Bennett S B, Pescatello L S
New Britain General Hospital, Connecticut 06050, USA.
J Cardiopulm Rehabil. 1997 Mar-Apr;17(2):92-102. doi: 10.1097/00008483-199703000-00004.
The American Association of Cardiopulmonary Rehabilitation (AACVPR) established guidelines for cardiac rehabilitation (CR) personnel regarding educational degree attainment, licensure, and certification. New England hospital-based CR personnel were surveyed by staff position to determine their adherence to these guidelines.
The New England Hospital-Based CR Program Questionnaire was designed to obtain information regarding program characteristics and personnel credentialing. Initially, 117 program directors agreed to participate, and 108 returned completed questionnaires for a response rate of 92.3%.
Of the CR programs surveyed, 41% were within hospitals containing 101 to 250 beds, whereas most of those providing inpatient (66.6%) and outpatient (82.4%) CR enrolled less than 200 patients annually. Overall, 40.7% of personnel (n = 450) by staff position reported that they met the minimum recommendations, whereas 7.0% (n = 470) met the preferred AACVPR recommendations. Registered nurses (n = 67) and physical therapists (n = 58) were most compliant with the minimum guidelines: 89.6% and 84.5%, respectively. In contrast, 10.9% of the program directors/coordinators (PD/C; n = 128) met the minimum qualifications, and 5.5% met the preferred AACVPR qualifications. Most PD/C had Advanced Cardiac Life Support Certification (84.4%), but few (18%) attained American College of Sports Medicine (ACSM) certification.
Overall, compliance of New England hospital-based CR personnel with the AACVPR minimum/preferred guidelines for educational degree and certification was lacking, as was acquisition of ACSM certification. The effect of these findings on the future status of recommended and required CR personnel qualifications for hire merits attention.
美国心肺康复协会（AACVPR）制定了关于心脏康复（CR）人员的教育程度、执照和认证的指南。对新英格兰地区医院的CR人员按员工职位进行了调查，以确定他们对这些指南的遵守情况。
设计了新英格兰地区医院心脏康复项目调查问卷，以获取有关项目特征和人员资质的信息。最初，117名项目主任同意参与，108人返回了完整的调查问卷，回复率为92.3%。
在接受调查的CR项目中，41%位于拥有101至250张床位的医院，而大多数提供住院（66.6%）和门诊（82.4%）CR服务的项目每年收治的患者少于200人。总体而言，按员工职位计算，40.7%的人员（n = 450）报告称他们符合最低建议，而7.0%（n = 470）符合AACVPR的首选建议。注册护士（n = 67）和物理治疗师（n = 58）最符合最低指南要求，分别为89.6%和84.5%。相比之下，10.9%的项目主任/协调员（PD/C；n = 128）符合最低资格要求，5.5%符合AACVPR的首选资格要求。大多数PD/C拥有高级心脏生命支持认证（84.4%），但很少有人（18%）获得美国运动医学学院（ACSM）认证。
总体而言，新英格兰地区医院的CR人员缺乏对AACVPR关于教育程度和认证的最低/首选指南的遵守，也缺乏获得ACSM认证的情况。这些发现对未来招聘CR人员时推荐和要求的资格状况的影响值得关注。
