Dissertations / Theses: 'Respiratory therapists'

1

Hunter, Jefferson. "Effective Retention Strategies for Clinical Respiratory Therapists." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1236713797.

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Hixon, Sally J. "An investigation of the psychometric properties of a clinical simulation examination for respiratory care practitioners /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487261919111437.

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McHenry, Kristen L. "Respiratory Therapists as Physician Extenders: Perceptions of Practitioners and Educators." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/2542.

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Keene, Shane, Kristen L. McHenry, Randy L. Byington, and Mark Washam. "Respiratory Therapists as Physician Extenders: Perceptions of Practitioners and Educators." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/2548.

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Introduction: The purpose of this study was to determine the perceptions of practicing respiratory therapists (RT) and respiratory care educators regarding the role of RTs serving as physician extenders. Methods: The survey instrument was an electronic questionnaire that consisted of 17 questions. Participation was voluntary and participants were selected through random and convenience sampling techniques. Results: Of 506 respondents, 234 were respiratory care educators. Overwhelmingly, the respondents held the Registered Respiratory Therapist credential (92.7%). Respondents were about equally split among three education levels: 31.7% associate degree, 31.7% bachelor’s degree, and 27.3% master’s degree. Of the respondents 62.45% had considered pursing a degree in physician assistant (PA). Respondents expressed a preference for an Advanced Practice Respiratory Therapy (APRT) program (77.9%) rather than a PA program. Nearly two-thirds of the respondents reported they felt that a master’s degree should be the minimum level of education for an APRT. Conclusions: This study suggests that practitioners and educators alike are strongly supportive of advanced practice in the profession of respiratory therapy.

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Dalton, Melissa D. "EFFECTS OF SELF-DIRECTED PHYSIOLOGICAL MONITORING ON THERAPISTS ANXIETY." UKnowledge, 2012. http://uknowledge.uky.edu/hes_etds/3.

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This mixed-method study investigated the effects of self-directed physiological monitoring on therapists anxiety. Ten therapists participated in a10-week physiological monitoring training sessions while monitoring respiratory sinus arrhythmia (RSA) and heart rate variability (HRV). The participants completed the state-trait anxiety inventory questionnaire after having a first, sixth, or tenth therapy session with a client. This was designed to monitor their state anxiety while working with clients. A series of paired sampled t-tests was conducted to assess changes in HRV, RSA, trait anxiety, and state anxiety. One significant result was found: the RSA of the therapist increased significantly. Correlations existed between the HRV of the therapist increasing and the trait anxiety of the therapist decreasing through RSA training sessions although they were not significant at the .05 level.

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Lee, Kathleen F. "Clinical competencies required for graduates of an entry-level associate degree respiratory care program to practice competently." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1247887.

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The purpose of this study was to identify the complete scope, cognitive, affective and psychomotor, of clinical competencies required for the successful practice by entry-level associate degree respiratory care graduates entering the workforce. The study was conducted using a Delphi technique. American Association for Respiratory Care House of Delegates nominated a panel of experts to participate in the study. A total of 55 individuals were nominated and 21 agree to participate in the study. The individuals represented both college-based educators and hospital managers and educators. The initial questionnaire requested that each panel member list those cognitive, affective and psychomotor clinical competencies that they believed to be required for successful entrylevel practice. The responses from the first round were grouped into like categories and returned to the panel members to be rated on a four-point scale during the second and third rounds of the study. Consensus was achieved with the third round resulting in a final list of 26 cognitive, 20 affective and 28 psychomotor clinical competencies. The final list of competencies includes the most basic cognitive and psychomotor skills of the profession and did not include many of the areas listed by the National Board for Respiratory Care exam matrix. The study also lists 20 affective attributes as essential for successful practice. There are no current standardized methods in use to evaluate affective skills. Research will need to continue to clarify the skills needed for competent and successful entry-level practice.
Department of Educational Studies

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Moore, Kali. "Exploring Self-Efficacy and Leadership Using Peer Learning in Interprofessional Clinical Simulation for Respiratory Therapists." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1468963065.

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Gresham, Jennifer L. "The Transition Experience of Second Career Respiratory Faculty: a Phenomenological Study." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc500217/.

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This phenomenological study investigated the transition experiences of clinical respiratory therapists who pursued second careers as respiratory faculty. Situated Learning Theory and Workplace Learning Theory were the frameworks for interviews with 11 second career respiratory faculty who had taught fewer than five years in baccalaureate degree programs. The goal of this study was to identify the major themes of their experiences. Thematic analysis revealed five common experiences: under-preparation, challenges, overwhelmed feelings, personal responsibilities, and rewards. The common theoretical framework for all participants was the critical need to understand their communities of practice within their organizations. From this study, respiratory department chairs and administrators may better understand the challenges and needs of clinical therapists as they transition into faculty positions. Positive experiences such as improved orientations and continued effective faculty support may promote a more rewarding and long-term practice.

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Dedrick, Sandra. "Microbial Community Structure and Function: Implications for Current and Future Respiratory Therapies." Thesis, Boston College, 2021. http://hdl.handle.net/2345/bc-ir:109223.

