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1
Gardner, Jan Maria, University of Western Sydney, of Science Technology and Environment College, and School of Environment and Agriculture. "Assessment of effective implementation of respirator programs in industry in NSW." THESIS_CSTE_EAG_Gardner_J.xml, 2002. http://handle.uws.edu.au:8081/1959.7/781.
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In spite of the substantial repository of literature about respirators, little is known about the practicalities of their use. The focus of this research was about the practical aspects of using respirators in New South Wales workplaces. Two self-administered postal surveys were used to assess the level of implementation of respirator programs in 1996 and 2001. After five years, six elements improved. The most improvement was seen in the area of documentation including written procedures, keeping training records, recording respirator tasks, and maintenance records. The second survey investigated respirator maintenance and found little automated cleaning. Thorough washing was scarce with more than 50% of organisations relying on moist towelettes. For the third portion of the research methodology 485 used, half facepiece reusable respirators from 36 different sites were examined to determine the most common respirator defects. Maintenance and cleaning procedures were primitive and probably inadequate. Disinfection or sanitisation was common practice indicating concern about infectious diseases. The 2001 survey found that physical inspection of respirators in the workplace usually checked for the common types of defects found in the examination of used respirators. Weight, breathing resistance, heat and tightness were reported as causes of discomfort. The key outcomes from the research were that respirator programs were poorly implemented in a group of organisations that were expected to have more expertise than most and that the most common defects could be corrected by good respirator cleaning programs.Doctor of Philosphy (PhD)
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Gardner, Jan Maria. "Assessment of effective implementation of respirator programs in industry in NSW /." View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20040603.130247/index.html.
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Thesis (Ph. D.)--University of Western Sydney, 2002.A thesis submitted in fulfillment of the requirement for the degree of Doctor of Philosophy at the University of Western Sydney, College of Science, Technology and Environment, 2002. Includes bibliographical references (p. 352-370).
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Gardner, Jan Maria. "Assessment of effective implementation of respirator programs in industry in NSW." Thesis, View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/781.
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In spite of the substantial repository of literature about respirators, little is known about the practicalities of their use. The focus of this research was about the practical aspects of using respirators in New South Wales workplaces. Two self-administered postal surveys were used to assess the level of implementation of respirator programs in 1996 and 2001. After five years, six elements improved. The most improvement was seen in the area of documentation including written procedures, keeping training records, recording respirator tasks, and maintenance records. The second survey investigated respirator maintenance and found little automated cleaning. Thorough washing was scarce with more than 50% of organisations relying on moist towelettes. For the third portion of the research methodology 485 used, half facepiece reusable respirators from 36 different sites were examined to determine the most common respirator defects. Maintenance and cleaning procedures were primitive and probably inadequate. Disinfection or sanitisation was common practice indicating concern about infectious diseases. The 2001 survey found that physical inspection of respirators in the workplace usually checked for the common types of defects found in the examination of used respirators. Weight, breathing resistance, heat and tightness were reported as causes of discomfort. The key outcomes from the research were that respirator programs were poorly implemented in a group of organisations that were expected to have more expertise than most and that the most common defects could be corrected by good respirator cleaning programs.
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McHenry, Kristen L. "New Faculty Mentoring in Respiratory Care Programs." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3279.
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Because of the potential age-related mass departure of seasoned educators in respiratory care programs, higher education institutions should develop strategies for attracting practitioners who hold or are pursuing graduate degrees to transition to academia. The purpose of this study was to identify current mentoring practices of new faculty members in Commission on Accreditation for Respiratory Care (CoARC) accredited respiratory care programs in the U.S. and to identify the perceptions of program directors regarding the observed impact of program mentoring practices.
The methodology for the study was quantitative nonexperimental survey research. The survey instrument was an electronic questionnaire. The survey consisted of 25 items that were divided into 3 dimensions: mentoring practices, mentor/mentee relationship, and perceptions of mentoring program impact. Of the 410 possible participants, 126 (30%) responded to the survey. Data from the survey were used to analyze 12 research questions and 12 null hypotheses. Six research questions were analyzed using an independent-samples t test and 6 research questions were analyzed using a one-way analysis of variance. Testing of the null hypotheses associated with the 12 research questions resulted in 3 significant findings and 9 findings that were not significant.
Significant findings included female program directors reported greater opportunities for mentoring within their programs and greater levels of expectations in regard to mentoring. Associate degree programs also reported a higher level of expectation in regard to mentoring. There was overwhelming agreement concerning the potential impact and benefit of new faculty mentoring on job performance, turnover, job satisfaction, and organizational commitment.
The results of this study may benefit administrators and educators in the field of respiratory care in efforts to support new faculty in higher education who may feel underprepared or overwhelmed in the new role. Because other allied health fields of study are similar in nature to respiratory care, the findings of the study could have potential implications across a range of health related professions.
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Commander, John Vincent. "The efficiency of bag-valve mask ventilations by medical first responders and basic emergency medical technicians." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2310.
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Bag-valve mask (BVM) ventilation maintains a patient's oxygenation and ventilation until a more definitive artificial airway can be established. In the prehospital setting of a traffic collision or medical aid scene this is performed by an Emerency Medical Technician or medical first responder. Few studies have looked at the effectiveness of Bag-valve masks (BVM) or the complication rate of ventilating an unprotected airway. The purpose and goal of this study is to educate both medical first responders and basic emergency medical technicians.
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Gough, Suzanne. "The use of simulation-based education in cardio-respiratory physiotherapy." Thesis, Manchester Metropolitan University, 2016. http://e-space.mmu.ac.uk/617694/.
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This thesis is situated in the context of simulation-based education (SBE) within cardio-respiratory physiotherapy in the UK. A pragmatic mixed methods study has provided a comprehensive examination of the use of SBE from two perspectives: 1) physiotherapy education and 2) pre-registration physiotherapy students’ experiences of managing a deteriorating patient in a simulation context. Two national surveys in Phase 1 provided the first insight into the spectrum of SBE utilised in pre-registration and postgraduate physiotherapy education in the UK between 2009 and 2010. National inconsistencies in simulation provision and accessibility were identified. Financial costs, time and access to simulation centres/laboratories reportedly influenced the use of SBE within cardio-respiratory physiotherapy education. Phase 2 combined SBE and video-reflexive ethnography (VRE) methods to elicit a unique and comprehensive exploration of performance, behaviours, errors and personal experiences of 21 final year (pre-registration) physiotherapy students from one higher education institution in the UK. This study has identified the multi-layered impact of personal experiences and behaviours on practices, clinical decisions, dynamics and the complexities and interconnectivity of participants to the simulation environment. The range of errors identified by this study also highlights the complexity of managing an acutely deteriorating patient in a simulation context. The combination of SBE and VRE allowed the participants to explore errors and defences erected within the scenario and their impact on patient safety. The findings of this thesis emphasise the importance of scenario design, considering the learner’s level of experience, prior knowledge and sequencing of abstract skills before requiring contextualisation within a complex scenario. Carefully planned and executed SBE and VRE methods can provide a safe learning environment to allow participants to explore routine, evolving and complex situations whilst allowing them to learn to be become comfortable with making and exploring errors. Thus, the findings provide valuable insights to inform future research regarding physiotherapy practice and integration of educational methods to augment patient safety awareness and enhance safe healthcare practice. The key message of this thesis is that SBE is a valuable learning modality to explore the complexities of healthcare education and practice.
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Bogutska, N. K. "Еffectiveness of pediatric respiratory medicine training in continuing medical education." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/17932.
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Wilton, Ashley Jordan, and Ashley Jordan Wilton. "Respiratory Management Education for the Post Anesthesia Care Unit Registered Nurse." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624297.
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Background: Post anesthesia care unit (PACU) nurses provide patient care during the vulnerable postoperative period when patients are at greatest risk of experiencing respiratory management issues and postoperative pulmonary complications (PPCs). In rural facilities such as Canyon Vista Medical Center (CVMC) in Sierra Vista, Arizona, limited staff and resource shortages can lead to suboptimal patient care conditions in the PACU setting. To compound the issue, PACU nurses in rural facilities rely on facility training and have little guidance on important patient care issues such as post anesthesia respiratory management. Quality improvement initiatives aimed at resolving knowledge deficits in settings such as these can improve both quality and patient safety via a more competent and educated PACU nursing staff.
Purpose: To address an educational need among the CVMC PACU nursing staff with the implementation of a post anesthesia respiratory management educational intervention.
Methods: A quasi-experimental one group pretest-posttest design using a targeted intervention based upon the knowledge to action (KTA) framework. The PACU setting was used to conduct the intervention with the nurse participants (N = 9). Descriptive statistics and the Wilcoxon signed rank test were used to determine intervention efficacy.
Intervention: One 75-minute educational intervention divided into three consecutive phases.
Results: A significant improvement in the nurses’ knowledge (p < .05) and perception of understanding of PACU respiratory management following the intervention (p < .05).
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McHenry, Kristen L., Jim Lampley, Randy L. Byington, Donald W. Good, and Stephanie R. Tweed. "New Faculty Mentoring in Respiratory Care Programs." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/3169.
