Abstract:
BACKGROUND:The profession of respiratory therapy (RT) continues to grow both in number, due to population growth and an ever-increasing aging population, and scope of practice, due to both new and expanded roles and responsibilities in divergent areas of clinical practice. Instructional technology, including distance learning, will probably play a key role in training, educating, and assessing RT students to meet the increasing demand for practitioners. OBJECTIVE:To assess current uses of distance learning and opinions concerning the appropriate use of distance education in RT education programs nationwide. METHODS:A 13-item on-line survey was designed to collect information about the frequency of use of various types of distance education typically utilized in RT education programs. The survey was sent to directors of 343 Committee on Accreditation for Respiratory Care accredited programs of RT education that offer entry-level or advanced courses of study. RESULTS:The response rate was 50% (169 respondents). Fifty-two percent of the respondents indicated that their courses included some form of on-line learning component. Most directors anticipated that the distance composition of their course offerings will remain unchanged or increase in the near future. CONCLUSIONS:Our results indicate that, while distance education plays an important supportive role in RT education, there is still a preference for face-to-face instruction and Internet-facilitated courses among program directors. Program directors continue to view the laboratory and clinical settings as hands-on environments that require instructor supervision in order for students to demonstrate proficiency and critical thinking skills. When used appropriately, distance learning may be an efficient and effective approach to address the many barriers to education faced by the health workforce in general, including budget constraints, overloaded schedules, the need for on-the-job learning opportunities, and lack of access.
journal_name
Respir Carejournal_title
Respiratory careauthors
Varekojis SM,Sergakis GG,Dunlevy CL,Foote E,Clutter Jdoi
10.4187/respcare.01197subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1808-11issue
11eissn
0020-1324issn
1943-3654pii
rc01197r1varekojisjournal_volume
56pub_type
杂志文章相关文献
Respiratory Care文献大全abstract::Aerosolized medications are routinely used for the treatment of critically ill patients. This paper reviews aerosol delivery devices with a focus on issues related to their performance in pulmonary critical care. Factors affecting aerosol drug delivery to mechanically ventilated adults and spontaneously breathing pati...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.03790
更新日期:2015-06-01 00:00:00
abstract:UNLABELLED:We conducted a prospective study of 50 consecutive postoperative patients over a 5-month period to characterize the bacterial contamination of ultrasonic nebulizers (USNs) after 24, 48, and 72 hours (h) of use. METHODS:Samples of the USN effluent mist and reservoir fluid were cultured and the results were c...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:1986-12-01 00:00:00
abstract:BACKGROUND:Arterial oxygen desaturation frequently occurs in patients with COPD during daily activities at home. Oxygen flow is usually set at fixed and low rates for ambulatory patients. We evaluated an innovative closed-loop system (FreeO2) that automatically adjusts the oxygen flow to the patient's needs in subjects...
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:10.4187/respcare.04406
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Switching patients affected by early severe ARDS and undergoing extracorporeal membrane oxygenation (ECMO) from controlled ventilation to spontaneous breathing can be either beneficial or harmful, depending on how effectively the breathing pattern is controlled with ECMO. Identifying the factors associated w...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07391
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To determine whether propofol affects spontaneous breathing patterns in critically ill patients recovering from respiratory failure during initial attempts at liberation from mechanical ventilation. DESIGN:Observational cohort study. PATIENTS:Ten critically ill patients in the medical intensive care unit of...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract::Ventilator-associated pneumonia (VAP) is an acquired infection related primarily to the consequences of prolonged endotracheal intubation. It is considered the most important infectious challenge in the critical care setting. Preventable complications of hospital care are considered an important source of wasted healt...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.03774
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Pneumothorax is a well known complication of pulmonary tuberculosis (TB), particularly in patients with advanced TB. METHODS:At our national TB-referral hospital, we compared the medical records of 53 TB patients with pneumothorax and 106 TB patients without pneumothorax, seen in 2003 to 2008. We analyzed d...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.00695
更新日期:2011-03-01 00:00:00
abstract::The treatment of choice for patients with respiratory failure of neuromuscular origin, especially in patients with hypercapnic respiratory acidosis, is noninvasive ventilation (NIV). Endotracheal intubation and invasive ventilation are indicated for patients with severe respiratory compromise or failure of NIV. In rec...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.02115
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Chest x-ray (CXR) is widely used for diagnosing and screening pulmonary tuberculosis (PTB), yet its validity is debatable and its costs are relatively high. This study aimed to determine the validity of CXR screening in detecting radiological findings compatible with active PTB or with old healed tuberculos...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.01475
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The ability to rapidly and precisely evaluate patients in respiratory distress is essential. Due to limited opportunities for formal instruction during training, textbooks are the main educational source to teach junior physicians how to interpret the signs of respiratory distress. The quality of the textbo...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.01112
更新日期:2012-03-01 00:00:00
abstract::Mechanical ventilation alarms and alerts, both audible and visual, provide the clinician with vital information about the patient's physiologic condition and the status of the machine's function. Not all alarms generated by the mechanical ventilator provide actionable information. Over time, clinicians can become dese...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.06878
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Heliox and forward-leaning posture (torso inclined forward at 50-60° with the elbows resting on the thighs) are adjuncts in the administration of nebulized bronchodilator to patients with acute asthma. METHODS:We randomized 59 patients who presented to the emergency department in severe asthma crisis, into ...