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Thesis advisor: Babak Momeni
Diseases of the upper respiratory tract encompass a plethora of complex multifaceted etiologies ranging from acute viral and bacterial infections to chronic diseases of the lung and nasal cavity. Due to this inherent complexity, typical treatments often fail in the face of recalcitrant infections and/or severe forms of chronic disease, including asthma. Thus, in order to provide improved standard of care, the mechanisms at play in hard-to-treat etiologies must be better understood. More recently, research has demonstrated a significant association between microbiota and many URT diseases. Previous work has also identified species capable of directly inhibiting standard treatments used to control asthma exacerbations. Despite an exhaustive collection of data characterizing microbiota composition in states of both health and disease, our knowledge of what microbiota profiles are observed in what specific disease etiologies is severely lacking. Yet, gaining these insights is crucial for the translation of such data into application. In this thesis I sought to: 1) identify gut microbiota profiles associated with severe and treatment resistant forms of childhood asthma, and 2) formulate a predictive model to facilitate the restructuring of microbiota for desired therapeutic outcomes. To identify gut microbiota and metabolites enriched in severe and treatment resistant childhood asthma, I looked to an ongoing longitudinal human study on vitamin D and childhood asthma. In this study, I find several fecal bacterial taxa and metabolites associated with more severe (i.e., higher wheeze proportion) and treatment resistant asthma in children at age 3 years. Specifically, several Veillonella species were enriched in children with higher wheeze proportion and in children that responded poorly to inhaled corticosteroid treatment (ICS) (i.e., non-responders). Haemophilus parainfluenzae, a species previously identified as enriched in the airway of adults with ICS-resistant asthma, was also uniquely enriched in children considered ICS non-responders in this study. Several metabolic pathways were also distinctly enriched: histidine metabolism was enriched in children with higher wheeze proportion while sphingolipid metabolism was enriched in ICS non-responders. Both metabolic pathways have been previously identified in association with asthma, further corroborating their role in this disease. Yet, this study is the first to identify these taxa and metabolites in children with preexisting and treatment resistant asthma. In the pursuit of improved treatment outcomes for recalcitrant URT diseases, recent efforts have turned towards microbiota-based therapies. While such treatments have proven successful in the treatment of gastrointestinal infections, these methods have not yet been extended to other conditions. Considering this, I ask whether a predictive model describing microbial interactions can facilitate the restructuring of microbiota for desired therapeutic outcomes. For this, I use a community of nasal microbiota to determine when a simply Lotka-Volterra-like (LV) model is a suitable representation for microbial interactions. I then utilize our LV-like model to examine whether environmental fluctuations have a major influence on community assembly and composition. For this, I looked specifically at pH fluctuations. In this study, I found that LV-like models are most suitable for describing community dynamics in complex low nutrient conditions. I also identified simple in vitro experiments that can reliably predict the suitability of a LV-like model for describing outcomes of a two-species community. When our LV-like model was applied to an in silico community of nasal species to determine the impact of environmental fluctuations, I find that nasal communities are generally robust against pH fluctuations and that, in this condition, facilitative interactions are a stabilizing force, and thus, selected for in in silico enrichment experiments. Overall, this thesis further corroborates the association of microbiota with URT diseases and treatment outcomes while also providing unique insight into their association with specific etiologies in childhood asthma. This thesis also provides a framework for developing models able to facilitate the development of future microbiota-based therapies while also determining how, and when, environmental factors impact community assembly and composition
Thesis (PhD) — Boston College, 2021
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Biology

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10

Turley, Christa Mae. "Predictors of Success in a Baccalaureate Respiratory Care Educational Program." University of Toledo / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1492765132344985.

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Hamid, Umar Imran. "Use of clinically relevant human models to test novel therapies for the acute respiratory distress syndrome." Thesis, Queen's University Belfast, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.695362.

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In the current era, there are no effective therapies for the treatment of acute respiratory distress syndrome (ARDS) despite numerous clinical trials. Current strategies are aimed at improving pulmonary perfusion, recruitment of atelectatic alveoli and reducing iatrogenic injuries to the lung. The human models of ARDS give important information when testing potential drug therapies and serve as a bridge between experimental studies and phase 11/111 clinical trials. I was able to establish the ex vivo lung perfusion model and studied the effects of aspirin in reducing pulmonary inflammation produced by lipopolysaccharide (LPS). To translate the beneficial effect of aspirin on pulmonary inflammation seen in experimental models of ARDS into a phase I clinical trial, the healthy volunteer model of LPS inhalation was used. Aspirin in these human models of ARDS was shown to reduce the pulmonary makers of inflammation due to its anti-inflammatory properties, however further clinical studies will be required to establish its role as a potential drug therapy for ARDS.

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Hurst, Brett L. "Development of Mouse Models for Respiratory and Neurological Disease Caused by Enterovirus D68 and Evaluation of Antiviral Therapies." DigitalCommons@USU, 2019. https://digitalcommons.usu.edu/etd/7421.

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Enterovirus D68 (EV-D68) is a virus that normally causes disease in children. While this virus typically causes a respiratory infection, in 2014, a large outbreak of the virus was associated with patients that had paralysis of the arms or legs. Even though the virus was discovered in 1962, little was known about the life cycle of the virus or its ability to cause disease. An animal model of disease was needed to understand how the virus causes disease and to develop antiviral compounds to target the virus life cycle. We adapted the virus by serial-passage in lung tissues from mice deficient in interferon receptors. Using the adapted virus, we established a model of respiratory disease where the virus was able to replicate and cause moderate damage to the lung tissue. We created a separate model of disease where the virus caused paralysis and mortality in infected mice, similar to symptoms seen in infected children. Lastly, we evaluated several antiviral compounds to determine if they were able to protect the mice from virus replication and mortality. Guanidine was able to reduce the amount of virus in each tissue as well as protect mice from paralysis and mortality. In addition, human intravenous immunoglobulin (hIVIG), a mixture of pooled antibodies from human donors, did not reduce the amount of virus in the lungs, but did protect mice from paralysis and mortality.

