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学术实践对呼吸治疗师意味着什么:一项诠释性描述研究。

What scholarly practice means to respiratory therapists: An interpretive description study.

作者信息

Zaccagnini Marco, Bussières André, Kim Sungha, Nugus Peter, West Andrew, Thomas Aliki

机构信息

School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Canada.

Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada.

出版信息

J Eval Clin Pract. 2023 Dec;29(8):1314-1325. doi: 10.1111/jep.13917. Epub 2023 Aug 25.

Abstract

RATIONALE

Engagement in scholarly practice has been associated with professional empowerment, role satisfaction and improvements in care delivery and patient outcomes across many healthcare professions. However, in evolving professions like respiratory therapy, scholarly practice is excluded from competency frameworks, resulting in a gap in education and subsequent application of this competency in practice. An exploration of scholarly practice in respiratory therapy may provide insights into evolving professions that face tensions between meeting competency requirements as outlined in frameworks and providing quality healthcare to the populations they serve.

AIMS AND OBJECTIVES

The aim of the study was to explore what scholarly practice means, and how it manifests in practice from respiratory therapists' (RTs) perspectives.

METHODS

We used interpretive description methodology. We purposively sampled participants to obtain varied perspectives of scholarly practice in respiratory therapy. We conducted 26 semistructured interviews with RTs in different roles (clinicians, educators, researchers, leaders and managers) across Canada and analysed the data using inductive analysis. Data collection and analysis proceeded concurrently.

RESULTS

We developed five main themes: (i) the identity of a scholarly practitioner in RTs; (ii) factors influencing scholarly practice; (iii) one's impression of their professional self-image; (iv) scholarly practice as a vehicle for changing practice and (v) the complex interconnections between knowledges and practices.

CONCLUSION

Scholarly practice appears to be a multifaceted phenomenon encompassing a wide range of activities and skills including conducting research, reflective practice, application of research to practice, and contributing to the advancement of the profession and healthcare. Scholarly practice is influenced by organisational context and culture, available resources, intrinsic motivation and external political context. We identified similarities between professional identity and the description of the scholarly practitioner, suggesting that these two phenomena may be interconnected. Furthermore, participants believed that scholarly practice could enhance the image, credibility, legitimacy and professionalisation of the profession.

摘要

理论依据

参与学术实践与许多医疗行业的专业赋权、角色满意度以及护理服务和患者预后的改善相关。然而,在呼吸治疗等不断发展的行业中,学术实践被排除在能力框架之外,导致教育方面存在差距,以及该能力在实践中的后续应用不足。探索呼吸治疗中的学术实践可能会为面临在满足框架中概述的能力要求与为所服务人群提供优质医疗服务之间紧张关系的不断发展的行业提供见解。

目的

本研究的目的是从呼吸治疗师(RTs)的角度探讨学术实践的含义及其在实践中的表现形式。

方法

我们采用了解释性描述方法。我们有目的地对参与者进行抽样,以获取呼吸治疗中学术实践的不同观点。我们对加拿大不同角色(临床医生、教育工作者、研究人员、领导者和管理人员)的RTs进行了26次半结构化访谈,并使用归纳分析对数据进行了分析。数据收集和分析同时进行。

结果

我们确定了五个主要主题:(i)RTs中学术从业者的身份;(ii)影响学术实践的因素;(iii)对其职业自我形象的印象;(iv)作为改变实践手段的学术实践;(v)知识与实践之间的复杂相互联系。

结论

学术实践似乎是一个多方面的现象,涵盖广泛的活动和技能,包括进行研究、反思性实践、将研究应用于实践以及为专业和医疗保健的进步做出贡献。学术实践受到组织背景和文化、可用资源、内在动机和外部政治背景的影响。我们发现职业身份与学术从业者描述之间存在相似之处,表明这两种现象可能相互关联。此外,参与者认为学术实践可以提升该专业的形象、可信度、合法性和专业化程度。

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