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Introduction: The purpose of this study was to identify mentoring practices of new faculty members in Commission on Accreditation for Respiratory Care (CoARC) accredited respiratory care programs in the U.S. and to identify the perceptions of program directors regarding the observed impact of program mentoring practices. Methods: The method for the study was quantitative non-experimental survey research. The survey instrument was an electronic questionnaire titled Respiratory Care Faculty (RCF) Mentoring Survey. The 25-item survey was divided into three dimensions: mentoring practices, mentor/mentee relationship, and perceptions of the impact of new faculty mentoring. Of the 410 possible program director participants, 126 (30%) responded to the survey. Data from the survey were used to analyze three primary research questions on four independent variables (12 total research questions). Results: Testing of the null hypotheses associated with the 12 research questions resulted in three significant findings and 9 findings that were not significant. Significant findings included female program directors reported greater opportunities for mentoring within their programs and greater levels of expectation concerning mentoring as compared to male program directors. Program directors from associate degree programs also reported a higher level of expectation concerning mentoring than program directors in bachelor’s degree programs. There was overwhelming agreement regarding the potential impact and benefit of mentoring new faculty to improve job performance, reduce turnover, improve job satisfaction, and organizational commitment. Conclusion: The results of this study may benefit administrators and educators in respiratory care in efforts to support new faculty who possibly feel underprepared or overwhelmed in the new role. Because other allied health fields of study are similar in nature to respiratory care, the findings of the study could have potential implications across a range of health-related professions.
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Turley, Christa Mae. "Predictors of Success in a Baccalaureate Respiratory Care Educational Program." University of Toledo / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1492765132344985.
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Cline, Peggy Lynn. "Novice Nurse Respiratory Educational Component's Impact on Confidence and Knowledge." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7791.
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The hospital-based novice nurse is presented daily with complex patients with multiple coexisting morbidities, which demands increasing responsibility for evidence-based clinical decision-making to prevent adverse health outcomes and associated high health costs. Knowledge and confidence of novice nurses in a medical-surgical unit in the assessment and clinic management of the respiratory system was identified as a gap during onboarding of new nurses. The purpose of this doctoral staff education project was to determine whether a respiratory educational component added to a medical-surgical novice nurse's orientation would impact the respiratory confidence and knowledge of respiratory assessment and clinical management. Benner's nursing theory of novice to expert and Ericsson's theory of deliberate practice were the 2 theories for the project. To assess effectiveness, a 10-item survey was administered to nurses (N = 10) during the first week of orientation and repeated following the educational intervention. Analysis from SPSS 22.0 showed statistically significant improvement differences in confidence and knowledge on all items following the posttest (p < .05), except for confidence levels with nasal cannula/mask use (p = .151). The strongest item-correlation was between knowledge management of respiratory deterioration and knowledge of the disease effects on respiratory assessments. Basic respiratory education added to the orientation during onboarding has the potential to improve knowledge and confidence acquisition, clinical decision-making in the clinical assessment and clinical management of respiratory issues. Positive social change in the health of the community and this educational intervention will empower the novice nurses with an additional layer of respiratory education.
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Aljasser, Tariq. "A Survey of Preceptor Training in Clinical Education of Respiratory Care Departments in Selected Hospitals in Metropolitan Atlanta." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/rt_theses/16.
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Preceptorship is the ideal method for teaching students in the healthcare environment. Due to a shortage of staffing, respiratory care students are not often assigned with preceptors, rather they are assigned with respiratory care staff that has minimal to no formal training in education. Therefore, students may not receive appropriate role involvement, decision-making and patient skills experience. PURPOSE: The purpose of this study was to examine the current methods of preceptor training and evaluate the need for a preceptor-training program according to the education coordinators and respiratory care directors/managers. METHODS Data were acquired through a descriptive survey. The survey was formulated and sent using the online survey generator Zoomerang. The survey was submitted to a convenience sample of department directors, department education coordinators, and staff at clinical affiliates associated with Georgia State University. RESULTS: Thirty-six participants were surveyed with a response rate of 67%. Forty-eight percent were a respiratory director/manager, 35% education coordinator and 9% supervisor. Eighty-six percent of participants work in not-for-profit hospitals. Seventy-nine percent of participants believe there is a need for a standardized preceptor-training program, however, only 64% reported that preceptors receive training prior to receiving students. CONCLUSION: There is a need for a standardized preceptor-training program for respiratory therapists to improve the quality of clinical education provided to respiratory therapy students.
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Roby, Amanda L. "Disruptive Behavior in the Respiratory Workplace." Youngstown State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1310659749.
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Lilly, Donna D. "A Study of Attrition in a Respiratory Care Associate Degree Program in a Northeast Tennessee Community College." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etd/1091.
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The Walters State Community College's Respiratory Care (WSCC RC) Program had a 33% attrition rate during a five-year period from 1999 through 2003. This study analyzed demographic, pre-admission, and academic variables to identify reasons for attrition within the WSCC RC program. The population size was 90 students; this was the entire population of five consecutive classes graduating during a five-year period from 1999 through 2003. The criterion variables included high school attended, gender, age, college-level GPA, college-level credit hours, and developmental requirements.
Statistical tests revealed that college-level GPA, college-level credit hours, and developmental requirements influenced persistence within the population. The chi-square test of significance was conducted to compare the attrition rate of the students. There was a significant difference in persistence for GPA, X2(1) = 9.844, p = .002; college credit hours, X2(2) = 14.943, p = .001; and developmental students, X2(1) = 4.582, p= .032.
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Almasoudi, Bandar M. "Problem-Based Learning as a Teaching Method Versus Lecture-Based Teaching in Respiratory Therapy Education." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/rt_theses/13.
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ABSTRACT
BACKGROUND: Although Problem-based learning (PBL) approach is a common teaching technique in medical education, its use in the field of respiratory therapy is somewhat controversial. With so many programs adopting PBL strategies, it is important to examine whether there are differences between PBL and traditional teaching approaches in regards to learning outcomes. Therefore, the purpose of this study was to investigate if there are any significant differences between PBL and lecture-based program students in their cognitive abilities in mechanical ventilation.
METHODS: Two universities with BS programs in respiratory therapy were chosen—one uses PBL (15 participants) and on uses lecture-based method (24 participants). All 39 participants were given10 multiple-choice questions related to mechanical ventilation derived from the NBRC RRT written exam forms (C & D) as a pre and a post test.
RESULTS: The dependent t-test showed a significant difference between the pre and post test of the lecture-based and the PBL groups, resulting in a p value of 0.006 and 0.025 respectively. The independent t-test showed a significant difference in the pre-test favoring the lecture-based group (p = 0.039). However, the independent t-test showed no significant difference in the post-test (p=0.085)
CONCLUSIONS: PBL is increasing in popularity despite the fact that studies of its efficacy have been thus far inconclusive. This study has shown PBL to be effective, but not significantly more effective than traditional lecture-based methods in regards to objective test scores.
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Keene, Shane, Kristen L. McHenry, Randy L. Byington, and Mark Washam. "Respiratory Therapists as Physician Extenders: Perceptions of Practitioners and Educators." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/2548.
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Introduction: The purpose of this study was to determine the perceptions of practicing respiratory therapists (RT) and respiratory care educators regarding the role of RTs serving as physician extenders. Methods: The survey instrument was an electronic questionnaire that consisted of 17 questions. Participation was voluntary and participants were selected through random and convenience sampling techniques. Results: Of 506 respondents, 234 were respiratory care educators. Overwhelmingly, the respondents held the Registered Respiratory Therapist credential (92.7%). Respondents were about equally split among three education levels: 31.7% associate degree, 31.7% bachelor’s degree, and 27.3% master’s degree. Of the respondents 62.45% had considered pursing a degree in physician assistant (PA). Respondents expressed a preference for an Advanced Practice Respiratory Therapy (APRT) program (77.9%) rather than a PA program. Nearly two-thirds of the respondents reported they felt that a master’s degree should be the minimum level of education for an APRT. Conclusions: This study suggests that practitioners and educators alike are strongly supportive of advanced practice in the profession of respiratory therapy.
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Shah, Dharmesh. "Neonatal resuscitation: Researching and evaluating education, techniques of mask ventilation and respiratory mechanics with chest compression." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29857.
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Neonatal resuscitation is widely performed around the world. There is a gap in the literature around optimal chest compression (CC) ratios, optimal use of resuscitation equipment, the best technique of mask ventilation. The aim of this research was to survey staff education around resuscitation, assessment of mask technique and usefulness of respiratory function monitor (RFM) in term and preterm infants.
Methods: Study 1 surveyed the use of laryngeal mask airways (LMA), midwifery education and use of equipment in birthing suites. Study 2 examined techniques of chest compression including decoupled CC in a neonatal manikin model. Study 3 investigated inadvertent positive end expiratory pressure (PEEP) using a T-piece resuscitator (TPR) and self-inflating bag in a cadaveric piglet model. Study 4 evaluated respiratory mechanics using one-hand versus two-hand mask technique including usefulness of RFM and EtCO2 in extreme preterm infants at birth.
Results: Study 1 found significant variation in practices with use of LMA and education around resuscitation. Study 2 demonstrated a significant increase in mask leak (6.8%, p<0.0001) with addition of synchronised CC to bag mask valve ventilation. Decoupled CC provided higher minute ventilation, with no change in mask leak. Study 3 showed TPR associated with inadvertent PEEP in a compliant lung model. Study 4 established the feasibility of two-hand mask technique in resuscitation of extreme preterm infants, highlighted significant airway obstruction and mask leak leading to reduction in delivered tidal volumes including importance of EtCO2 in these infants.
Conclusion: Staff education is essential for neonatal resuscitation. Introduction of decoupled CC in neonatal resuscitation provides higher MV without altering mask leak. Safety of TPR for term infants needs to be established. Recognition of mask leak and airway obstruction and use of EtCO2 is useful in extreme preterm infants.