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13

Beresford, Michael William. "The role of pulmonary surfactant proteins and inflammatory cytokines in preterm infants ventilated for respiratory distress receiving natural or synthetic surfactant therapies." Thesis, University of Liverpool, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268903.

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14

Pavelescu, Adriana. "Echocardiography for the noninvasive study of the pulmonary circulation: applications to the study of right ventricular effects of targeted therapies of pulmonary hypertension, limiting factors to exercise capacity, and detection of early pulmonary vascular disease in healthy subjects." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209616.

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Ce travail a été consacré à l’étude non invasive de la circulation pulmonaire normale par mise en œuvre de l’échocardiographie Doppler.

En intégrant les mesures obtenues dans une approche physiopathologique, et en exploitant les nouvelles possibilités d’échocardiographes portables, techniquement performants, nous avons analysé les effets d’un inhibiteur de la phosphodiestérase-5 et d’une prostacycline, pour tenter d’en identifier d’éventuels effets introtropes intrinsèques, nous avons exploré le concept de réserve vasculaire pulmonaire comme facteur limitant de l’aptitude aérobie et indice potentiel d’une atteinte vasculaire pulmonaire précoce, et obtenu des résultats préliminaires permettant d’identifier une hypertension artérielle pulmonaire (HTAP) latente. Nos principaux résultats peuvent être résumés comme suit :

1. Chez le sujet sain, en normoxie ou dans un modèle expérimental d’HTAP induite par l’inhalation d’un mélange gazeux hypoxique, le sildenafil per os ou l’epoprostenol par voie intraveineuse, à des doses utilisées en clinique pour le traitement de l’HTAP, améliorent les indices de la fonction ventriculaire droite en proportion de leurs effets vasodilatatoires pulmonaires, sans effets inotropes intrinsèques détectables.

2. La consommation d’oxygène maximale du sujet sain augmente en raison directe de son volume capillaire pulmonaire (calculé à partir de sa capacité de diffusion pour l’oxyde nitrique et le monoxyde de carbone) et en raison inverse de sa résistance vasculaire pulmonaire, non seulement en altitude, mais aussi au niveau de la mer. Ce résultat suggère qu’une plus grande réserve vasculaire pulmonaire est propice aux efforts aérobiques intenses, probablement par moindre postcharge ventriculaire droite.

3. Des mesures réalisées chez un petit nombre de sujets suggèrent que la distensibilité vasculaire pulmonaire, calculée à partir d’une relation débit-pression vasculaire pulmonaire, est typiquement réduite chez des porteurs asymptomatiques de la mutation BMPR2, qui est actuellement le facteur de risque le plus élevé connu de l’HTAP. La mutation BMPR2 pourrait aussi être associée à une réactivité vasculaire pulmonaire accrue à l’hypoxie.

Nos résultats suggèrent indirectement que l’échocardiographie Doppler, de repos ou de stress, pourrait être davantage développée dans la mise au point de patients à risque d’HTAP./

Novel advances in echocardiography offer the opportunity to reliably characterize pulmonary circulation in terms of pressure-flow relationship, and to better understand the coupling of right ventricular (RV) function with normal and abnormal pulmonary hemodynamics. Moreover, when combined with the measurement of pulmonary capillary blood volume, this renewed methodological approach may help to understand the concept of pulmonary vascular reserve as a limiting factor of exercise capacity and potential sensitive marker of early vascular disease.

In the present work we used a model of hypoxic pulmonary vasoconstriction to analyse the effects of two targeted therapies of pulmonary arterial hypertension (PAH) on the RV function. We showed that the beneficial effects of these drugs are mainly driven by a decrease in RV afterload and not an enhanced myocardial inotropic state. Whether this is transposable to abnormal RV-arterial coupling in PAH patients remains to be investigated.

Echocardiography may be useful to explore the pulmonary vascular reserve as an important limiting factor of exercise capacity. We showed that a higher pulmonary vascular reserve, defined by a decreased PVR and increased lung diffusing capacity, allows for an improved aerobic exercise capacity (as assessed by a higher peak oxygen consumption), at a lower ventilatory cost, at sea level and at high altitude.

Stress echocardiography may detect an abnormal pulmonary vasoreactivity. We showed that asymptomatic relatives of patients suffering from idiopathic pulmonary arterial hypertension, and who carry a bone morphogenetic protein receptor type 2 mutation (BMPR2) present with a decreased pulmonary vascular distensibility and an enhanced pulmonary vasoreactivity to hypoxia, which are identifiable by echocardiography examination. However, the predictive value of these findings is not known.

Thus echocardiography may represent, in experienced and dedicated hands, a noninvasive, safe, widely available, applicable at the bed-side as well as in extreme environment (e.g. high altitudes), less expensive alternative for the evaluation of the pulmonary circulation, either by the interrogation of pressure-flow relationship (stress echocardiography), by the investigation of the right ventricle global and regional function in relation to its afterload (standard and Tissue Doppler Imaging), or by a combined approach with the measurement of lung diffusing capacity (DLNO / DLCO) to assess the pulmonary vascular reserve.

The present data are encouraging for further development and implementation of echocardiography for the detection, but also the diagnosis and follow-up of patients with pulmonary hypertension.

Doctorat en Sciences médicales
info:eu-repo/semantics/nonPublished

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Mordant, Pierre. "Cancer bronchique primitif, voies de signalisation intra-cellulaires et modèles précliniques." Phd thesis, Université Paris Sud - Paris XI, 2012. http://tel.archives-ouvertes.fr/tel-00809668.

