Abstract：
BACKGROUND:The benefits of contract learning have been identified in the literature as increased individualization to meet the student's individual needs, promotion of learner independence, and development of lifelong learning behaviors among students. METHODS:I used an "action research" approach to implement the contract-learning method into a clinical course. Clinical learning contracts were designed to provide students with the opportunity to focus on any identified areas of unsatisfactory or desired practice. The learning contract specified how the learner would acquire the knowledge and attitudes relevant to their selected learning experience. The learning contract was used as a learning tool and as evidence of the student's development in the clinical experience. Twenty-four senior respiratory therapy students in the College of Health Related Professions, University of Arkansas for Medical Sciences, prepared and used learning contracts during their Clinical Practicum IV. After they had completed the clinical practicum and received their grades, I surveyed the students about their experience with the learning-contract method. The surveys were administered anonymously. RESULTS:Twenty-one students (88%) returned the surveys. The respondents were overall quite optimistic regarding learning contracts. They generally agreed that they could use the learning contract with confidence and that there is an increase in student autonomy and motivation in scholarship with a learning contract. The median agree/disagree ratings on the survey ranged from 1 (strongly agree) to 2 (agree). CONCLUSIONS:Contract learning is favorable to students' knowledge and skill acquisition and can be incorporated into clinical education of respiratory care students.
journal_name
Respir Carejournal_title
Respiratory careauthors
Rye KJsubject
Has Abstractpub_date
2008-11-01 00:00:00pages
1475-81issue
11eissn
0020-1324issn
1943-3654journal_volume
53pub_type
杂志文章相关文献
Respiratory Care文献大全abstract：BACKGROUND:Measurement of functional residual capacity (FRC) is now possible at bedside, during mechanical ventilation. OBJECTIVES:To determine the relationship of measured absolute and relative predicted FRC values to oxygenation and respiratory-system compliance, and to identify variables that influence FRC in venti...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:In a traditional endotracheal tube (ETT), there is a linear outward pull through its attachment to the ventilator tubing that leads to risk of accidental dislodgement. This study was conducted to assess the ETT flow characteristics and to evaluate providers' intubation experience using two ETT's in a simulat...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05813
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Patients with Guillain-Barré syndrome are commonly exposed to prolonged mechanical ventilation. Specific data on ventilatory management of these patients have been limited. OBJECTIVE:To describe the practice of mechanical ventilation in patients with Guillain-Barré syndrome and evaluate risk factors for mor...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2006-12-01 00:00:00
abstract：:Several algorithms exist to facilitate spirometric interpretation in clinical practice, yet there is a lack of consensus on how spirometric criteria for asthma, COPD, and restrictive disorders should be incorporated into spirometry interpretation algorithms suitable for use in day-to-day primary care management. The p...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.07294
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Many healthcare professionals performing spirometry in primary care have had less than half a day's training in spirometry practice, and the validity of the test results is questionable. Longer training periods, with or without follow-up training, may improve test validity. OBJECTIVE:To determine if a 14-ho...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:COPD is a leading cause of morbidity and mortality worldwide. Spirometry is the most common lung function test for diagnosing COPD with a post-bronchodilator FEV1/FVC < 0.70 confirming the presence of the disease. However, diagnosticians appear reluctant to use bronchodilators, which have been linked to the ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.06148
更新日期：2019-01-01 00:00:00
abstract：:Since 1998, the Global Initiative for Obstructive Lung Disease (GOLD) has worked with health care professionals, medical researchers, and public health officials around the world to optimize the prevention, treatment, and management of COPD. GOLD has continually worked to ensure COPD management strategy recommendation...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05402
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:We tested whether work of breathing in premature newborns estimated by phase angle (θ) by using respiratory inductance plethysmography is decreased during neurally-adjusted ventilatory assist (NAVA) noninvasive ventilation (NIV) versus NIV alone. METHODS:NAVA NIV and NIV were applied in random order while u...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.07257
更新日期：2020-07-01 00:00:00
abstract：:Dexmedetomidine is a selective alpha-2 receptor agonist that possesses both sedative and analgesic properties, with minimal respiratory depression. We report the successful administration of dexmedetomidine on a 16-year-old primigravida woman that allowed the patient to tolerate application of bi-level positive airwa...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01733
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Extracorporeal membrane oxygenation (ECMO) is often used in patients with severe respiratory failure to improve oxygenation and survival. ECMO gives the lungs an opportunity to rest and recover. The addition of prone positioning therapy used concurrently with ECMO can further aid in optimizing alveolar recru...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.03882
更新日期：2016-02-01 00:00:00
abstract：:Health care costs continue to skyrocket, and a large portion of these costs can be attributed to technology. Some technology, such as oximetry, is relatively inexpensive compared to CAT scanning and magnetic resonance imaging. Therefore, it may elude close scrutiny and direct health care planning and, with little fanf...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：BACKGROUND:Protective ventilation implementation requires the calculation of predicted body weight (PBW), determined by a formula based on gender and height. Consequently, height inaccuracy may be a limiting factor to correctly set tidal volumes. The objective of this study was to evaluate the accuracy of different met...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02732
