Mechanisms for the effective implementation of an allied health assistant trainee: a qualitative study of a speech language pathology assistant
Nancarrow, SA, Moran, A & Sullivan, R 2014, 'Mechanisms for the effective implementation of an allied health assistant trainee: a qualitative study of a speech language pathology assistant', Australian Health Review, vol. 39, no. 1, pp. 101-108.
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Objective: This paper explores the impact and mechanisms for successful implementation of a speech language pathology assistant (SLPA) role into a rehabilitation setting using a traineeship approach. Methods: Multiple data sources were used, including interviews with key stakeholders, documentary evidence and a workload audit. Results: The SLPA role increased clinical service capacity by 28 h per week across the service and required a total of 3 h per week of supervision input (the equivalent of 38 min per speech and language pathologist (SLP)). The SLPA used non-clinical time for training and administration. Mechanisms that facilitated the implementation of the SLPA role were: support for existing staff; formal knowledge and skills in training; consultation and engagement; access to a competency framework; close working with the registered training organisation; clearly defined role and delegation boundaries; clear supervision structures; confidence in own role; supportive organisational culture; vision for expansion of the role; engaging the SLPs in training and development; and a targeted recruitment approach. Conclusion: The development and implementation of a new trainee SLPA role using a traineeship approach required a large amount of supervision and training input from the SLPs. However, it was perceived that these efforts were offset by the increased service capacity provided by the introduction of a trainee role and the high levels of satisfaction with the new role