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Liddil, Jessica Marie. "The Impact of a Service-Learning Experience on Respiratory Therapy Students and the Community." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1373579884.
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Sperle, Christine Kay. "A Comparative Analysis of Associate and Baccalaureate Degree Respiratory Therapy Programs Preparation of Graduates for Entry Into the Profession." Thesis, The University of North Dakota, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10125585.
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The purpose of this study was to increase the understanding of the factors that contribute to or detract from the educational preparation of graduates between associate (AD) and baccalaureate degree (BD) respiratory therapy programs through the use of graduate and employer survey ratings, Registered Respiratory Therapist (RRT) credentialing success, and document analysis of various institutional and program mission, course content, and goals.
This study employed quantitative analyses to compare the perceptions of AD graduates and their employers with the perceptions of BD graduates and their employers regarding the educational program’s ability to prepare graduates for entry into the profession. Graduate and employer ratings of cognitive, psychomotor, and affective competencies obtained from the follow-up surveys from 16 BD and 88 AD respiratory therapy programs were analyzed to determine whether there were perceived differences in preparation of associate and baccalaureate degree graduates. Credentialing success data for graduates of 361 AD and 57 BD respiratory therapy programs were also analyzed to determine whether differences in program type had an effect on RRT credentialing success. Multivariate analyses of variance, Welch’s F tests and Mann-Whitney two-sample test were used to analyze the data. Additional information obtained from 22 AD and 22 BD institutions were also analyzed to explore similarities and differences in mission, vision, learning outcomes and coursework.
The three most significant findings in this study were that (1) Employers rated BD graduates higher than AD graduates in the cognitive (mean ratings 4.442 and 4.256 respectively) psychomotor (mean ratings 4.508 and 4.308 respectively) and affective domain (mean ratings 4.642 and 4.496 respectively); (2) BD employer survey ratings were also higher than AD employer ratings (mean ratings 4.49 and 4.21 respectively) on the mean rating for the single item that asked graduates to rate the overall quality of their preparation for entry into the profession and (3) Findings from the document analysis revealed that BD programs required courses beyond the minimum general education, prerequisite and RT course requirements. Thus, the results of this study support the “2015 and Beyond” recommendation that the BD be the minimum entry-level education required for entry into the profession.
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McPherson, Amy. "Understanding asthma : a study to evaluate the impact of an educational computer program on children's knowledge and selfmanagement skills." Thesis, University of Nottingham, 2003. http://eprints.nottingham.ac.uk/10338/.
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Childhood asthma is an extensive problem and is particularly pronounced in the UK. Asthma can restrict activities, cause school absence and can be the source of considerable stress in both children and their parents. Mortality is rare and preventable, although poor perception of symptoms and delay in seeking medical attention are strong risk factors for a fatal asthma attack. Self- management actively involves the child in their own healthcare and entails monitoring symptoms and responding accordingly and has been linked to better outcomes. This can be facilitated by health education. The aims of this project were to develop an educational computer program to promote self-management skills in children and young people with asthma, to evaluate its effectiveness in a clinical sample and to validate measures of asthma knowledge and locus of control. The Asthma Files uses a 'secret agent' theme to encourage users to investigate information about asthma. The program was piloted with 28 children aged 7-16 over a one year period and revised in accordance with both qualitative and quantitative data obtained. To evaluate the computer program, 101 children aged between 7 and 14 years were recruited from three hospital asthma out-patient clinics to participate in a randomised, controlled trial. They were interviewed using asthma knowledge and asthma-specific locus of control measures developed and validated for the purposes of the study. All children were given an information booklet one month later and, in addition, 50 children used the computer program. Baseline knowledge levels were low. At one-month follow-up (n=99), children in the computer group had significantly greater increases than those in the control group (p<0.001), along with an rise in internal locus of control(p<0.01). There was no evidence of changes in objective lung function measures, hospitalisations or oral steroid use between the groups at this time. However, at six months follow-up (n=90), children in the computer group were significantly less likely to have required oral steroids or school absence than the control group (p<0.05). The program was popular with the children across the age range and received positive feedback on both content and mode of delivery. Responding to comments provided by the children in the RCT, some minor amendments were made to the program, which is now available for public use. The Asthma Files computer program was successful in increasing knowledge and promoting internal locus of control. More research is needed to evaluated how this might translate into longer term improvements in self-management. NB. This ethesis has been created by scanning the typescript original and may contain inaccuracies. In case of difficulty, please refer to the original text.
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Oppermann, Rebecca. "Improving Critical Thinking Skills of Undergraduate Respiratory Therapy Students Through the Use of a Student-Developed, Online, Respiratory Disease Management Database." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1468942315.
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Samples, Donald A. "A Study on Attitudes of Rural and Urban Respiratory Care Practitioners Toward the Impact of Continuing Education." Digital Commons @ East Tennessee State University, 1998. https://dc.etsu.edu/etd/2972.
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The purpose of this study was to examine the preferences, impact, and attitude of respiratory care practitioners toward continuing education. A review of demographic characteristics was conducted to develop a professional profile of practitioners in Tennessee. An assessment of continuing education practices provided information concerning types of courses, preferences, and methods used to meet continuing education requirements. Data collection was made possible through the use of a questionnaire. A stratified random sample was drawn from the 1,966 respiratory care practitioners in Tennessee. Based on the practitioner's residence, 150 practitioners were selected from rural and urban communities. A total of 300 self-administered questionnaires were mailed to practitioners to comprise the sample. Data collection was conducted over a 4 week period with a second mailing occurring after the first 2 weeks. A total of 120 surveys were returned for a response rate of 40%. The findings in this study demonstrated that rural and urban respiratory care practitioners in Tennessee have similar preferences toward continuing education. Respiratory care practitioners felt mandatory continuing education was beneficial and should be retained in Tennessee. This study indicated no differences in the impact of mandatory continuing education on the attitude of rural and urban practitioners. Both groups reported that mandatory continuing education had impacted the attitude of respiratory care practitioners in a positive manner. The study produced findings that revealed differences between rural and urban practitioners most preferred and used methods of continuing education. Urban practitioners indicated an increase involvement of physicians as a method most preferred and used for continuing education when compared to rural respondents. Comparison of rural and urban respondents found both groups preferences for course content were the same. The need for continuing education in various content areas transcends geographical boundaries. The typical respiratory care practitioner tended to be a female between the ages of 26-45, while working as a full-time practitioner in an acute care hospital. However, differences were identified between the two populations when comparing professional characteristics. Most rural practitioners were credentialed as certified respiratory care technicians with urban practitioners identified themselves as registered respiratory therapist.
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Ortiguerra, Ryan Gatdula. "Risk Factors Associated With Severe Acute Respiratory Infections Cases." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2749.
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The close proximity of the United States to the Mexican border poses a concern for communicable diseases because of the high flow of population movement. The purpose of this retrospective, quantitative study was to identify risks associated with respiratory diseases using an analysis of archived data from the Severe Acute Respiratory Illness (SARI) surveillance program. Based on the epidemiologic triangle theory, demographic and etiologic factors were analyzed to examine any associations with SARI in this population. Between 2010 and 2012, 798 subjects enrolled in this program, with 336 (42.1%) testing positive for respiratory pathogens. Chi square analysis determined that age (X2 (4, N = 786) = 255.361, p < 0.001), clinic location (X2 (3, N = 780) = 290.841, p < 0.001), and race/ethnicity (X2 (4, N = 762) = 1456.701, p < 0.001) showed significant associations with SARI in the population. The logistic regression model showed that the youngest age group (0-4) had the highest risk of developing SARI compared to other age groups (5-24 OR = 0.521, 95% CI [0.311-0.871]; 25-49 OR = 0.377, 95% CI [0.224-0.636]; 50-64 OR = 0.211, 95% CI [0.118-0.376]; >65 OR = 0.225, 95% CI [0.143-0.356]. African Americans were also at higher risk of developing SARI compared to Hispanic Americans (OR = 3.997, 95% CI [1.272-12.558]. This study promotes positive social change by informing efforts to increase vaccination and health literacy, improve the accessibility and availability of preventive health care in low socioeconomic communities, and promote healthy lifestyles among at-risk groups. These steps will improve the overall health of the communities along the U.S.-Mexico border region.
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Moore, Kali. "Exploring Self-Efficacy and Leadership Using Peer Learning in Interprofessional Clinical Simulation for Respiratory Therapists." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1468963065.
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Ng, Wai I. "An exploratory trial for examining effects of self-management education programme on patients with chronic obstructive pulmonary disease in Macau." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/26010.