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Contexte. Le cancer bronchopulmonaire (CBP) demeure la première cause de mortalité par cancer dans le monde. Malgré l'espoir suscité par le développement des thérapies ciblées, son pronostic demeure sombre, particulièrement dans les cas de CBP à petites cellules (CBP-PC) et de CBP non à petites cellules (CBP-NPC) présentant une activation de l'oncogène KRAS. Matériel et Méthodes. Nous avons mené 3 études successives, visant à (i) radiosensibiliser des modèles de CBP-PC par l'ajout d'un inhibiteur de BCL2, (ii) cibler des modèles de CBP-NPC mutés KRAS par l'association d'un inhibiteur de mTOR et d'un inhibiteur de RAF, et (iii) créer un modèle préclinique orthotopique murin de CBP reproduisant la progression tumorale observée en clinique. Résultats. Dans la première étude, l'inhibiteur de BCL2 oblimersen a présenté un effet radiosensibilisant sur des modèles de CBP-PC, in vitro et in vivo. Dans la seconde étude, l'association de l'inhibiteur de mTOR everolimus et de l'inhibiteur de RAF/VEGFR RAF265 a présenté un effet synergique sur des lignées cellulaires de cancers présentant la double mutation de KRAS et de PIK3CA, in vitro et in vivo. Dans la troisième étude, l'injection orthotopique d'une lignée bioluminescente de CBP-NPC chez des souris nude a permis d'établir des tumeurs intra pulmonaires évoluant vers une extension métastatique ganglionnaire et hématogène, et de détecter la présence de cellules tumorales circulantes. Conclusion. L'association d'un inhibiteur de BCL2 à la radiothérapie est une stratégie intéressante dans le CBP-PC, l'association d'un inhibiteur de mTOR et d'un inhibiteur de RAF/VEGFR est une stratégie intéressante dans le CBP-NPC présentant une double mutation KRAS-PIK3CA, mais ces données doivent être confirmées sur des modèles orthotopiques afin de gagner en pertinence avant d'envisager un transfert en clinique.

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16

HUA, WU YUEH, and 吳月華. "The Analysis of Perceived Occupational Stress Among Respiratory Therapists." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/08715489333730566346.

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碩士
亞洲大學
健康管理研究所
94
Abstract This study is intended to study the job pressure of Respiratory Therapists . It is hoped that the finding of this study may lead to substantial suggestion for the reference of management. This study is mainly conducted in questionnaire investigation and targeted on the Respiratory Therapists as the scope of sampling. The questionnaire used in this study is consisted mainly of 4 parts: Part 1: Variables of Personal Background, Part2: stressors , Part3: and Part 4 pressure response. There are 164 questionnaire issued to recovered 146 effective questionnaire, with effective recovery rate of 93.2%. The data obtained is processed through descriptive statistics, correlation analysis and others for statistical analysis. The main findings from this study are listed as the following: Under aspect of job pressure, is the Respiratory Therapists management problem than others. Second findings from this study are the Respiratory Therapist in work adapt and work load. Often uses which by asking society support. The age is above forty years old, she or he has must to take care of the elderly 60 years in the family ,the different job site is on the South, the different hospital degree is the hospital center, and different average 31-40 persons one day governs according to the patients is the best than the stressors. It has significance in statistical analysis. The present study provided some suggestions for Respiratory Therapist ' stress and managerial strategies: First, for the hospital management: to plans a Apollonian role billet1,to plans a promotion and administer to human resources; second, for the Respiratory Therapist: to set up a group of the same generation alimentation，build the support system, refresher course and channel, to effect sales of Respiratory Therapist. Therefore, the hospitals can relieve Respiratory Therapist ' stress.

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Wang, Shu-Hui, and 王淑慧. "A Study of Continuing Education Needs of Respiratory Therapists." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/54847868644853010056.

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碩士
國立台北護理學院
醫護教育研究所
94
The purposes of this study were to understand the current needs of the continuing education for the respiratory therapists; to investigate the need difference for continuing education curriculum in respiratory therapists with different background factors, and to investigate the need difference for continuing education curriculum design in respiratory therapists with different background factors. The study design was a cross-sectional study. According to literature review and 0bservation, interviews with preliminary questionnaire, we developed a “continuing education need for respiratory therapists questionnaire”. The content validity and reliability test is good. The Cronbach’s α value is 0.86 to 0.91 which shows good internal consistency. Proportional stratified sampling was 326 clinical respiratory therapists in Taiwan (responded rate was 96.32%). Questionnaires were analyzed with SPSS13 software with descriptive analysis, t test, one way ANOVA, multiple regression analysis, and Chi square test. The results of the research are as follows: 1. In general, the continuing education needs of respiratory therapists are above average. The priority of the continuing education curriculum needs recognized by the responders is as listed below. (1) Professional respiratory care curriculum: critical respiratory care, adult respiratory care, respiratory care facility (including respirator introduction and application). (2) Non-professional respiratory care curriculum: communication skills , stress management and emotional adjustment, interpersonal relationship. 2. The background factors of the therapists such as age, work seniority, educational level, certification status, marriage status, number and age of children and Workplace will influence their priority preference in choosing the curriculum contents. Workplace is the best predictor for professional respiratory care education curriculum. Educational level is the best predictor for non-professional one. 3. The needs of continuing education curriculum design are also different in respiratory therapists with different background factors. Hopefully the results of the study can provide some reference for the related organization and training center in designing the continuing education program for the respiratory therapists.

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Wu, Ya Chi, and 吳雅琪. "Job stress, self efficacy and burnout of respiratory therapists." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/br3gtd.

