Perfil e trajetória profissional dos fonoaudiólogos egressos de um programa de residência multiprofissional / Profile and professional trajectory of speech therapists and multiprofessional residence

RESUMO: Objetivo analisar o perfil e a trajetória de atuação profissional do fonoaudiólogo egresso de um programa de residência multiprofissional em saúde do idoso. Métodos estudo observacional transversal, cuja amostra consistiu em 26 fonoaudiólogos que concluíram o programa de residência entre 2012 e 2019, em um hospital público, e responderam a um questionário online, composto por 32 questões referentes ao perfil do egresso e a trajetória profissional após a residência multiprofissional. Os dados sociodemográficos, o tipo de formação, a experiência profissional e os demais dados foram analisados de forma descritiva. Resultados a maioria dos egressos era mulher, com média de idade de 25,6 anos, ao iniciar a residência, solteiras, sem filhos. Os egressos consideraram a residência relevante para a inserção no mercado de trabalho e o primeiro emprego foi entre 0 e 3 meses após a conclusão, na mesma área de especialização e no setor privado. No período da coleta, a maioria trabalhava com idosos e no setor público. Foi observada melhora da remuneração dos egressos após a realização de formações continuadas. Conclusão os fonoaudiólogos egressos da residência multiprofissional que participaram do estudo foram, em sua maioria, mulheres, obtiveram emprego em curto período após a conclusão e, atualmente, trabalham com idosos e no setor público, indicando que o programa cumpre com os quesitos pressupostos de formação.

ABSTRACT Purpose to analyze the profile and trajectory of professional performance of the speech therapist who graduated from a Multiprofessional Residency Program in Elderly Health. Methods This was a cross-sectional observational study, which sample consisted of 26 speech therapists who completed the residency program between 2012 and 2019 in a public hospital and answered an online questionnaire consisting of 32 questions regarding the graduate's profile and trajectory professional after the Multiprofessional Residency. Sociodemographic data, type of education, professional experience and other obtained data underwent through a descriptive analysis. Results Most of the graduates were women with average age, at the beginning of the program, of 25.6 years, single, without children, they considered that the residency was relevant for insertion in the labor market, the first job was between 0 to 3 months after completion, in the same area of expertise and in the private sector. At the time of this study, most of them were working with the elderly and in the public sector. It was observed an improvement in the remuneration of the egresses after carrying out continuing education. Conclusion The egresses speech language pathologist of the Multiprofessional Residency were mostly women, were working with the elderly and in the public sector, indicating that the program complies with the presupposed formation requisits.

Uso de imagens de pacientes em redes sociais: como percebem e agem os fonoaudiólogos? / Use of images of patients in social networks: how do speech-language therapists perceive and act?

RESUMO Objetivo Investigar a percepção e a conduta autodeclarada de fonoaudiólogos sobre aspectos éticos e legais relacionados ao uso de imagens de pacientes em redes sociais, comparando tais achados com dados sociodemográficos. Método Para a coleta de dados, utilizou-se um questionário online disponibilizado na plataforma do GoogleDrive, que continha 13 questões abrangendo dados sociodemográficos e questões voltadas para a percepção de fonoaudiólogos quanto ao assunto estudado. A amostra da pesquisa foi composta por 765 participantes. Resultados A maior parte dos respondentes concordou, em algum grau, que o Código de Ética da Fonoaudiologia esclarece sobre o uso de imagens em redes, assim como a publicação de fotos e/ou vídeos de pacientes em redes sociais sem autorização por escrito, constitui infração ética e o direito de imagem está garantido pela Constituição Brasileira. Apenas 18,6% dos fonoaudiólogos afirmaram nunca terem recorrido ao Código de Ética em Fonoaudiologia. Quanto à exibição de fotografias ou vídeos em redes sociais, 5,1% afirmaram ter publicado, em alguma frequência, sem autorização e 21,18% o fizeram apenas com autorização verbal. Praticamente todos os participantes mencionaram já ter visto fotografias ou vídeos de pacientes em redes sociais virtuais postados por fonoaudiólogos. Conclusão Foi possível notar a relevância do estudo para impulsionar debates sobre o assunto e a essencialidade de novos estudos no tema abordado.