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Background: Respiratory disease has been one of the top three causes of deaths in Macau in the past decade. As one of the chronic respiratory diseases, chronic obstructive pulmonary disease (COPD) is incurable, but is preventable and treatable. COPD patients suffer from recurrent and progressive respiratory symptoms, and this impacts the health and well-being of patients. Self-management education programmes (SMEP) provide teaching and learning guidance for understanding COPD, emotional support and behaviour change needed to carry out disease-specific care in chronic patients. Evidence has demonstrated that SMEP can mediate a change in health-related behaviours, improve symptom control and the quality of life of COPD patients, with an associated reduction in health care utilization. However, SMEP has never been conducted in Macau, and experiences of providing any form of chronic care for COPD patients in this place is lacking. Aims: This study aimed to explore the effects of a specifically designed self-management education programme on Stage II to IV COPD patients in Macau. Design: The study was conducted as an exploratory randomized controlled trial in a mixed methods approach. Both illness perception and self-efficacy beliefs were adopted to formulate the theoretical framework. In the quantitative strand, the assessment of primary outcomes included illness perception, self-efficacy and inhaler technique. The secondary outcomes included pulmonary function, healthcare utilization and health-related quality of life. In the qualitative strand, focus groups were conducted to explore the subjective perception and experiences of self-management of COPD patients. Fifty one eligible COPD patients were recruited and allocated to experimental (26 patients) and control group (25 patients) by block randomization. A SMEP for COPD patients was developed and validated according to Medical Research Council (MRC) framework. Results: Quantitative results indicated that the primary outcomes (illness perception, self-efficacy and inhaler technique) improved in the experimental group after the SMEP. In relating to the secondary outcomes, days of hospitalization were reduced and symptom dimension of disease-specific health related quality of life (St. George Respiratory Questionnaire) improved. Qualitative findings identified the emergence of a core theme ‘Essentiality’ and five sub-themes ‘Helplessness’, ‘Mutual involvement’, ‘Support’, ‘Control’ and ‘Beneficial’, indicating perception and experiences of participants for self-management. These findings indicate a potential relationship of illness perception and self-efficacy in guiding COPD patients to adapt to health-related behaviour. Discussion and Conclusion: This study has obtained evidence for supporting the proposed theoretical framework and expected experimental effect through employing the MRC guidelines. The study also confirms the estimates of recruitment for a definitive RCT, demonstrated readiness and positive impact in Macau COPD patients to receive self-management intervention, and SMEP as an acceptable and preferable mode of chronic care for COPD for the healthcare system of Macau.
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Montes, Mary Elizabeth. "Decreasing Antibiotic Overuse in Upper Respiratory Tract Infections Through an Educational Intervention Aimed at Nurse Practitioners." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/265342.
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The purpose of the study was to evaluate the effect of an educational intervention, aimed at nurse practitioners, on increasing knowledge and decreasing prescribing habits of antibiotics in upper respiratory tract infections. The Centers for Disease Control and Prevention currently estimates that nearly fifty percent of antibiotics prescribed in the outpatient setting are unnecessary. The world health organization states that antibiotic overuse is becoming a growing problem worldwide. Numerous studies have been completed targeting physicians and patients, but no long term decrease in antibiotic prescribing has been seen. As the number and role of nurse practitioners increase, this intervention was aimed to target a specially this specially educated group. Research has shown that nurse practitioners have equal outcomes and equal to higher patient satisfaction ratings when compared to physician counterparts. Thus, this group may help to decrease antibiotic overuse. Lewin's three step change theory served as the conceptual framework. The theory uses initial unfreezing, then finding a new equilibrium and finally refreezing, thus creating a new baseline for participants. A sample of fifty one nurse practitioners participated in the one group pretest/posttest/4-week posttest measuring knowledge and intention. Knowledge was measure using the questionnaire results; intention was measured by reviewing Likert-type rankings. Change in knowledge was found to be statistically significant, demonstrating that education will affect knowledge. However, intention was not found to be statistically significant. Intention did increase during the study, but not enough to show that there was an overall statistically significant effect.
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Arrascue, Lara Sara Maribel. "Influencia del programa educativo sobre fisioterapia respiratoria en la práctica de la enfermera intensivista." Master's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2012. http://hdl.handle.net/20.500.12423/586.
Full textAbstract:
La presente tesis estuvo guiada por el paradigma cuantitativo, persiguiendo como objetivo general, determinar la influencia del programa educativo sobre fisioterapia respiratoria en la práctica de las enfermeras intensivistas y como objetivos específicos, determinar el nivel de conocimientos sobre fisioterapia respiratoria, identificar las habilidades técnicas sobre este procedimiento respiratorio que tienen las enfermeras intensivistas antes y después de la aplicación del programa educativo mencionado. El diseño metodológico cuasi experimental que se usó fue con pre y post prueba con un solo grupo. Se administró como tratamiento experimental la aplicación de un programa educativo sobre fisioterapia respiratoria, posteriormente se evaluó a las enfermeras y de la misma manera se utilizó una guía de observación antes y después del mismo para ver los cambios en la práctica. Para probar en la práctica, la influencia del programa educativo sobre fisioterapia respiratoria por la enfermera intensivista se usó la prueba estadística t de student con datos pareados, en todo momento se utilizaron los principios éticos personalistas de Sgreccia y los criterios de rigurosidad científica que guiaron la validez interna y externa del estudio obteniéndose el siguiente resultado: el programa educativo sobre fisioterapia respiratoria tuvo un efecto con un nivel de confianza del 95% sobre la práctica de las enfermeras intensivistas del Hospital Nacional Almanzor Aguinaga Asenjo.Tesis
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Nathell, Lennart. "Some determinants of sick leave for respiratory disease : occupation, asthma, obesity, smoking, and rehabilitation /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-301-5/.
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Ofir, Dror. "Time course of adaptation in heart rate variability and respiratory sinus arrhythmia to intensive endurance training." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33917.
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The weekly time course of adaptation of Heart rate variability (HRV) and respiratory sinus arrhythmia (RSA) characteristics were examined over 4-weeks of intensive endurance training in 17 sedentary subjects (35.8 +/- 10.0 yrs). Five-minute ECG and breathing recordings were obtained at rest at spontaneous breathing (SP) and at paced breathing rates of SP+4 (M4) and SP-4 (P4) breaths/minute. Spectral power components of HRV were computed from the RR interval sequences; amplitude and phase of RSA were computed from the sinusoid fitted to the instantaneous heart rate within each breath. RSA sensitivity was obtained from the slope of the RSA amplitude versus breathing frequency relationship. Four weeks of training caused significantly increased in VO2max (37.3 +/- 4.4 versus 40.0 +/- 5.4 ml/kg/min; (p < 0.01); a significant decrease in DBP (p < 0.001); a slight decrease in SBP (p < 0.08), and max HR slightly decreased (P < 0.06). None of these variables were changed significantly in control subjects. No change in resting HR was found after training (74 +/- 14 versus 74 +/- 7 bpm). Pre versus post-training results in total and high frequency spectral powers (ms2) of HRV taken at SP were as was RSA amplitude. A significant reverse correlation was found between RSA-amplitude and breathing frequency (r = 0.40). Results suggest a trend towards an increased gain in the amplitude of RSA for varying breathing frequencies after training. In conclusion, four weeks of intensive endurance training may significantly increase maximal aerobic power and provide some health related benefit such as a decrease in diastolic pressure, without concurrent changes in resting heart rate or its modulation by cardiac vagal activity.
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Wendling-Mattachione, Jennifer Kay. "Respiratory Managers and Their Leadership Styles in Hospitals Recognized for Magnet Recognition Status." Wright State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wright1340737265.
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Cox, Lisa N. "Learning Style Differences of Undergraduate Allied Health Students in the clinical and Classroom Setting." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1244737268.
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Wu, Chia Jung. "Effectiveness of a specific infection control education program for Taiwanese nursing students." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16541/1/Chia-Jung_Wu_Thesis.pdf.
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The purpose of the study
The purpose of this research project was to develop and test an educational program for preparing Taiwanese nursing students for clinical practice.
Study background
The SARS outbreak revealed that health care professionals were ill-prepared for coping with the disease epidemic in terms of the rapid transmission of the infection, the high mortality and morbidity rate among health care workers, and the significant impacts on the public and health care personnel. Frontline nurses were the group at highest risk of becoming infected, as they are the health care personally that provide direct health care to infected patients. However, to date the ability of Taiwanese frontline nurses to respond to such a disease epidemic has not been examined.
Study design
This research project incorporated a three phase design, presented in the form of two separate studies. A small qualitative exploratory study was undertaken to validate the assumptions emerging from international literature regarding the preparedness nurses in managing an infection outbreak. The information gained was used to construct an infection control education program (Study I). A quasi-experimental design, using pre- and post-tests and experimental and control groups was then used to test the effectiveness of the education intervention (Study II).
Participants
A purposive sampling technique was used in the qualitative exploratory study, whereby six Taiwanese nurses who had provided direct nursing care to patients with SARS were interviewed. A convenience sampling approach was utilised in the quantitative study, which aimed to test the effectiveness of educational intervention. This, second study, had 175 participants in total, 80 in the experimental group and 95 in the control group. All participants were enrolled in the first semester of their fourth year in a five-year nursing program in two selected junior nursing colleges.
The education intervention
The purpose-designed standard and additional precautions (SnAP) program was the intervention. The experimental group received a SnAP program which consisted of 16 hours of classes over 16 weeks. The control group received a conventional education program.
Data collection and instrument
Data were collected at three time points during the study (baseline, four months, six month) using validated instrument. The reliability and validity of the instrument was established in a pilot study with a Taiwanese population prior to the present study.
Data analysis
t-tests and chi-square analyses were performed to assess any differences across demographic variables and baseline outcome variables between the experimental and control groups. Two-way repeated measures ANOVAs were used to examine the scores of the intervention and control groups across three time points.
Results
The data revealed that, at six months following the education program, there was a statistically significant improvement in the knowledge (F [2,180] =13.53, p=0.001) and confidence (F [2,94] =4.88, p= 0.01) of infection precautions in the intervention group compared to the control group. Also, the means of knowledge and confidence in intervention group showed a consistently increased across three time points; whereas, the mean of confidence relating infection control management in the control group resulted a drop at time 3. Although the application skills relating to infection control procedures did not show a statistically significant change during this period (F [2, 174] = 2.54, p=0.081), there were minor improvements in these scores at the six-month follow-up assessment.
