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Record W4412353609 · doi:10.1044/2025_lshss-24-00098

The Invisible Workload of School-Based Speech-Language Pathologists Who Identify as Overwhelmed: A Grounded Theory Study

2025· article· en· W4412353609 on OpenAlexaff
Phuong Palafox, Tobias Kroll, Makinna Morgan

Bibliographic record

VenueLanguage Speech and Hearing Services in Schools · 2025
Typearticle
Languageen
FieldPsychology
TopicLanguage Development and Disorders
Canadian institutionsNexen (Canada)
Fundersnot available
KeywordsGrounded theoryWorkloadSet (abstract data type)PsychologyQualitative researchFace (sociological concept)Action (physics)Dimension (graph theory)PedagogyMedical educationSocial psychologySociologyMedicineComputer science

Abstract

fetched live from OpenAlex

PURPOSE: This qualitative study investigated the lived experience of school-based speech-language pathologists (SLPs) who self-identify as overwhelmed. The goal was to devise a formal explanation of the reasons for such overwhelm. METHOD: Seven elementary and five secondary school SLPs in two separate focus groups discussed the following questions: (a) How are you advocating for your needs as an SLP? (b) Do you know how to advocate for yourself? (c) How confident are you in advocating for your needs? (d) Do you feel safe to advocate for your needs? Data were analyzed according to the tenets of grounded theory, resulting in a formal theoretical model. RESULTS: Participants indicated an invisible workload for school-based SLPs consisting of three major factors. One, involved parties (teachers, administrators, parents, etc.) do not understand SLPs' roles and responsibilities; as a result, SLPs have to advocate for themselves relentlessly. Two, organizational structure all but ensures that their advocacy is unsuccessful. Three, SLP culture, consisting of perfectionism and a tendency to lack boundaries, exacerbates the situation. A mitigating factor was also identified. SLPs who set boundaries firmly and advocate collectively fare better than SLPs who do not. However, even they are often ineffectual in the face of structural barriers. CONCLUSIONS: Results indicated a direction for future research. A survey instrument that captures the dimensions of SLP overwhelm identified in this study should be deployed to assess the prevalence and severity of these issues. Also, it is argued that top-down action by systems-level players is paramount to addressing school-based SLP overwhelm.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.170
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.013
GPT teacher head0.350
Teacher spread0.337 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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