20.500.12556/RUL-188181 Izkušnje delovnih terapevtov z uporabo podporne in nadomestne komunikacije diplomsko delo Experiences of occupational therapists with the use of augmentative and alternative communication diploma work Uvod: Komunikacija je temeljna človekova potreba, ki posamezniku omogoča izražanje želja, mnenj in čustev ter vključevanje v socialno okolje. Pri uporabnikih s težjimi govorno jezikovnimi motnjami ima podporna in nadomestna komunikacija pomembno vlogo pri izboljšanju samostojnosti, participacije ter kakovosti življenja. Delovni terapevt prispeva k izbiri, prilagoditvi in učenju uporabe ustreznih komunikacijskih sistemov ter podpira vključevanje v vsakodnevne okupacije. Namen: Namen diplomskega dela je raziskati izkušnje delovnih terapevtov v Sloveniji pri uporabi podporne in nadomestne komunikacije ter pridobiti vpogled v njihovo vlogo pri izbiri posameznih oblik PINK in namenu njihove uporabe v delovnoterapevtski obravnavi. Delo se osredotoča tudi na prepoznavanje ovir in izzivov pri izbiri, prilagajanju in uvajanju ter na zaznane odzive uporabnikov in njihovih svojcev. Metode dela: Uporabili smo kvalitativni raziskovalni pristop. Podatke smo pridobili s poglobljenimi polstrukturiranimi intervjuji s sedmimi delovnimi terapevtkami, ki imajo izkušnje na področju podporne in nadomestne komunikacije ter so ustrezale vključitvenim kriterijem. Pridobljene podatke smo obdelali s kvalitativno vsebinsko analizo. Rezultati: Oblikovali smo pet glavnih kategorij: izkušnje z različnimi oblikami podporne in nadomestne komunikacije, vloga delovnega terapevta, prednosti uporabe, izzivi in ovire ter znanje in kompetence za uporabo. Udeleženke raziskave se najpogosteje srečujejo z nizkotehnološkimi in visokotehnološkimi oblikami podporne komunikacije. Vlogo delovnega terapevta prepoznavajo predvsem pri ocenjevanju uporabnikovih zmožnosti, prilagajanju dostopa do pripomočka, ustreznem nameščanju ter prenosu uporabe pripomočka v vsakodnevne okupacije. Kot glavne prednosti so izpostavile možnost izražanja, večje zadovoljstvo, manj vedenjskih težav, večjo samostojnost in boljše vključevanje v socialno okolje. Med ovirami so navedle omejitve uporabnikov, zavračanje pripomočka, počasnejšo komunikacijo, finančne in tehnološke težave, nezadostno uporabo v domačem okolju ter premalo znanja strokovnjakov in komunikacijskih partnerjev. Razprava in zaključek: Podporna in nadomestna komunikacija je pomembna oblika podpore uporabnikom s težjimi govorno-jezikovnimi motnjami, saj omogoča učinkovitejšo komunikacijo, večjo samostojnost in aktivnejše vključevanje v vsakodnevno življenje. Njena uspešna uporaba je odvisna od individualne prilagoditve komunikacijskega sistema, uporabnikovih zmožnosti, interdisciplinarnega sodelovanja, podpore svojcev in dosledne uporabe pripomočka v naravnem okolju. Delovni terapevti imajo pri tem pomembno vlogo, vendar ugotovitve kažejo na potrebo po več formalnega izobraževanja in praktično usmerjenih usposabljanj. Smiselno bi bilo izvesti nadaljnje raziskave z uporabniki, svojci in drugimi strokovnjaki. Introduction: Communication is a fundamental human need that enables individuals to express their wishes, opinions and emotions, as well as to participate in the social environment. In individuals with severe speech and language disorders, augmentative and alternative communication plays an important role in improving independence, participation and quality of life. Occupational therapists contribute to the selection, adaptation and training in the use of appropriate communication systems and support participation in everyday activities. Purpose: The purpose of this diploma thesis is to explore the experiences of occupational therapists in Slovenia with the use of augmentative and alternative communication and to gain insight into their role in the selection of different forms of AAC and the purposes of their use in occupational therapy practice. The thesis also focuses on identifying barriers and challenges in the selection, adaptation and implementation of augmentative and alternative communication, as well as on the observed responses of users and their relatives. Methods: A qualitative research approach was used. Data were collected through in-depth semi-structured interviews with seven occupational therapists who had experience in the field of augmentative and alternative communication and met the inclusion criteria. The collected data were analysed using qualitative content analysis. Results: Five main categories were developed: experiences with different forms of augmentative and alternative communication, the role of the occupational therapist, benefits of use, challenges and barriers, and knowledge and competences for its use. The participants most often encounter low-tech and high-tech forms of augmentative and alternative communication. They recognise the role of the occupational therapist mainly in assessing users’ abilities, adapting access to the device, ensuring appropriate positioning and transferring the use of the device into everyday activities. The main benefits they identified were the possibility of expression, greater satisfaction, fewer behavioural difficulties, greater independence and better inclusion in the social environment. Among the barriers, they mentioned users’ limitations, rejection of the device, slower communication, financial and technological difficulties, insufficient use in the home environment and lack of knowledge among professionals and communication partners. Discussion and conclusion: Augmentative and alternative communication is an important form of support for individuals with severe speech and language disorders, as it enables more effective communication, greater independence and more active participation in everyday life. Its successful use depends on the individual adaptation of the communication system, users’ abilities, interdisciplinary collaboration, support from relatives and consistent use of the device in the natural environment. Occupational therapists have an important role in this process; however, the findings indicate a need for more formal education and practically oriented training. Further research involving users, relatives and other professionals would be meaningful. diplomska dela delovna terapija komunikacijski pripomočki govorno-jezikovne motnje samostojnost kvalitativna raziskava diploma theses occupational therapy communication devices speech and language disorders independence qualitative research true false false [L. Romih Rexhaj] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-09-19 07:46:26 2026-09-19 07:46:32 2026-09-21 13:12:15 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana VIII, 44 str., [5] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 165502 291833347 64650.pdf 64650.pdf 1 792D068FD45043AF72B834270856423C 1e9674a105564215bc918b6a3bb35937a5af4bc6dbbbe0118dd238930bf11c29 698dfff5-b3ed-11f1-8bc5-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=248208 Zdravstvena fakulteta 0 0 0