ABSTRACT Purpose Investigating the perception and self-reported behavior of speech-language therapist about ethical and legal aspects related to the use of images of patients in social networks, comparing such findings with sociodemographic data. Methods An online questionnaire with 13 questions was the instrument used to collect data related to the demographic data of the participants and to the perception of speech-language therapists. The questionnaire was available on the Google Forms platform e was answered by 765 participants. Results Most participants agreed that the Code of Ethics of Speech-Language Pathology gives information about the use of images in social networks (67.98%), that the publication of photos and / or videos of patients in social networks without authorization by written is an ethical infraction (93.33%) and that the image´s rights is guaranteed by the Brazilian Constitution (89.94%). 18.56% of speech-language pathologists stated that they had never used the Code of Ethics in Speech-Language Pathology. Concerning the exhibition of images in social networks, 5.1% stated that they had shown on their social networks photographs and / or videos without authorization, and 21.18% did so with only verbal authorization. Almost all participants (95.16%) mentioned having seen photographs or videos of patients on virtual social networks posted by speech-language therapist. Conclusion It was possible to verify the relevance of the results obtained and the impact of the research to encourage reflection on the subject.

Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses

OBJECTIVES: To characterize the voice quality of individuals with dysphonia and to investigate possible correlations between the degree of voice deviation (D) and scores on the Dysphonia Risk Screening Protocol-General (DRSP), the Voice-Related Quality of Life (V-RQOL) measure and the Voice Handicap Index, short version (VHI-10). METHODS: The sample included 200 individuals with dysphonia. Following laryngoscopy, the participants completed the DRSP, the V-RQOL measure, and the VHI-10; subsequently, voice samples were recorded for auditory-perceptual and acoustic analyses. The correlation between the score for each questionnaire and the overall degree of vocal deviation was analyzed, as was the correlation among the scores for the three questionnaires. RESULTS: Most of the participants (62%) were female, and the mean age of the sample was 49 years. The most common laryngeal diagnosis was organic dysphonia (79.5%). The mean D was 59.54, and the predominance of roughness had a mean of 54.74. All the participants exhibited at least one abnormal acoustic aspect. The mean questionnaire scores were DRSP, 44.7; V-RQOL, 57.1; and VHI-10, 16. An inverse correlation was found between the V-RQOL score and D; however, a positive correlation was found between both the VHI-10 and DRSP scores and D. CONCLUSION: A predominance of adult women, organic dysphonia, moderate voice deviation, high dysphonia risk, and low to moderate quality of life impact characterized our sample. There were correlations between the scores of each of the three questionnaires and the degree of voice deviation. It should be noted that the DRSP monitored the degree of dysphonia severity, which reinforces its applicability for patients with different laryngeal diagnoses.

Dysphonia risk screening protocol

OBJECTIVE: To propose and test the applicability of a dysphonia risk screening protocol with score calculation in individuals with and without dysphonia. METHOD: This descriptive cross-sectional study included 365 individuals (41 children, 142 adult women, 91 adult men and 91 seniors) divided into a dysphonic group and a non-dysphonic group. The protocol consisted of 18 questions and a score was calculated using a 10-cm visual analog scale. The measured value on the visual analog scale was added to the overall score, along with other partial scores. Speech samples allowed for analysis/assessment of the overall degree of vocal deviation and initial definition of the respective groups and after six months, the separation of the groups was confirmed using an acoustic analysis. RESULTS: The mean total scores were different between the groups in all samples. Values ranged between 37.0 and 57.85 in the dysphonic group and between 12.95 and 19.28 in the non-dysphonic group, with overall means of 46.09 and 15.55, respectively. High sensitivity and specificity were demonstrated when discriminating between the groups with the following cut-off points: 22.50 (children), 29.25 (adult women), 22.75 (adult men), and 27.10 (seniors). CONCLUSION: The protocol demonstrated high sensitivity and specificity in differentiating groups of individuals with and without dysphonia in different sample groups and is thus an effective instrument for use in voice clinics.

Referred speech-language and hearing complaints in the western region of São Paulo, Brazil

OBJECTIVE: The aim of this study was to characterize the epidemiological profile of the population attending primary health care units in the western region of the city of São Paulo, Brazil, highlighting referred speech-language and hearing complaints. METHOD: This investigation was a cross-sectional observational study conducted in primary health care units. Household surveys were conducted and information was obtained from approximately 2602 individuals, including (but not limited to) data related to education, family income, health issues, access to public services and access to health services. The speech-language and hearing complaints were identified from specific questions. RESULTS: Our results revealed that the populations participating in the survey were heterogeneous in terms of their demographic and economic characteristics. The prevalence of referred speech-language and hearing complaints in this population was 10%, and only half the users of the public health system in the studied region who had complaints were monitored or received specific treatment. CONCLUSIONS: The results demonstrate the importance of using population surveys to identify speech-language and hearing complaints at the level of primary health care. Moreover, these findings highlight the need to reorganize the speech-language pathology and audiology service in the western region of São Paulo, as well as the need to improve the Family Health Strategy in areas that do not have a complete coverage, in order to expand and improve the territorial diagnostics and the speech-language pathology and audiology actions related to the prevention, identification, and rehabilitation of human communication disorders. .