Conclusion
The SnAP program had a positive impact on Taiwanese nursing students' readiness for clinical placement and potential outbreak of disease epidemics. Participation increased their knowledge about infection control precautions, their ability to properly use these specific precautions, and their confidence in solving infection-related issues in clinical practice.
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Wu, Chia Jung. "Effectiveness of a specific infection control education program for Taiwanese nursing students." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16541/.
Full textAbstract:
The purpose of the study The purpose of this research project was to develop and test an educational program for preparing Taiwanese nursing students for clinical practice. Study background The SARS outbreak revealed that health care professionals were ill-prepared for coping with the disease epidemic in terms of the rapid transmission of the infection, the high mortality and morbidity rate among health care workers, and the significant impacts on the public and health care personnel. Frontline nurses were the group at highest risk of becoming infected, as they are the health care personally that provide direct health care to infected patients. However, to date the ability of Taiwanese frontline nurses to respond to such a disease epidemic has not been examined. Study design This research project incorporated a three phase design, presented in the form of two separate studies. A small qualitative exploratory study was undertaken to validate the assumptions emerging from international literature regarding the preparedness nurses in managing an infection outbreak. The information gained was used to construct an infection control education program (Study I). A quasi-experimental design, using pre- and post-tests and experimental and control groups was then used to test the effectiveness of the education intervention (Study II). Participants A purposive sampling technique was used in the qualitative exploratory study, whereby six Taiwanese nurses who had provided direct nursing care to patients with SARS were interviewed. A convenience sampling approach was utilised in the quantitative study, which aimed to test the effectiveness of educational intervention. This, second study, had 175 participants in total, 80 in the experimental group and 95 in the control group. All participants were enrolled in the first semester of their fourth year in a five-year nursing program in two selected junior nursing colleges. The education intervention The purpose-designed standard and additional precautions (SnAP) program was the intervention. The experimental group received a SnAP program which consisted of 16 hours of classes over 16 weeks. The control group received a conventional education program. Data collection and instrument Data were collected at three time points during the study (baseline, four months, six month) using validated instrument. The reliability and validity of the instrument was established in a pilot study with a Taiwanese population prior to the present study. Data analysis t-tests and chi-square analyses were performed to assess any differences across demographic variables and baseline outcome variables between the experimental and control groups. Two-way repeated measures ANOVAs were used to examine the scores of the intervention and control groups across three time points. Results The data revealed that, at six months following the education program, there was a statistically significant improvement in the knowledge (F [2,180] =13.53, p=0.001) and confidence (F [2,94] =4.88, p= 0.01) of infection precautions in the intervention group compared to the control group. Also, the means of knowledge and confidence in intervention group showed a consistently increased across three time points; whereas, the mean of confidence relating infection control management in the control group resulted a drop at time 3. Although the application skills relating to infection control procedures did not show a statistically significant change during this period (F [2, 174] = 2.54, p=0.081), there were minor improvements in these scores at the six-month follow-up assessment. Conclusion The SnAP program had a positive impact on Taiwanese nursing students' readiness for clinical placement and potential outbreak of disease epidemics. Participation increased their knowledge about infection control precautions, their ability to properly use these specific precautions, and their confidence in solving infection-related issues in clinical practice.
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Guimarães, Márcia Valéria Ratto. "Prática educativa junto aos familiares de lactentes com doenças respiratórias: estudo descritivo-exploratório." Universidade Federal Fluminense, 2014. https://app.uff.br/riuff/handle/1/838.
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Mestrado Profissional em Enfermagem Assistencial
A pesquisa aborda a prática educativa do enfermeiro na consulta de enfermagem aos familiares de lactentes com doenças respiratórias. Objetivos: conhecer as concepções de familiares sobre cuidados aos lactentes com doenças respiratórias a partir da prática educativa do enfermeiro visando à elaboração de prática educativa em sala de espera; descrever a concepção do familiar sobre os cuidados aos lactentes a partir da prática educativa do enfermeiro; discutir as concepções dos familiares acerca do cuidado ao lactente com doença respiratória, estabelecendo sua articulação com a prática educativa do enfermeiro na perspectiva da autonomia no cuidado e; elaborar uma prática educativa para ser utilizada em sala de espera. Referencial teórico pautado na pedagogia da autonomia de Paulo Freire. Métodos: pesquisa exploratória descritiva, qualitativa, desenvolvido no ambulatório de pediatria de um hospital universitário do estado do Rio de Janeiro, entre agosto de 2012 e junho de 2014. Os participantes da pesquisa foram mães dos lactentes com problemas respiratórios recorrentes, que tinham recebido orientação específica do enfermeiro sobre cuidados durante as manifestações das doenças respiratórias. Os dados foram coletados por entrevista semiestruturada e tratados por análise de conteúdo do tipo temática. Resultados e discussão: Emergiram três categorias: Concepção de cuidar e saberes familiares sobre sinais e sintomas respiratórios; Prática de cuidados e vivências dos familiares no cuidado ao lactente após a orientação do enfermeiro; Prática educativa na consulta de enfermagem como estratégia para favorecer a autonomia dos familiares no cuidado. O cuidar foi associado aos cuidados de manutenção da vida, afetividade, direito, dever e proteção para com seus lactentes. As mães demonstraram conhecimentos acerca da identificação dos sinais e sintomas respiratórios bem como dos sinais de alarme. A prática de cuidados aos lactentes era pautada em cuidados de manutenção da vida, com adoção de medidas de controle ambiental e de reparação, com a prevalência da automedicação. A prática educativa foi considerada de extrema importância para novos aprendizados e a consulta de enfermagem foi considerada como um momento de acolhimento, diálogo e reflexão. Conclusão: A consulta de enfermagem foi valorizada pelas mães como espaço de diálogo. Elas perceberam mudanças conscientes em seu cotidiano, que reduziram os problemas respiratórios dos lactentes. A prática educativa realizada em uma vertente dialógica aproximou as mães dos enfermeiros, favorecendo o processo ensino-aprendizagem, em que as mães manifestaram suas indagações, angústias e queixas. Entretanto, alguns problemas enfrentados pelos familiares são decorrentes de suas condições de vida e da dificuldade de acesso aos serviços da saúde em situações de urgência, requerendo aprofundamento de discussões em outros espaços. O produto desta pesquisa é a instituição da sala de espera como espaço para compartilhar saberes e promover saúde. Esta proposta pretende desenvolver uma prática educativa consoante aos temas emergidos na pesquisa e aos de interesse dos usuários, com vistas à ampliar as discussões, melhorar a comunicação entre enfermeiro e familiares de lactentes, estimulando sua autonomia no cuidado, na prática cotidiana, e o exercício de cidadania
The research discusses the educational practice of nurses in nursing consultation to families of infants with respiratory diseases. Aims: To learn the concepts of family about care for infants with respiratory diseases from educational nursing practice aiming at the elaboration of educational practice in the waiting room; describe the understanding of the family about the care of infants from the educational practice of the nurse; discuss the conceptions of the family regarding the care to infants with respiratory disease, establishing its joint with educational practice of the nurses from the perspective of autonomy of care; develop an educational practice to be used in the waiting room. Theoretical framework grounded in the pedagogy of Paulo Freire autonomy. Methods: It is a descriptive exploratory qualitative research, developed at the pediatric clinic of a university hospital in the state of Rio de Janeiro, between August 2012 and June 2014. Survey participants were mothers of infants with recurrent respiratory problems, who had received specific orientation of nurses about care during demonstrations of respiratory diseases. The technique for data collection was a semi-structured interview, and for the treatment of the data, the analysis of thematic content. Results and discussion: three categories emerged: Conception of care and family knowledge about respiratory signs and symptoms; Care practice and experiences of family members in the care for the infant after the guidance of the nurse; Educational practice in nursing consultation as a strategy to promote the autonomy of the family in care. The care was associated with maintenance of life care, affection, right, duty and protection to their infants. Mothers demonstrated knowledge about the identification of respiratory signs and symptoms and recognition of warning signs. The practice of care to infants was grounded in care of the maintenance of life, with the adoption of environmental control measures and repair, with the prevalence of self-medication. Educational practice was considered extremely important for new learning and nursing consultation was regarded as a moment of acceptance, dialogue and reflection. Conclusion: The nursing consultation was valued by mothers as a dialogic space. They realized conscious changes in their daily lives, which reduced the respiratory problems of infants. Educational practice held in a dialogical aspect approached nurses and mothers, favoring the teaching-learning process, from the opportunity of these mothers express their questions, worries and complaints. However, some problems faced by families are due to their living conditions and poor access to health services in emergency situations, requiring deepening of discussions in other spaces. The product of this research is the establishment of the waiting room as a place to share knowledge and promote health. This proposal aims to develop an educational practice according to themes emerged in the research and of interest to users, in order to broaden the discussion, improve communication between nurses and families of infants, stimulating autonomy in care, in everyday practice and exercise citizenship
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Banner, Michael J. "Learning/cognitive styles and learning preferences of students and instructors as related to achievement in respiratory therapy educational programs." Gainesville, FL, 1989. http://www.archive.org/details/learningcognitiv00bann.
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Locklear, Brittany Renee. "Continuing Competency: An Evaluation for Retention 180 Days After the Annual Competency Assurance Program." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306433849.