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria. METHODS:We conducted a retrospective review of data from the medical record and Project Impact database in a ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Patterns of pulmonary function tests (PFTs) and flow-volume loops among patients with clinically important tracheobronchomalacia (TBM) are not well described. Small studies suggest 4 main flow-volume loop morphologies: low maximum forced expiratory flow, biphasic expiratory curve, flow oscillations, and notc...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02277
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:The utilization of noninvasive ventilation (NIV) in the Veterans Affairs health-care system is not well characterized. A survey of physicians and respiratory therapists was conducted to better understand its use. METHODS:Three hospitals in each of 21 Veterans Affairs networks were selected based on severity...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-10-01 00:00:00
abstract：:Mechanical ventilation incurs substantial morbidity, mortality, and costs. Both premature extubation and delayed extubation can cause harm. Therefore, weaning that is both expeditious and safe is highly desirable. The purpose of this review is to summarize the literature related to weaning modes, spontaneous breathing...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2001-12-01 00:00:00
abstract：:Rotational beds, prone position, and semi-recumbent position have been proposed as procedures to prevent ventilator-associated pneumonia (VAP). Rotational therapy uses a special bed designed to turn continuously, or nearly continuously, the patient from side to side; specific designs include kinetic therapy and contin...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2005-07-01 00:00:00
abstract：:In the critical care setting, usually the most important outcome is survival. However, this is not the only important outcome of critical care. There are increasing data that the patient's quality of life and functional status can be affected long after an intensive care unit stay, and some data suggest that mechanica...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:The aim of this study was to develop an efficient, low-cost, home-based pulmonary rehabilitation program and to evaluate the impact of the program on exercise as measured by the 6-min walk test (6MWT) and treadmill endurance test. METHODS:Twenty-nine subjects with COPD (FEV1 = 62.4 ± 10.7% of predicted, 62....
journal_title：Respiratory care
pub_type： 杂志文章,随机对照试验
doi：10.4187/respcare.02994
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:The human respiratory airway undergoes dramatic growth during infancy and childhood, which induces substantial variability in air flow pattern and particle deposition. However, deposition studies have typically focused on adult subjects, the results of which cannot be readily extrapolated to children. We dev...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02568
更新日期：2014-02-01 00:00:00
abstract：:The presence of bronchiectasis (BR) in patients with rheumatoid arthritis (RA) has been recognized for many decades; nevertheless, little research has been undertaken in this area. It is important to recognize that BR coexistent with RA differs from the other types of BR. The purpose of this descriptive review was to ...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.01857
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Blow-by, a common form of nebulizer therapy, in which the device is held away from a child's face, has been dismissed as ineffective because studies have demonstrated incremental aerosol drop-off with increasing distances from the face. Many of these studies do not take into account differences among nebuliz...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01653
更新日期：2012-12-01 00:00:00
abstract：:Pulmonary hypertension (PH) is a common consequence of COPD. It has been speculated that patients showing serious PH and vascular remodeling without severe airway obstruction might benefit from vasoactive treatment. There is no approved drug available for COPD-induced PH. Most trials assessing the efficacy of vasoacti...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02058
更新日期：2013-08-01 00:00:00
abstract：:As the basis for this paper, it must be acknowledged that children are not simply small adults. But this acknowledgment must go further: infants are not simply small adolescents. As data for pediatric mechanical ventilation, in general, and the management for pediatric acute lung injury, more specifically, are very l...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.01413
更新日期：2011-09-01 00:00:00
abstract：:The skill and work habits of the pulmonary function technologist are central to the quality of patient testing. Pulmonary function technologists should be chosen carefully. The pulmonary function technologists must be intelligent, conscientious, and possess critical thinking skills. Studies are needed to better ident...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01401
更新日期：2012-01-01 00:00:00
abstract：:An electronic literature search for articles published between January 1990 and October 2009 was conducted by using MEDLINE, CINAHL, and Cochrane Library databases. The update of this clinical practice guideline is the result of reviewing a total of 114 clinical trials, 62 reviews and 6 meta-analyses on endotracheal s...
journal_title：Respiratory care
pub_type： 杂志文章,实务指引
doi：
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Esophageal balloon inflation volume may affect the accuracy of transpulmo-nary pressure estimates in adults, but the effect is unknown in pediatrics. Using a combination bench and human study, we sought to determine a range of optimal filling volumes for esophageal balloon catheters and to derive a technique...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05685
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Exercise-induced bronchoconstriction (EIB) can lead to long-term respiratory illness and even death. EIB prevalence rates are both high and variable in college athletes. Also, prevalence rates may be underestimated due to ineffective screening. The purpose of this study is to investigate the prevalence of EI...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04553
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Thousands of children require mechanical ventilation each year. Although mechanical ventilation is lifesaving, it is also associated with adverse events if not properly managed. The systematic implementation of evidence-based practice through the use of guidelines and protocols has been shown to mitigate ris...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04723
更新日期：2016-09-01 00:00:00
abstract：:Long-term oxygen therapy (LTOT) improves survival for patients afflicted with severe chronic obstructive pulmonary disease and may also reduce the incidence of repeat hospitalization due to exacerbations. When properly dosed and titrated, LTOT has also been shown to improve exercise tolerance, thereby enhancing the ov...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-08-01 00:00:00