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:10.4187/respcare.00963
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:To examine whether change in slow vital capacity (SVC) correlates to dyspnea improvement during emergency department (ED) treatment of chronic obstructive pulmonary disease (COPD) exacerbation. METHODS:We performed a prospective cohort study and enrolled consecutive patients during a 3-week period. ED patien...
journal_title:Respiratory care
pub_type: 杂志文章,多中心研究
doi:
更新日期:2008-07-01 00:00:00
abstract::Aerosolized medications have been used for centuries to treat respiratory diseases. Until recently, inhalation therapy focused primarily on the treatment of asthma and chronic obstructive pulmonary disease, and the pressurized metered-dose inhaler was the delivery device of choice. However, the role of aerosol therapy...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:
更新日期:2005-09-01 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::Fibrosing mediastinitis is underdiagnosed because of the nonspecific character of the presenting symptoms. The endobronchial findings obtained via flexible bronchoscopy are not defined in the literature. We describe 3 cases of fibrosing mediastinitis, most likely caused by histoplasmosis. All 3 patients presented with...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-11-01 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:BACKGROUND:Emphysema and fibrosis, typically the idiopathic pulmonary fibrosis (IPF) form of usual interstitial pneumonia (UIP), can co-exist as combined pulmonary fibrosis emphysema (CPFE). It is unknown whether there is a pathobiologic basis for CPFE beyond the coexistence of fibrosis and emphysema. The aim of this s...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03389
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:The frequency of combined obstruction and restriction identified in pulmonary function tests has not been well described. Moreover, although the causes of combined-obstruction-and-restriction patterns are known, the frequency of the various etiologies has received little attention. METHODS:We retrospectivel...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Clinical preceptors in respiratory therapy (RT) are expected to possess effective teaching skills and qualities that signify their knowledge, expertise, and professionalism. Thus, it is important to determine which teaching characteristics are effective among RT clinical preceptors from the administrators' p...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06947
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Symptom burden increases during pulmonary exacerbations of cystic fibrosis (CF), and patient-reported outcome measures (PROMs) are often used to evaluate symptoms as either primary or secondary outcomes. However, there is currently no guidance on the use of PROMs to assess symptom burden during pulmonary exa...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.05638
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Recent literature suggests that optimization of tidal driving pressure (ΔP) would be a better variable to target for lung protection at the bedside than tidal volume (VT) or plateau pressure (Pplat), the traditional indicators of ventilator-induced lung injury. However, the usual range or variability of ΔP o...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06599
更新日期:2019-08-01 00:00:00
abstract::Technological innovations in the ICU have led to artificially prolonged life, with an associated cost. Chronic critical illness (CCI) occurs in patients with prolonged mechanical ventilation and allostatic overload, and is associated with a discrete and consistent metabolic syndrome. Metabolic interventions are extra...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.01620
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:In the context of increasing attention to medical errors, missed therapies have become a subject of focus both for optimizing clinical care and for assuring appropriate institutional performance during external review by accrediting bodies. Because the issue of missed treatments in respiratory therapy has re...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:The 2005 American Thoracic Society/European Respiratory Society guidelines on spirometry emphasize examination of the inspiratory curve of the flow-volume loop for evidence of intrathoracic or extrathoracic upper airway obstruction. We sought to determine how frequently evaluations are performed for abnormal...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Volume-targeted ventilation is increasingly used in low birthweight infants because of the potential for reducing volutrauma and avoiding hypocapnea. However, it is not known what level of air leak is acceptable during neonatal volume-targeted ventilation when leak compensation is activated concurrently. ME...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.05012
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:Evaluate the effects of continuous positive airway pressure (CPAP)/positive end-expiratory pressure (PEEP) and pressure support ventilation (PSV) on work of breathing (WOB). METHODS:With 13 anesthetized lambs we measured WOB with an esophageal balloon and flow signals. All the animals were sedated, intubated...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:There is paucity of information on the weaning of nasal CPAP (NCPAP) in preterm infants. As the weaning from NCPAP can be gradual or sudden, we wanted to determine which of the 2 methods was better. METHODS:A prospective randomized trial was conducted to compare the success of weaning from NCPAP when using ...
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:10.4187/respcare.01999
更新日期:2013-03-01 00:00:00
abstract::Home oxygen therapy equipment options have increased over the past several decades, in response to innovations in technology, economic pressure from third-party payers, and patient demands. The delivery of oxygen in the home has evolved from packaged gas systems containing 99% United States Pharmacopeia oxygen provide...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.01932
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Endotracheal tubes with standard polyvinyl chloride cuffs create folds on inflation into the trachea, which lead to potential leakage of subglottic secretions into the lower airways and cause lung colonization and pneumonia. The use of a double-layer prototype leak-proof cuff has shown effective prevention o...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06573
更新日期:2019-09-01 00:00:00