{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:40:26Z","timestamp":1787013626852,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tracheostomy management is considered an area of advanced practice for speech\u2013language therapists (SLTs) internationally. Infrequent exposure and limited access to specialist SLTs are barriers to competency development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the benefits of postgraduate tracheostomy education programme for SLTs working with children and adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>A total of 35 SLTs participated in the programme, which included a 1\u2010day tracheostomy simulation\u2010based workshop. Before the workshop, SLTs took an online knowledge quiz and then completed a theory package. The workshop consisted of part\u2010task skill learning and simulated scenarios. Scenarios were video recorded for delayed independent appraisal of participant performance. Manual skills were judged as (1) completed successfully, (2) completed inadequately\/needed assistance or (3) lost opportunity. Core non\u2010medical skills required when managing a crisis situation and overall performance were scored using an adapted Ottawa Global Rating Scale (GRS). Feedback from participants was collected and self\u2010perceived confidence rated prior, immediately post and 4 months post\u2010workshop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results<\/jats:title>\n                    <jats:p>SLTs successfully performed 94% of manual tasks. Most SLTs (29 of 35) scored &gt; 5 of 7 on all elements of the adapted Ottawa GRS. Workshop feedback was positive with significant increases in confidence ratings post\u2010workshop and maintained at 4 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions &amp; Implications<\/jats:title>\n                    <jats:p>Postgraduate tracheostomy education, using a flipped\u2010classroom approach and low\u2010 and high\u2010fidelity simulation, is an effective way to increase knowledge, confidence and manual skill performance in SLTs across patient populations. Simulation is a well\u2010received method of learning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.12504","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:22:48Z","timestamp":1569889368000},"page":"70-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of a tracheostomy education programme for speech\u2013language therapists"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3260-5824","authenticated-orcid":false,"given":"Anna","family":"Miles","sequence":"first","affiliation":[{"name":"Speech Science The University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Greig","sequence":"additional","affiliation":[{"name":"The University of Canterbury Rose Centre for Stroke Recovery and Research  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Jackson","sequence":"additional","affiliation":[{"name":"Speech Science The University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Keesing","sequence":"additional","affiliation":[{"name":"Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/13561820.2012.715604"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NND.0b013e3181aa2f54"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2016.01.004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.08.006"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NND.0000266613.16434.05"},{"key":"e_1_2_8_7_1","first-page":"87","article-title":"Allied health professionals\u2019 perspectives of working with dysphagia in a rural paediatric team","volume":"129","author":"Burgess A.","year":"2016","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_8_8_1","first-page":"e1","article-title":"Utilization of virtual learning environments in the allied health professions","volume":"42","author":"Butina M.","year":"2013","journal-title":"Journal of Allied Health"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2008.10.002"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-153"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP-17-0015"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0191-8869(85)90007-8"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2011.582520"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc8159"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpe.2016.12.001"},{"key":"e_1_2_8_16_1","first-page":"84","article-title":"Speech\u2013language pathology students\u2019 perceptions of a standardised patient clinic","volume":"42","author":"Hill A. 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