the cochlear reserve, and the efficacy of topical steroids in preventing hearing loss. Materials and Methods: 21 male Wistar Albino rats were equally categorized into three groups. In all groups an initial mechanical injury to round window was created. Only subsequent dexamethasone injection was administrated into the cochlea in the subjects of group 2 while a multichannel cochlear implant guide inserted into the cochlea prior to dexamethasone administration for group 3. Distortion product otoacoustic emissions (DPOAEs) were obtained prior to and immediately after the surgical injury, eventually on postoperative seventh day (d 7). Mean signal/noise ratios (S/Ns) obtained at 2000, 3000, and 4000 Hz were calculated. Data sets were compared with non-parametric statistical tests. Results: The early intraoperative mean S/Ns were significantly less than preoperative measurements for group 1 and 2; however, preoperative and postoperative d 7 average S/Ns did not differ. There was statistically significant difference between preoperative, intraoperative and postoperative d 7 average S/Ns for group 3. Conclusion: We observed that hearing was restored approximately to the preoperative levels following early postoperative repair. However, an electrode insertion into the cochlea via round window subsequent to mechanical trauma seems to cause a progressive hearing loss. Therefore, a special care must be taken to avoid the injury to the round window membrane in the course of the placement of a cochlear implant electrode and surgery for the chronic otitis media.


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