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Robertson, Laura, LaShay Jennings, Scott Honeycutt, Karin Keith, and Chih-Che Tai. "Photosynthesis and Cellular Respiration (LS1): A Hands-On Approach for Grades 6–12." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/770.
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Arrascue, Lara Sara Maribel, and Lara Sara Maribel Arrascue. "Influencia del programa educativo sobre fisioterapia respiratoria en la práctica de la enfermera intensivista HNAAA, Chiclayo Perú 2011." Master's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2012. http://tesis.usat.edu.pe/handle/usat/586.
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La presente tesis estuvo guiada por el paradigma cuantitativo, persiguiendo como objetivo general, determinar la influencia del programa educativo sobre fisioterapia respiratoria en la práctica de las enfermeras intensivistas y como objetivos específicos, determinar el nivel de conocimientos sobre fisioterapia respiratoria, identificar las habilidades técnicas sobre este procedimiento respiratorio que tienen las enfermeras intensivistas antes y después de la aplicación del programa educativo mencionado. El diseño metodológico cuasi experimental que se usó fue con pre y post prueba con un solo grupo. Se administró como tratamiento experimental la aplicación de un programa educativo sobre fisioterapia respiratoria, posteriormente se evaluó a las enfermeras y de la misma manera se utilizó una guía de observación antes y después del mismo para ver los cambios en la práctica. Para probar en la práctica, la influencia del programa educativo sobre fisioterapia respiratoria por la enfermera intensivista se usó la prueba estadística t de student con datos pareados, en todo momento se utilizaron los principios éticos personalistas de Sgreccia y los criterios de rigurosidad científica que guiaron la validez interna y externa del estudio obteniéndose el siguiente resultado: el programa educativo sobre fisioterapia respiratoria tuvo un efecto con un nivel de confianza del 95% sobre la práctica de las enfermeras intensivistas del Hospital Nacional Almanzor Aguinaga Asenjo.Tesis
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Duff, Beverley. "Development and evaluation of an integrated clinical learning model to inform continuing education for acute care nurses." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/42622/1/Beverley_Duff_Thesis.pdf.
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Background Significant ongoing learning needs for nurses have occurred as a direct result of the continuous introduction of technological innovations and research developments in the healthcare environment. Despite an increased worldwide emphasis on the importance of continuing education, there continues to be an absence of empirical evidence of program and session effectiveness. Few studies determine whether continuing education enhances or develops practice and the relative cost benefits of health professionals’ participation in professional development. The implications for future clinical practice and associated educational approaches to meet the needs of an increasingly diverse multigenerational and multicultural workforce are also not well documented. There is minimal research confirming that continuing education programs contribute to improved patient outcomes, nurses’ earlier detection of patient deterioration or that standards of continuing competence are maintained. Crucially, evidence-based practice is demonstrated and international quality and safety benchmarks are adhered to. An integrated clinical learning model was developed to inform ongoing education for acute care nurses. Educational strategies included the use of integrated learning approaches, interactive teaching concepts and learner-centred pedagogies. A Respiratory Skills Update education (ReSKU) program was used as the content for the educational intervention to inform surgical nurses’ clinical practice in the area of respiratory assessment. The aim of the research was to evaluate the effectiveness of implementing the ReSKU program using teaching and learning strategies, in the context of organisational utility, on improving surgical nurses’ practice in the area of respiratory assessment. The education program aimed to facilitate better awareness, knowledge and understanding of respiratory dysfunction in the postoperative clinical environment. This research was guided by the work of Forneris (2004), who developed a theoretical framework to operationalise a critical thinking process incorporating the complexities of the clinical context. The framework used educational strategies that are learner-centred and participatory. These strategies aimed to engage the clinician in dynamic thinking processes in clinical practice situations guided by coaches and educators. Methods A quasi experimental pre test, post test non–equivalent control group design was used to evaluate the impact of the ReSKU program on the clinical practice of surgical nurses. The research tested the hypothesis that participation in the ReSKU program improves the reported beliefs and attitudes of surgical nurses, increases their knowledge and reported use of respiratory assessment skills. The study was conducted in a 400 bed regional referral public hospital, the central hub of three smaller hospitals, in a health district servicing the coastal and hinterland areas north of Brisbane. The sample included 90 nurses working in the three surgical wards eligible for inclusion in the study. The experimental group consisted of 36 surgical nurses who had chosen to attend the ReSKU program and consented to be part of the study intervention group. The comparison group included the 39 surgical nurses who elected not to attend the ReSKU program, but agreed to participate in the study. Findings One of the most notable findings was that nurses choosing not to participate were older, more experienced and less well educated. The data demonstrated that there was a barrier for training which impacted on educational strategies as this mature aged cohort was less likely to take up educational opportunities. The study demonstrated statistically significant differences between groups regarding reported use of respiratory skills, three months after ReSKU program attendance. Between group data analysis indicated that the intervention group’s reported beliefs and attitudes pertaining to subscale descriptors showed statistically significant differences in three of the six subscales following attendance at the ReSKU program. These subscales included influence on nursing care, educational preparation and clinical development. Findings suggest that the use of an integrated educational model underpinned by a robust theoretical framework is a strong factor in some perceptions of the ReSKU program relating to attitudes and behaviour. There were minimal differences in knowledge between groups across time. Conclusions This study was consistent with contemporary educational approaches using multi-modal, interactive teaching strategies and a robust overarching theoretical framework to support study concepts. The construct of critical thinking in the clinical context, combined with clinical reasoning and purposeful and collective reflection, was a powerful educational strategy to enhance competency and capability in clinicians.
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Menezes, Ana. "Programa de formação pós-graduada em fisioterapia respiratória." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2010. http://hdl.handle.net/10362/5904.
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RESUMO: A fisioterapia caminha inevitavelmente para a especialização em determinadas áreas de
intervenção (WCPT, 2007), nomeadamente na da fisioterapia respiratória. Este facto
ocorre, por um lado, por se tratar de uma área de intervenção da fisioterapia com um
papel específico e de carácter especializado e, por outro lado, devido à enorme procura
deste tipo de serviços, causada também pelo aumento da prevalência de doenças
respiratórias crónicas, que se tem vindo a verificar e que se prevê que se continue a
verificar (OMS, 2005), e ainda à enorme transversalidade deste tipo de intervenção.
A formação pós-graduada em fisioterapia respiratória, com o objectivo de fornecer aos
formandos competências teórico-práticas que os apetreche para uma prática baseada na
evidência, parece ser fundamental, mas a formação de adultos acarreta um compromisso
com os princípios da aprendizagem específicos desta população. Os modelos de
formação nesta área específica deverão incluir metodologias e conteúdos que cumpram
objectivos reais, baseados não totalmente em curricula pré-estabelecidos, mas nas
necessidades e expectativas de quem vive esta realidade, para além de se sustentarem
nos referenciais teóricos.
Assim, este estudo pretende avaliar a eficácia de um programa de formação pósgraduada
em fisioterapia respiratória, baseado nas necessidades e expectativas dos
sujeitos que estão envolvidos neste processo, e sustentado nos referenciais teóricos que
se conhecem sob a forma de “standards”, “guidelines” ou recomendações. Os nossos
objectivos específicos foram: a) Aferir quais as características que são importantes para
garantir a eficácia de metodologia de um programa de formação pós-graduada na área
da fisioterapia respiratória, ou seja, a “dinâmica” do processo. b) Aferir quais os
conteúdos base que deverão fazer parte dessa formação e, c) Aferir se há vantagens
distintas para formandos que já detenham experiência clínica e para recém-licenciados,
e que frequentem o referido curso, ou seja, aferir o público-alvo.
O desenho metodológico considerado para atingir os objectivos a que se propõe este
estudo teve como base uma abordagem essencialmente qualitativa, mas recorreu a
preciosas ferramentas quantitativas. Trata-se assim de uma abordagem de carácter
misto. A nossa amostra, de conveniência, foi constituída pelos 22 formandos que se matricularam no único curso de pós-graduação em fisioterapia respiratória, que neste
momento existe no nosso país. A recolha de dados obedeceu a uma estratégia comum
nas abordagens qualitativas e que incluiu a “triangulação” de várias fontes e de vários
métodos de recolha, a fim de permitir articular diferentes pontos de vista sobre um
mesmo objecto. Assim, após a análise de referenciais teóricos considerados relevantes,
recorreu-se à opinião de diferentes sujeitos, através de painéis, e de questionários,
(questionários de opinião, questionários de caracterização, questionários de avaliação de
conhecimentos e atitudes, à entrada e no final) bem como à avaliação de
comportamentos, competências e atitudes, observados em ambiente simulado e real.
A filosofia de formação que esteve subjacente ao nosso programa foi um constante
compromisso entre a teoria, a prática e a clínica, em que o fenómeno de “transfert” foi
potencializado por algumas características como o “fio condutor” entre os conteúdos, a
presença de utentes reais nas aulas, os workshops temáticos e os estágios profissionais,
a apresentação e discussão de estudos de caso com profissionais de referência, e os
períodos de pausa entre seminários, em que estão facilitadas a reflexão, aplicação e
experimentação de novas competências. Estas características estiveram na base dessa
estreita relação entre a teoria, a prática e a clínica. Os critérios de selecção do corpo
docente, capazes de funcionar como fontes de informação credível e actual e, sobretudo,
capazes de funcionar como modelos profissionais, foram cruciais. Também o
conhecimento das expectativas iniciais dos formandos e a monitorização facilitaram o
processo de aprendizagem e o ajuste do programa ao longo do período de formação,
assim como as avaliações formativas frequentes.