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碩士
長庚大學
臨床醫學研究所
104
The purpose of this study was to explore the relationship of job stress, self-efficacy and burnout among respiratory therapists(RTs). There are three hypotheses are examined in this study: (1) Job stress are positively correlated with burnout. (2) Self-efficacy are negative correlated with burnout. (3) RTs different in job stress and burnout can predict the burnout. A total number of 300 RTs was selected from hospital in Taiwan. They were asked to complete a series of self-report questionnaires including Job stress response inventory, Self-efficacy inventory and Burnout inventory. The results showed that RTs′ job stress and self-efficacy were associated with burnout. Multiple regression showed that job stress and self-efficacy were the important variables to affect RTs burnout.

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Alruwaili, Naif. "Respiratory Therapists’ Knowledge, Skills, and Attitudes Regarding MERS-CoV Disasters." 2015. http://scholarworks.gsu.edu/rt_theses/26.

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To understand the impact of recurrent pandemics such as MERS-CoV on Respiratory Therapists (RTs) behavior and commitment has become an extremely important and relevant exercise because of the unprecedented MERS-CoV occurrences in Saudi Arabia. The purpose of this study was to assess RTs knowledge, attitudes, and skills, in order to examine the differences in RTs readiness level, training status, and the association and during MERS-CoV disasters. Method used Cross-sectional survey. A web-link survey was emailed to Saudi Society for Respiratory Care (SSRC) members, (N 750). The survey consisted of two parts: knowledge, skills, and attitudes, and the readiness to come to work. Data was collected and analyzed using SPSS 23.0. Findings showed a significant difference between the different levels of work positions (p = 0.027), a gender and work position (p = 0.012). There was a significant moderate correlation between readiness to work and knowledge (r = .407, p < 0.05), a significant low correlation between readiness to work and skills (r = 0.261, p = .05). There was a significant substantial correlation between skills and knowledge (r = .521, p < 0.05). In conclusion, this study showed the importance of establishes effective disaster health bureaucracy by performs periodic health policy analysis for epidemic and pandemic influenza. It called for planning, preparedness to respond effectively using all hazard-approach for potential influenza disasters. It revealed the significance of capability building for first line responders in term of HCWs Check-list education and training programs. Moreover, it supported the establishment of independent local CDC and Disaster Management panel. It recommended flexible bureaucracy and leadership enhancement for HCWs strike teams to increase likelihood success in response for unconventional scenarios.

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Chen, Yun-Ju, and 陳韻如. "Behavioral Intention in Providing Pulmonary Rehabilitation and Its Correlates Among Respiratory Therapists." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/xj8e78.

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碩士
長庚科技大學
護理研究所在職專班
104
Objective : Pulmonary rehabilitation is recognized as the first priority of non-pharmacologic managements for COPD patients, but is underused clinically. Respiratory therapists (RTs) are the first-line health care providers that spend amount of time with COPD patients. To enhance the patients’ knowledge and willingness to participate pulmonary rehabilitation, it is reasonable to understand the knowledge relating views and behavioral intentions on pulmonary rehabilitation among RTs. This study was aimed to investigate the behavioral intentions on pulmonary rehabilitation among RT and the influencing factors. Methods: This cross - sectional design study was a self structured questionnaire to collect the knowledge, attitudes, subjective norms, perceived behavioral control and behavioral intentions on pulmonary rehabilitation among RTs. Multivariate linear regression analysis was used to determine significant factors affecting implementation of pulmonary rehabilitation intentions among RTs. Results: The response rate was 88.1% (n = 379), with majority respondents aged over 30 years old, with college graduates and with female. Knowledge, attitudes, subjective norms, self-efficacy and behavioral intentions score percentage on pulmonary rehabilitation were 63.12% , 71.33% , 68.96% , 66.46% and 80%, respectively. Factors affecting the RTs’sintention in providing pulmonary rehabilitation are attitude, subjective norm, and self-efficacy. The total model explained 22.5% of the variance in behavioral intentions. Conclusion: The results of this study found that intention in providing pulmonary rehabilitation among RTs is high, but the knowledge, attitude and self-efficacy toward pulmonary rehabilitation was insufficiency. To enhance self-efficacy, pulmonary rehabilitation program training is recommended by implementing it into school curriculum, continue education regularly, or practical experience.

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CHOU, PEI-CHIN, and 周佩瑾. "Cultural Impact on Taiwan and Singapore Respiratory Therapists’ Psychological State of Technostress." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/2uan3j.

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博士
國立中正大學
資訊管理系研究所
106
In August 2016, Taiwan published "The Foreign Strategy Talks", this include the new south policy. It is to establishment of cooperation with the South to the country. Taiwan adopted a new southward policy and established a cooperative relationship with the countries in the south. Taiwan has an excellent medical team and first-hand medical skills. Medical professionals go overseas to work. In addition to salary incentives, they also consider the work results of different culture management and systems. In addition, recently Taiwan hospitals have introduced a large number of technology, medical personnel not only need to be familiar with the functions and methods of use of various technology, but also need to complete their medical behavior through information systems in a short period of time, although information technology can bring many advantages. It will also cause technostress. This study explores the relationship between Technostress creators, RTs' psychological state and technostress inhibitors, and culture. The impact of this technostress model, it was found that culture's uncertainty avoidance is the most different between Taiwan and Singapore. Singapore is 11 points higher than Taiwan. The analysis found that the uncertainty avoidance score is negatively related to the technostress creators of the technostress model, indicating that the culture has a role in the technostress model and acts on the technostress creators dimension. And it is also found that the Technostress inhibitors has a significant positive correlation with the RTs’ Psychological State. Therefore, we further explore the differences in the RTs’ Psychological State in Taiwan and Singapore, it included job satisfaction, relationship between RTs and patients, organizational commitment, and role stress. The science and technology stress suppression mechanism of hospitals in Taiwan and Singapore has indeed improved the job satisfaction and organizational commitment of respiratory therapists, but it has no direct and significant impact on the pressure on science and technology. It is recommended that hospitals can strengthen matters related to the mechanism of technological stress suppression. For example, a more open communication environment, encourage the realization of innovative ideas, and set up an instrument information department within the hospital to solve clinical information related problems more immediately. In terms of cultural differences, we also find that the medical field is less different from the average company. Therefore, it is recommended that Taiwanese manufacturers who want to invest in the south or those who want to develop in Singapore can enter the medical field.

