| Orienting New Respiratory Therapists into the Neonatal-Pediatric Environment: A Survey of Educators and Managers. | |
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MedLine Citation:
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PMID: 21496363 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Neonatal-pediatric respiratory care is recognized as a unique and complex area of clinical practice. Despite the significant effort and costs associated with orienting neonatal-pediatric practitioners, little data exist related to the process of training respiratory therapists in the acute neonatal-pediatric environment. In order to gain insight into the adequacy of preparation of therapists entering the neonatal-pediatric environment, the length of orientation necessary to achieve a base level of competency, and the methods used to train new neonatal/pediatric practitioners, we conducted a survey of neonatal-pediatric respiratory care educators and managers. METHODS: The survey of orientation practices targeted Respiratory Therapy educators and managers. An Internet-based 15 question, 5-point Likert scale (excluding demographics) survey was emailed. The core questions in the survey were selected to determine the following: what type of degree programs AS or BS better prepare students for the neonatal-pediatric environment, experience requirements for orientation personnel, the role of simulation in training personnel, and whether the NPS credentialing exam should be used as a method of competency testing. Respondents were asked to answer 4 multiple choice questions regarding simulation, orientation times based on experience, and where the majority of the time of orientation was spent. RESULTS: 251 responses were received (8%), of which the majority of the respondents were either affiliated with or worked for an urban, not-for-profit, non-government organization. 63% disagreed that ASRT degree programs and 42% disagreed that BSRT programs adequately prepared students to work in the neonatal-pediatric critical care environment immediately post graduation. The majority (71%) strongly agreed that children's hospital respiratory care departments should have a dedicated Respiratory Therapy educator. Most (76%) agreed high fidelity medical simulation is an effective tool for training respiratory therapist for the neonatal-pediatric critical care. 65% of responders agreed respiratory therapists should be required to take an exam at the end of the orientation period to verify competency. The majority (59%) of those surveyed strongly agreed neonatal-pediatric respiratory clinicians should be credentialed by the NBRC as a Registered Respiratory Therapist (RRT). CONCLUSION: There appears to be a discrepancy in the educational preparation level expected prior to entering this environment and what training methods are most appropriate and cost-effective for orienting new personnel to this specialized environment. A dedicated respiratory therapy educator is valued. High fidelity simulation is considered an effective tool for training RTs and provides training opportunities that otherwise would not be available. The NPS certification exam appears to be recognized as a valid method of determining understanding and verifying competence. |
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Authors:
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Brian K Walsh; Michael A Gentile; Barry M Grenier |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-15 |
Journal Detail:
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Title: Respiratory care Volume: - ISSN: 0020-1324 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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