Acreditamos que estas características do nosso programa foram fundamentais para a
eficácia do mesmo, e que através delas obtivemos resultados positivos, em que se
destacam a obtenção dos melhores resultados situados, sobretudo, nos níveis de
complexidade relativos à resolução de problemas, e a valorização das competências ao
do domínio afectivo. Corroborámos a teoria de que pessoas com formações e /ou
experiências diferentes agem de maneiras diferentes, e aprendem de maneiras
diferentes, e concluímos que os resultados nos estadios de aprendizagem e nas
expectativas e necessidades colmatadas são generalizadamente positivos, o que torna
qualquer dos grupos estudados, um público-alvo deste tipo de formação, embora
possam ser apontadas algumas vantagens distintas conforme a experiência profissional de cada um, sendo os formandos com mais experiência, aqueles que mais evoluem em
todos os domínios de aprendizagem.
O aumento da empregabilidade dos formandos, directa ou indirectamente relacionado
com a frequência do curso, parece ter sido um resultado positivo e inesperado.
A possível caducidade do programa, o acompanhamento do grupo após o término do
curso, o peso que os métodos de avaliação podem ter tido nos resultados, são algumas
questões que ficam por esclarecer, e que merecem estudos futuros.
Apesar disto, julgamos poder afirmar que este modelo de formação foi eficaz.
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Skrip, Betsy. "Imaging the airways : 3D modeling of a complete respiratory airway for use in computational flow dynamics studies of particle deposition in the lungs ; Creation of an educational animation about the respiratory system for use in the Human Visualization Project and CollaboRITorium /." Online version of thesis, 2008. http://hdl.handle.net/1850/7744.
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Johnston, Catherine. "Improving access to pulmonary rehabilitation in rural and remote Australia." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/11738.
Full textAbstract:
Pulmonary rehabilitation, consisting of exercise training and education, is one of the most effective strategies for improving the health outcomes of people with chronic obstructive pulmonary disease (COPD) and reducing associated healthcare costs. Prior to the work presented in this thesis a description of the structure and content of pulmonary rehabilitation programs in Australia had not been published. In addition, whether existing programs met Australian recommendations for practice such as those contained in the Pulmonary Rehabilitation Toolkit, was unknown. Despite the significant benefits for both individuals with COPD and the community, access to pulmonary rehabilitation is limited, particularly for those in rural and remote regions. A lack of adequately trained healthcare professionals may contribute to difficulties with establishing and maintaining pulmonary rehabilitation. However, the effect of healthcare professional training on the availability of pulmonary rehabilitation had not been previously investigated. There were no published reports documenting existing knowledge and skill levels, evaluating training strategies to up-skill rural/remote healthcare professionals or evaluating the impact of such training on the delivery of pulmonary rehabilitation. The aims of the studies presented in this thesis were to: describe the current provision of pulmonary rehabilitation in Australia and the alignment of these pulmonary rehabilitation programs with evidence-based recommendations; determine the level of knowledge and skills of rural and remote healthcare professionals in the management of people with chronic lung disease; investigate the ability of an educational training program for healthcare professionals to improve knowledge and confidence and improve the availability and delivery of pulmonary rehabilitation in rural and remote regions and explore the attitudes, opinions and concerns of healthcare professionals regarding the delivery of pulmonary rehabilitation. The first study (Chapter 2) was a cross sectional, observational study using a purpose designed anonymous paper-based survey. The national database of pulmonary rehabilitation programs, maintained by Lung Foundation Australia (LFA), was used to identify known programs in all states and territories of Australia. All pulmonary rehabilitation programs listed on the database at that time were included (n=193). Healthcare professionals who coordinated pulmonary rehabilitation were invited to participate. This study had a response rate of 83% (n=163) and all states and territories in Australia were represented. The responses enabled the structure and content of Australian pulmonary rehabilitation programs to be elucidated. Most Australian pulmonary rehabilitation programs broadly met recommendations for practice contained in the Pulmonary Rehabilitation Toolkit in terms of included components (exercise training and education), program length, patient assessment and exercise training (duration, frequency and mode). Many respondents were not aware of major evidence-based practice guidelines (including the Pulmonary Rehabilitation Toolkit). Interestingly, despite not being aware of guidelines, most respondents indicated that they perceived a gap between current evidence and their practice in terms of exercise prescription and training. The studies presented in Chapters 4-7 were undertaken as individual components of a mixed methods study to evaluate the impact of the Breathe Easy Walk Easy (BEWE) program on healthcare professional knowledge and confidence, service delivery and patient outcomes in rural and remote Australian regions. The BEWE program was an interactive education and training program related to providing components of assessment and management (in particular pulmonary rehabilitation) for people with chronic respiratory disease. The BEWE program consisted of a training workshop, access to online resources, provision of community awareness-raising materials and ongoing telephone/email support. Details of the development of the BEWE program are presented in Chapter 1. Further information regarding the content and structure of the BEWE program along with relevant methods for the studies contained in Chapters 4-7, are presented in Chapter 3. The evaluation process was conducted by a researcher (the PhD candidate) who was independent of the development and delivery of the BEWE program. The study presented in Chapter 4 was a descriptive cross-sectional, observational survey design using a written anonymous questionnaire. Participants were healthcare professionals (n=31) who registered to attend the BEWE program initial workshop in either one rural or one remote Australian region. The main outcomes were participant attitudes, objective knowledge (case vignette-based) and self-rated experience, training, and levels of confidence. Participants were from a variety of professional backgrounds (allied health, medical, nursing) but were predominantly nurses (n=13) or physiotherapists (n=9). The main findings of this study were that that rural and remote healthcare professionals had low levels of experience, training, knowledge and confidence in providing components of management for people with COPD. Most participants reported that they had minimal or no experience or training in this area of practice. The scores in the measured knowledge quiz were generally poor, with mean knowledge score (number of correct answers out of 19) being 8.5 (SD=4.5). There were higher numbers of correct responses for questions relating to COPD disease pathophysiology and diagnosis than for questions relating specifically to pulmonary rehabilitation. In addition, most participants reported particularly low confidence in the delivery of pulmonary rehabilitation. Based on the findings of the study, the need for an education and training program for rural and remote healthcare professionals in the evidence-based management of people with COPD with an emphasis on pulmonary rehabilitation was evident. The effects of the delivery of an education and training program on healthcare professional knowledge and confidence in the management of people with COPD and on the availability of pulmonary rehabilitation were investigated and are presented in Chapter 5. This study was a quasi-experimental, before and after repeated measures design. Healthcare professionals (n=33) from various backgrounds who participated in the BEWE program were eligible to participate. The BEWE program was delivered in one rural and one remote region. Participant knowledge, confidence and attitudes were assessed via anonymous written questionnaire before, immediately after and at three and 12 months following the BEWE workshop. Participation in the BEWE program resulted in significant improvements in participants’ self-rated knowledge and confidence immediately after the workshop, and at three and 12 month follow-up. Measured knowledge (case vignette score out of 19) improved significantly immediately after the workshop compared to before (mean difference 7.6 correct answers, 95% CI 5.8 to 9.3). At 12-month follow-up, three locally run pulmonary rehabilitation programs had been established in participating regions. The availability of pulmonary rehabilitation following delivery of the BEWE program, as well as patient outcomes and the factors contributing to the change in service delivery were further explored and results are presented in Chapter 6. Data were collected regarding the provision of pulmonary rehabilitation services before and after delivery of the BEWE program and patient outcomes (six-minute walk test and health related quality of life) before and after pulmonary rehabilitation. Pulmonary rehabilitation was not available in any of the participating sites before the BEWE program. At 12-month follow-up three sites had established locally-run pulmonary rehabilitation programs which had a structure and content broadly meeting Australian practice recommendations for pulmonary rehabilitation. Initial patient outcome data for the six-minute walk test and the St George’s Respiratory Questionnaire demonstrated evidence of the effectiveness of these pulmonary rehabilitation programs in improving functional exercise capacity and health related quality of life. Providing targeted specific training, the retention of key staff and strong local healthcare organisational support were important factors which contributed to the successful establishment of pulmonary rehabilitation. A study involving interviews with key healthcare professionals involved in the delivery of pulmonary rehabilitation in rural and remote regions was conducted and is presented in Chapter 7. Those healthcare professionals who participated in the BEWE program and who were identified as key informants, were invited to participate in semi-structured interviews. The purpose of the interviews was to gain a deeper understanding of the participants’ attitudes and opinions regarding developing, establishing and delivering pulmonary rehabilitation in rural and remote regions. This study was designed to add perspective to the quantitative data rather than to inform the design of the evaluation process. Interviews occurred at three and 12 months following the BEWE workshop in the remote region and at 12 months following the BEWE workshop in the rural region. Interviews were recorded and transcribed verbatim. A process of thematic analysis was used to analyse the transcripts. Healthcare professional staffing levels, time and case load constraints, knowledge and confidence, ensuring sustainability, individual and community attitudes, and practical issues related to the setting, structure and content of pulmonary rehabilitation were identified as the main concerns of informants. The results of this study indicate that dedicated funding to support additional healthcare professional staffing and to assist with providing specific education and training may facilitate the availability and delivery of pulmonary rehabilitation in rural and remote regions. The body of work contained in this thesis has contributed to a greater knowledge of the practice and availability of pulmonary rehabilitation in the Australian rural and remote context and has provided evidence that the provision of a training program for healthcare professionals can facilitate the delivery of effective pulmonary rehabilitation in rural and remote Australian regions.