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Chang, chih-ching, and 張智卿. "An Investigation on Influence Factors of Turnover Intention From a Teaching Hospital Respiratory Therapists." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/31867326754776784177.

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碩士
致理技術學院
企業管理系暨服務業經營管理研究所
102
This study aimed to investigate the respiratory therapist to generate turnover intention of the relevant factors，the investigation of different personality traits、job rotation、Person-Organization Fit factors and turnover intention relevance，and make specific recommendations based on relevant factors，hoping to provide medical system in the management and cultivation of respiratory therapists reference。 Studies using cross-sectional survey design to a teaching hospital respiratory therapist for the study. To study the use of a structured questionnaire survey，a total of 250 questionnaires，229 valid questionnaires were recovered，the recovery was 91.6%. Survey data with SPSS 19.0 statistical software for descriptive statistics，analysis of variance (one way ANOVA)、Pearson correlation factors、chi-square test analysis. results： 1. Turnover intention and personality traits、job rotation、Person-Organization Fit with mutual influence between the three dimensions. 2 .respiratory therapists are mostly conscientiousness and agreeableness personality traits，different personality traits tend to leave demographic variables no significant difference. 3 .job rotation and rotation cognitive wishes and personal values Person-Organization Fit and the relationship between supply and demand has a significant correlation between turnover intention. 4. Personality traits、job rotation and turnover intention chi-square test of relevance，and Person-Organization Fit and turnover intention chi-square test is not relevant. conclusion： 1. The personality quiz candidates into the process, in order to predict the candidates therapist personality traits，so that medical institutions management for therapist personality traits，based on appropriate management or disposition to be nurtured，can also be removed prior staff less stable personality traits，thereby reducing the turnover rate of the therapist. 2. respiratory therapists to enhance the work environment satisfaction，in-depth understanding of the reasons for resisting job rotation，on giving assistance and care an analysis of interviews with former employees of the unit and organizational factors that fit the gap to be adjusted to the desired effectively reduce and relieve staff turnover intention . Keywords：Respiratory Therapists、Turnover Intention、 personality trait、 Job rotation、Person-Organization Fit ( P-O fit)。

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AbuNurah, Hassan Y. "The Perceived Impact of International Educational Experiences in the United States on Saudi Respiratory Therapists." 2016. http://scholarworks.gsu.edu/rt_theses/32.

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BACKGROUND: Rapid changes in healthcare and science have enhanced the need for international educational experiences (IEE). Despite the importance of IEE in healthcare, there is a lack of literature in this area of research specifically relating to respiratory therapy. Therefore, it is important to assess the perceived impact of IEE in the United States on RT students in order to evaluate the need for developing international educational opportunities in the field of respiratory therapy. PURPOSE: The aim of this study was to assess Saudi RT international students’ perception of the impact of IEE on their lives experiences. METHODS: Data were collected through a descriptive survey using a modified version of the international education survey (IES). The survey was emailed to all RT members of the Saudi Society for Respiratory Care (SSRC). Four main dimensions were assessed: Professional RT role, global understanding, personal development, and intellectual development. Excluded from the study were non-Saudi RTs and RTs with no IEE from the United States. RESULTS: Nineteen responses met the exclusion criteria of the study and were excluded. The total adjusted number of participants was sixty-two (n=62) out of (N=534) emailed surveys. The study response rate was 15.17%. Just over half of participants hold a graduate degree in RT while 48.4% hold an undergraduate degree in RT. Female participants accounted for 12.9% of all participants while male participants accounted for 87.1%. The study revealed that “professional RT role” was the most impacted area of IEE for RT undergraduate students (M 5.48, ± 1.4). The study showed that “global understanding” was the most impacted area of IEE for graduate RT students (M 5.4, SD of ± 0.84). The study findings showed that there is a moderately significant positive correlation between the duration of IEEs and the impact of RT professional role (r=0.426; p=0.001). Moreover, the study findings indicated that IEEs had a higher but insignificant influence on former international RT students’ perceptions of impact than current students. Conclusion: IEE had a large overall impact on participant’s lives experiences. The study findings support the value of promoting IEEs in the United States for RT students due to its perceived positive impact on internationalization of healthcare. Further studies with higher number of participants, different cultural backgrounds, and different IEE destinations is recommended.

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Chin-Lan, Lai, and 賴金蘭. "Leisure time activity participation and job stress to physical and mental health among respiratory therapists." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/61775784537721826069.

