Abstract：
OBJECTIVE: Speech-language pathologists (SLPs) and laryngologists often work closely in interdisciplinary settings evaluating and treating patients with voice, swallowing, and airway disorders. This collaboration is integral to providing optimum patient care. We theorize that trust is an essential component of this relationship and contributes to effective patient care and professional satisfaction. There is currently no literature that explores the development and role of trust in this unique interprofessional relationship. We aim to explore the SLP and laryngologist interprofessional relationship and the development and role of trust in that relationship.
METHODS: Qualitative Realist Thematic Analysis.
METHODS: Thematic analysis of semistructured qualitative interviews was performed to explore the relationship between SLPs and laryngologists. Through purposive sampling from November 2022-January 2023, we recruited SLPs (n = 10) and laryngologists (n = 10) from 12 centers with varying years of practice, practice setting (academic or private), geographic location, and team structures.
RESULTS: Trust between SLPs and laryngologists is comprised of confidence in (1) ability (clinical judgment, technical skill), (2) benevolence, and (3) integrity. Trust formation is enhanced by frequency and quality of communication, physical proximity, and reduction of practical barriers (scheduling, billing, departmental structure). Role negotiation was not identified as a factor. The presence of all three components of trust contributes to job satisfaction, perceptions of patient experience and care outcomes, and the willingness to collaborate in academic areas beyond clinical care.
CONCLUSIONS: All three elements (ability, benevolence, integrity) must be present for trust in an interprofessional relationship between SLPs and laryngologists, and formation of trust is facilitated by robust communication, physical proximity, and reduction of practical barriers to collaboration. The lack of these elements and lack of trust between the two professions can negatively impact collaboration, job satisfaction, and patient care outcomes, contributing to inefficiencies in patient care.
METHODS: Qualitative Realist Thematic Analysis.
METHODS: Thematic analysis of semistructured qualitative interviews was performed to explore the relationship between SLPs and laryngologists. Through purposive sampling from November 2022-January 2023, we recruited SLPs (n = 10) and laryngologists (n = 10) from 12 centers with varying years of practice, practice setting (academic or private), geographic location, and team structures.
RESULTS: Trust between SLPs and laryngologists is comprised of confidence in (1) ability (clinical judgment, technical skill), (2) benevolence, and (3) integrity. Trust formation is enhanced by frequency and quality of communication, physical proximity, and reduction of practical barriers (scheduling, billing, departmental structure). Role negotiation was not identified as a factor. The presence of all three components of trust contributes to job satisfaction, perceptions of patient experience and care outcomes, and the willingness to collaborate in academic areas beyond clinical care.
CONCLUSIONS: All three elements (ability, benevolence, integrity) must be present for trust in an interprofessional relationship between SLPs and laryngologists, and formation of trust is facilitated by robust communication, physical proximity, and reduction of practical barriers to collaboration. The lack of these elements and lack of trust between the two professions can negatively impact collaboration, job satisfaction, and patient care outcomes, contributing to inefficiencies in patient care.
摘要：
目的：言语语言病理学家（SLPs）和喉科医师经常在跨学科环境中密切合作，评估和治疗有声音的患者，吞咽,和气道疾病。这种合作对于提供最佳的患者护理是不可或缺的。我们认为，信任是这种关系的重要组成部分，有助于有效的患者护理和专业满意度。目前没有文献探讨信任在这种独特的跨专业关系中的发展和作用。我们的目标是探索SLP和喉科医师之间的职业关系以及信任在这种关系中的发展和作用。
方法：定性现实主义者主题分析。
方法：进行半结构化定性访谈的主题分析，以探讨SLP与喉科医师之间的关系。通过2022年11月至2023年1月的目的抽样，我们从12个中心招募了SLP（n=10）和喉科医生（n=10），这些中心的实践年限不同。实践设置（学术或私人），地理位置,和团队结构。
结果：SLP和喉科医师之间的信任包括对（1）能力（临床判断，技术技能)，(2)仁爱,（3）诚信。沟通的频率和质量增强了信任的形成，物理接近，和减少实际障碍(调度，billing,部门结构)。角色谈判没有被确定为一个因素。信任的所有三个组成部分的存在都有助于工作满意度，对患者体验和护理结果的看法，以及在临床护理以外的学术领域进行合作的意愿。
结论：所有三个要素(能力，仁慈,诚信)必须存在，以信任SLP和喉科医生之间的跨专业关系，强大的沟通促进了信任的形成，物理接近，减少合作的实际障碍。缺乏这些元素和两个职业之间缺乏信任会对合作产生负面影响，工作满意度,和病人护理结果，导致病人护理效率低下。
方法：定性现实主义者主题分析。
方法：进行半结构化定性访谈的主题分析，以探讨SLP与喉科医师之间的关系。通过2022年11月至2023年1月的目的抽样，我们从12个中心招募了SLP（n=10）和喉科医生（n=10），这些中心的实践年限不同。实践设置（学术或私人），地理位置,和团队结构。
结果：SLP和喉科医师之间的信任包括对（1）能力（临床判断，技术技能)，(2)仁爱,（3）诚信。沟通的频率和质量增强了信任的形成，物理接近，和减少实际障碍(调度，billing,部门结构)。角色谈判没有被确定为一个因素。信任的所有三个组成部分的存在都有助于工作满意度，对患者体验和护理结果的看法，以及在临床护理以外的学术领域进行合作的意愿。
结论：所有三个要素(能力，仁慈,诚信)必须存在，以信任SLP和喉科医生之间的跨专业关系，强大的沟通促进了信任的形成，物理接近，减少合作的实际障碍。缺乏这些元素和两个职业之间缺乏信任会对合作产生负面影响，工作满意度,和病人护理结果，导致病人护理效率低下。
