Zaccagnini Marco, Bussières André, Nugus Peter, West Andrew, Thomas Aliki
School of Physical and Occupational Therapy McGill University.
The Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal.
Can J Respir Ther. 2024 Aug 30;60:122-139. doi: 10.29390/001c.122345. eCollection 2024.
Respiratory therapists (RTs) are expected to provide high-quality care for patients with chronic and acute cardiopulmonary conditions across the lifespan by staying abreast of emerging scientific evidence and effectively integrating it into clinical practice. This integration of evidence is encompassed within the competency of scholarly practice. However, there is currently a limited understanding of RTs' scholarly practice. Furthermore, despite RTs' widespread presence in the Canadian healthcare system, comprehensive studies describing the profiles of RTs are lacking. This study aimed to describe the demographic characteristics, scholarly and practice profiles of the respiratory therapy profession in Canada.
A cross-sectional survey was distributed via the national professional association and regulatory bodies. The survey contained seven sections with 52 items. We calculated means and standard deviations, or medians and interquartile ranges for continuous variables and frequencies and proportions for categorical variables. Open-ended questions were analyzed using summative content analysis.
We analyzed data from 832 participants (6.8% response rate) from Ontario (17.8%), Québec (15.7%), and Alberta (13.3%), and across other provinces. Nearly 40% had completed an undergraduate degree beyond their respiratory therapy diploma. Few participants had authored or co-authored peer-reviewed publications. RTs reported reading approximately 2.2 peer-reviewed publications monthly. Most participants agreed on the importance of critical reflection in practice (93.1%) and that having a supportive work environment was vital. Almost three-quarters of participants (73.4%) reported that they believe that RTs are valued members of interprofessional teams, and 78% agreed that understanding research enables them to engage in patient advocacy.
This survey provides a portrait of the practice and scholarly profile of the respiratory therapy profession in Canada. While the profession shows potential for growth, concerns persist regarding limited engagement in activities related to scholarly practice. Addressing these challenges and nurturing a culture of scholarly practice are likely necessary to support the development of scholarly practice in the profession. Creating supportive environments, providing access to resources, and encouraging professional development activities may advance the scholarly practice of RTs. Future national surveys could employ random sampling strategies to achieve a more representative sample of the profession.
呼吸治疗师(RTs)需要紧跟新出现的科学证据,并将其有效地融入临床实践,从而为患有慢性和急性心肺疾病的各年龄段患者提供高质量护理。这种证据整合包含在学术实践能力范围内。然而,目前对呼吸治疗师的学术实践了解有限。此外,尽管呼吸治疗师在加拿大医疗系统中广泛存在,但缺乏描述呼吸治疗师概况的全面研究。本研究旨在描述加拿大呼吸治疗专业的人口统计学特征、学术和实践概况。
通过国家专业协会和监管机构进行横断面调查。该调查包含七个部分,共52个项目。我们计算了连续变量的均值和标准差,或中位数和四分位间距,以及分类变量的频率和比例。使用总结性内容分析法对开放式问题进行分析。
我们分析了来自安大略省(17.8%)、魁北克省(15.7%)、艾伯塔省(13.3%)及其他省份的832名参与者的数据(回复率为6.8%)。近40%的人在获得呼吸治疗文凭后还完成了本科学位。很少有参与者撰写或共同撰写过同行评审的出版物。呼吸治疗师报告称每月阅读约2.2篇同行评审的出版物。大多数参与者认同实践中批判性反思的重要性(93.1%),并认为拥有支持性的工作环境至关重要。近四分之三的参与者(73.4%)表示,他们认为呼吸治疗师是跨专业团队中受重视的成员,78%的人同意理解研究能使他们参与患者权益倡导。
本次调查描绘了加拿大呼吸治疗专业的实践和学术概况。虽然该专业显示出增长潜力,但对与学术实践相关活动的参与有限的担忧依然存在。应对这些挑战并培育学术实践文化可能是支持该专业学术实践发展的必要条件。营造支持性环境、提供资源获取途径并鼓励专业发展活动可能会推动呼吸治疗师的学术实践。未来的全国性调查可采用随机抽样策略,以获得该专业更具代表性的样本。