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碩士
國立台北護理學院
運動保健研究所
98
A primary purpose for this study is to understand about the correlation between respiratory therapists’ engagement in leisure activities, job stress, and their physical and mental health by surveying respiratory therapists at medical centers, regional hospitals, local hospitals, and basic-level respiratory care centers in northern Taiwan. Non-random sampling approach was adopted with respiratory therapists as the purposive subjects for the structural questionnaire. Totally 216 out of 230 copies of the questionnaire issued were collected, accounting for a collection rate of 94%. In terms of analysis, the SPSS for Windows 15.0 statistics package software was used to test and analyze the research hypothesis. Data were analyzed with statistical methods such as descriptive statistics, factor analysis, one-way ANOVA, Pearson product-moment correlation, and regression analysis. The study result shows that the respiratory therapists with different personal underlying variables differed from one another significantly in their engagement in leisure activities; the respiratory therapists with different personal underlying variables differed from one another significantly in job stress. Respiratory therapists with different personal underlying variables differed from one another significantly in their physical and mental health. The correlation between their job stress and their physical and mental health was significant; while their engagement in leisure activities and their job stress carried predictive power on their physical and mental health. Findings from this study can serve as reference for healthcare facilities at all levels in Taiwan in hopes of providing respiratory therapists with a comfortable in-house recreational environment and offering job stress counseling solutions dedicated to their employees. We encourage hospitals to periodically organize leisure activities for respiratory therapists, whereby employee bonding and team cohesion may be enhanced. Respiratory therapists are thus reminded of the importance of spending time actually participating leisure activities for substantial recreational effect. Some activities can reduce the job stress to further improve personal physical and mental health.

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Tseng, Ying Chin, and 曾媖琴. "A Study of Fitness between Clinical Competency Needs and Scholastic Training Courses for Respiratory Therapists." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/64169290075657559153.

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碩士
長庚大學
商管專業學院碩士學位學程在職專班醫務管理組
101
The respiratory therapist, playing as important role in the critical care system, provides the total care for the patient with respiratory impairment. But whether the effectiveness in the training program of the students of the faculty of respiratory therapist in the Universities really matches the needs of talent in the jobs or occupation environment? The propose of our study was to investigate the degree of matching between the competency needs in the hospitals and the scholar training course for the respiratory therapist provided by the faculty of respiratory therapist in the Universities. From the directors general of 28 regional hospitals and medical centers in Taiwan, we had collected the questionnaires about the competency needs in the new employees as respiratory therapists, and then evaluated and compared with the competency talent performance in the students’ internship. Total 198 questionnaires, and we got 189 effective questionnaires, overall response rate is 95.45%. The results revealed that the most important competences were activeness and aggressiveness for the new employees as the respiratory therapists in the hospitals, dependent on their domain knowledge and skills. Unfortunately, the students in the faculty of respiratory therapy lacked such competency needs. There were significant mismatch between the clinical requirement in the hospitals and scholar training course for the respiratory therapist provided by the faculty of respiratory therapy in the Universities. So Competence-based respiratory therapist occupational model were suggested for the hospitals in selection, performance evaluation, promotion, training and dismissal of the employess. In the meantime, the Universities should face their lacks and adjust their teaching methods and strategies, in order to enhance the domain knowledge and skill of the students and promote the students’ specialty competences and competitiveness.

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26

Bevis, Rhonda. "The clinical reasoning of expert, competent, and novice respiratory therapists working in the acute care setting." 2002. http://purl.galileo.usg.edu/uga%5Fetd/bevis%5Frhonda%5Fy%5F200212%5Fedd.

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27

Tsai, Yuh-Chyn, and 蔡玉琴. "The effects of job stress, psychological capital on work engagement, and psychological well-being among respiratory therapists." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/e6c2vw.

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碩士
高雄醫學大學
醫務管理暨醫療資訊學系碩士在職專班
103
Objective:Workplace stress has received considerable research attention in recent years, largely due to the consequences it can have for both employees and organizations. According to the view of challenge-hindrance stress, different types of stress are differentially associated with attitude and behavioral responses. The present research aims to explore the effects of challenge stress, hindrance stress, and psychological capital on work engagement and psychological well-being. The results should be beneficial to organizations and individuals to improve work performance and health. Methods:Research data collected from 235 respiratory therapists of hospitals in Taiwan. Hierarchical multiple regression analysis was the principal technique of data analysis used to examine the Hypotheses of this study. Results:Challenge stress has positive influence on emotional exhaustion (β= .339, p<.001), has negative influence on emotional health (β= -.233, p<.01), and has no influence no influence on work engagement. Hindrance stress has positive influence on emotional exhaustion (β= .255, p<.01), has negative influence on emotional health (β= -.355, p<.001), and has no influence no influence on work engagement. Psychological capital has negative influence on emotional exhaustion (β= -.310, p<.001), has positive influence on emotional health (β= .659, p<.001), and has positive influence on work engagement (β= .622,p<.001). Conclusions:The results of this study support that challenge and hindrance stress have similar effects on worker’s psychological well-being, and individual’s psychological capital has positive relations with desirable work attitude and health. The present study confirmed that both challenge and hindrance stress are the stimuli which induce the stress process and the forms of emotional exhaustion and decreasing of psychological health, i.e. increasing either challenge or hindrance stress will result in exhaustion. And, individual with higher psychological capital show positive relation with well-being. The present research reveals the role of positive attribute in maintaining the psychological well-being among respiratory therapists. Practical implications and suggestions are discussed.

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chi, Chang fang, and 張芳綺. "The Effect of The Respiratory Therapists Shift Working on The Quality of Working Life –Psychological Ownership As Moderators." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/s3w79e.

