Trust Development Between Speech-Language Pathologists and Laryngologists: A Thematic Analysis

Abstract

ObjectivesSpeech 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. Study DesignQualitative Realist Thematic Analysis MethodsThematic analysis of semi-structured 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. ResultsTrust 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. ConclusionsAll 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.