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碩士
致理技術學院
企業管理系暨服務業經營管理研究所
102
Medical units must operate 24 hours a day in order to maintain the quality of medical care. Medical Staff need to maintain 24-hour shifts in order to make sure treatments work smoothly. However, staff on shift work could easily lead to mental and physical fatigue、decreased attention、occupational fatigue and decreased quality of working life, which would further lead to the loss of professional medical personnel. In this study, we will focus on the quality of work life of respiratory therapists during shift work, and then look at the ownership of psychological disturbance factors. By all of the respiratory therapists from a specific medical center, comprehensive questionnaire surveys were given to identify their relevance; through respiratory therapists work on cognition and quality of life in shifts of six dimensions of psychological ownership asked three items. Taking all respiratory therapists in medical group conducted a comprehensive survey questionnaire to identify their relevance. This study conducted from June 2013 to July 2013 issued 250 questionnaires to all the respiratory therapists in all of the branches located throughout Taiwan. A total of 201 valid sample of 196 recovery 78.4% and the use of SPSS statistical software applications as statistical analysis tools descriptive statistics, ANOVA, hierarchical regression analysis and other statistical methods. The results found were that respiratory therapists had a significantly different perception towards quality of work life and psychological ownership. Respiratory therapist had a low willingness to be in shift work, this causing respiratory therapist in overall to have a relatively lower quality of life. The lower shift work classes predicted relatively poorer quality of life. Respiratory therapists that have a higher will to be in shift work have a better psychological ownership, further having higher the quality of work life. The psychological ownership of Respiratory therapists has a certain level of interference shift between shift work and quality of work life.

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Cheng, Jui-Chun, and 鄭瑞駿. "Exploration of Working Situation and Practicing Competencies for Respiratory Therapists in Taiwan：A Preliminary Study for Modular Courses of Employability." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/42684183801310972780.

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碩士
國立台北護理學院
醫護教育研究所
94
The study is to explore the working situations and practicing competencies of respiratory therapists and both importance and occurring of these items in the hospital in Taiwan. We analyzed the expected practicing competencies of respiratory therapists in three different working stages（hiring、initiating and ongoing）. The entire research was proceeding with two phases by performing Delphi Technique. Firstly, I adopt interview and record clinical observation, literature-review. I interview with 3 senior staffs in 3 different medical centers and collect the competencies in knowledge, attitude, skill, and culture. Secondly, the data of questionnaire had been analyzed by means, modes, standard deviation of descriptive statics. We invited 20 experts included 18 respiratory therapists in the north, the middle, the east, and the south of Taiwan and 2 teachers. Two rounds of questionnaires were returned by the rate of 100 percent. The results indicated that: totally 9 categories including 70 items of working situations. The situations which valued highly in both importance and occurring among all have 8 categories and 44 items, the ones valued highly in importance but moderate occurring situations have 7 categories and 20 items, the ones valued highly in importance but low occurring situations have 1 category and 6 items. The practicing competencies were totally 9 categories, including of 123 items. The practicing competencies which valued highly in both importance and occurring among all have 8 categories and 81 items, the ones valued highly in importance but moderate occurring practicing competencies have 4 categories and 16 items, the ones valued highly in importance but low occurring practicing competencies have 4 categories and 21 items, the ones valued moderate in importance but low occurring situations have 1 category and 5 items. The conclusion could assist respiratory therapist not only for society or association , the department of respiratory care, and the school of respiratory therapy but also for consultation to recruit and design on-job training as well as staff development programs. Furthermore, it not only could facilitate teachers designing the working situations of modular curriculum, arranging the teaching contents and sequences, but also facilitate learners to choose the curriculum by themelves.

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Wang, Szu-Hui, and 王思惠. "The Effect of Near-miss Definitions on Classifying Respiratory Therapist Incidents." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/88112702713952112423.

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碩士
長榮大學
職業安全與衛生學系碩士在職專班
104
Objective : The nature of medical treatments is involved with many uncertain factors, which include physical instruments, facilities, human skills, and cooperation among team works. Any medical error, no matter which is slip or lapse arising in the intensive working atmosphere could cause abnormal events, even harm to a life. One way to reduce medical errors is the promotion of near miss reporting. One of the aims of this study is to investigate how the ways of defining near miss event and no harm event affect the accuracy of classification of these two kinds of events in near miss reporting. Another aim is to understand how much level of safety awareness can be lifted via group discussion of self-reporting medical events. The final aim is to differentiate the potential significance of near-miss event. The limited resources should be spent on investigating those events which could cause significant harm to reduce medical errors. Methods: In the first phase of this study adopts the cross-sectional approach with a structured questionnaire, which include 25 questions to be classified as either a near-miss event or a no-harm event by participants with/without the hint of the Swiss-Cheese model. In the second phase, the comparisons of the number of self-reporting medical events by medical staff are made between before and after a group discussion on the reported events. In the third phase, the set of 25 questions are discussed and scrutinized to reach consensus on their significance of potential harm. Results: In the first phase of the study, the correct classification with the hint of the Swiss Cheese model is 90.3% while it is 69.6% without the hint. In the second phase, after a group discussion on the reported events, the number of self-reporting events increases. And the consensus among the focus group is reached to determine that 62.5% of questionnaires are potential to cause significant harm. Conclusion: The application of the Swiss Cheese model help the participating medical staff correctly classify the medical events. The group discussion on the self-reporting medical events help improve the safety awareness among the participants and increase self-reporting cases.

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31

Hsieh, Pei Ling, and 謝佩伶. "A Study on the Relationship between Respiratory Therapist Competency and Organizational Citizenship Behaviors." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/07996893910121928591.

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Dissertations / Theses on the topic 'Respiratory therapists'

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