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Kyelem, Mathias. "Le statut de l’erreur dans la dynamique des apprentissages en sciences : proposition d'un dispositif pédagogique pour l'apprentissage de concepts relevant de la physiologie de la respiration et de l'éducation à la santé au Burkina Faso." Thesis, Montpellier 2, 2013. http://www.theses.fr/2013MON20227/document.
Full textAbstract:
L'étude porte sur la mise en œuvre et l'évaluation d'un dispositif pédagogique associant l'apprentissage par résolution de problème, le débat sociocognitif et un traitement didactique de l'erreur comprise comme seulement une information intéressante à prendre en compte pour apprendre. L'objectif de ce dispositif est d'améliorer les capacités des élèves à résoudre des problèmes complexes que présente la vie de tous les jours en favorisant le transfert et l'intégration des connaissances scolaires. « La relation à l'erreur s'articule et se renforce avec des valeurs, elle induit un rapport au savoir et un rapport à l'autre qui, ensemble et de manière complexe, engage la personne dans ses dimensions cognitive, affective, sociale et axiologique. » (Favre, 2004).L'approche méthodologique retenue est l'approche qualitative/interprétative complétée par des données quantitatives provenant de l'évaluation de copies des élèves afin d'affiner la compréhension de l'impact du dispositif pédagogique expérimental sur leurs performances. L'étude a été faite au Burkina Faso. Les actions suivantes ont été conduites : une étude des représentations de l'erreur chez les enseignants et les élèves, et des représentations de la respiration chez les enseignants, une analyse du programme de physiologie de la respiration de première D complétée avec celle des inspecteurs de l'enseignement secondaire.Quarante enseignants ont été formés au dispositif pédagogique parmi lesquels, cinq de Ouagadougou été retenus pour les classes expérimentales. Cinq enseignants de Bobo-Dioulasso non formés ont été volontaires pour les classes témoins. Des observations de classe ont été effectuées sur les attitudes des élèves et des enseignants et la qualité des interactions entre eux. Les contenus des débats ont été transcrits et analysés avec l'ensemble des résultats d'observation.A l'issue des cours, une évaluation sommative des apprentissages des élèves a été conduite dans les dix classes. Les copies ont été rendues anonymes et corrigées par des enseignants ne participant pas à l'étude. Les données ont fait l'objet de traitement statistique.Les principaux résultats obtenus sont les suivants :• la plupart des enseignants ont une représentation où l'erreur est assimilée à une faute et peu d'entre eux ont une relation à l'erreur qui les engage dans l'action,• grâce à la formation, les enseignants ont pu modifier leur relation à l'erreur, la décontaminer de la notion de faute et créer un environnement pédagogique sécurisant pour accompagner les apprentissages des élèves,• la représentation de l'erreur chez les élèves est comparable à celle des enseignants mais beaucoup d'entre eux sont dans une perspective de correction de leurs erreurs ; cette représentation est en partie due à la forte appréhension anticipée de l'échec en cas d'évaluation,• les élèves se sont montrés très participatifs aux activités de classes lorsqu'ils n'ont plus eu peur de se tromper, lorsque faire des erreurs ne menaçait pas leur sécurité affective ; les débats ont montré un processus de construction autonome de connaissances,• l'analyse des programmes a montré une insuffisance de liens entre les différents processus physiologiques assurant la fonction de nutrition. Les contenus sont dépourvus d'une approche historique et épistémologique des concepts,• l'évaluation montre que dans les classes expérimentales dont les enseignants ont été formés, les élèves ont mieux réussi à résoudre des problèmes nouveaux impliquant la mobilisation de connaissances vues en classe et nécessaires pour réaliser des choix impliquant la santé, en particulier dans le cas de risque de tuberculoseThe study relates to the implementation and the evaluation of a teaching device associating the training by resolution of problem, the socio-cognitive debate and a didactic treatment of the error understood like only one information interesting to take into account to learn. The objective of this device is to improve the capacities of the pupils to solve complex problems which the everyday life presents by supporting the transfer and the integration of school knowledge. “The relation with the error is articulated and reinforced with values, it induces a report with the knowledge and a report with the other which, together and in a complex way, engages the person in her dimensions cognitive, emotional, social and axiological.” (Favre, 2004). The adopted methodological approach is the qualitative/interpretative approach supplemented by quantitative information coming from the evaluation of copies of the pupils in order to refine the comprehension of the impact of the experimental teaching device on their performances. The study was made in Burkina Faso. The following actions were led: a study of the representations of the error at the teachers and the pupils, and of the representations of breathing in the teachers, an analysis of the curriculum of physiology of the breathing of first option D Form classroom supplemented with that of the inspectors of secondary education. Forty teachers were trained with the teaching device among which, five of Ouagadougou retained for the experimental classes. Five teachers of Bobo-Dioulasso not trained were voluntary for the pilot classes. Observations of class were carried out on the attitudes of the pupils and the teachers and the quality of the interactions between them. The contents of the debates were transcribed and analyzed with the whole of the results of observation. At the conclusion of the courses, a summative evaluation of the trainings of the pupils was led in the ten classes. The copies were made anonymous and corrected by teachers not taking part under investigation. The data underwent a statistical processing.The principal results of the study are the following: • most teachers have a representation where the error is comparable with a fault and little of them have a relation with the error which engages them in the action, • thanks to the formation, the teachers could modify their relation with the error, to decontaminate it concept of fault and to create a teaching environment making safe to accompany the trainings by the pupils, • the representation of the error at the pupils is comparable with that of the teachers but much of them are from the point of view of correction of their errors; this representation is partly due to the strong anticipated apprehension of the failure in the event of evaluation, • the pupils showed themselves very participative with the activities of classes when they were not afraid any more to be mistaken, when to make errors their emotional security did not threaten; the debates showed a process of construction autonomous of knowledge, • the analysis of the programs showed an insufficiency of links between the various physiological processes providing the function of nutrition. The contents are deprived of a historical and epistemological approach of the concepts, • the evaluation in particular in the case of shows that in the experimental classes whose teachers were trained, the pupils better succeeded in solving new problems implying the mobilization of knowledge seen in class and necessary to carry out choices implying health, risk of tuberculosis
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Robertson, Laura, LaShay Jennings, Kari Eubanks, and Scott Honeycutt. "Photosynthesis and Cellular Respiration (LS1): A Hands-On Approach Supporting the NGSS and ELA CCSS." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1313.
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Odhiambo, Lorriane Achieng. "Understanding Respiratory Disease Prevalence and the Impact of a Combined Intervention Delivered in African American Churches to Adults with Asthma or COPD: A Community Based Approach and Feasibility." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1565107361183981.
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Pajuelo, Huañacari Jessica Danicela. "Efectividad de un programa educativo para enfermeras sobre conocimientos y cuidados de enfermería en fisioterapia respiratoria del paciente post operado inmediato, en el Servicio de Recuperación del H.N.E.R.M. – Jesús María 2006." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2007. https://hdl.handle.net/20.500.12672/14670.
Full textAbstract:
El documento digital no refiere asesorDetermina la efectividad de un programa educativo sobre los conocimientos y los cuidados de las enfermeras en Fisioterapia Respiratoria del paciente post operado inmediato. Realiza un estudio de tipo cuantitativo, cuasi – experimental tuvo una población y muestra de 16 enfermeras. Para la recolección de datos se utilizaron dos instrumentos: un cuestionario que midió los conocimientos sobre fisioterapia respiratoria; el cual fue aplicado en modo de un pre test y post test; y una lista de cotejo que midió la aplicación de los cuidados de enfermería, la cual fue aplicada 30 días antes y posterior a 30 días de la aplicación del programa educativo; ambos instrumentos fueron sometidos a juicio de expertos y validados mediante una prueba piloto. Después de la aplicación del programa educativo; en cuanto a conocimientos se obtuvo un resultado altamente significativo, así como en cuidados de enfermería se encontró un resultado significativo, de esta manera se aceptaron las hipótesis planteadas, comprobándose así la efectividad del programa educativo. Se obtiene diferencia altamente significativa en el nivel de conocimientos y la aplicación de los cuidados de las enfermeras sobre fisioterapia respiratoria del paciente post operado inmediato después de la aplicación del programa educativo.
Trabajo académico
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Ogbonna, Judith C. "Risk of Maternal Smoking on Breastfed Infants and the Development of Otitis Media." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2857.
Full textAbstract:
Despite advances in health promotion through efforts to reduce tobacco smoking, tobacco-related health conditions have continued to be significant. Exposure to secondhand smoke has been identified as a health risk also in addition to infant health risks related to maternal smoking. In contrast, breastfeeding has been found to promote infant health and is strongly encouraged. Despite literature supporting both of these statements, the combined effects of both breastfeeding and maternal smoking on infant wellbeing have not been delineated. Otitis media represents a common health problem among infants and young children. Tobacco exposure has been shown to increase its incidence while breastfeeding has been shown to reduce its occurrence. In the current study, a consecutive sample of all infants less than 5 years of age with otitis media and breastfed for at least 6 months was collected from a busy urban clinic for analysis. A survey tool was administered to those meeting study criteria. Primary analysis examined the odds ratio of developing otitis media among breastfed infants between those whose mothers smoked tobacco and those whose mothers did not. As a result, the association between the protective effects of breastfeeding and the detrimental effects of maternal smoking was evaluated in relation to the development of otitis media. Secondary variables including demographics, family history, past medical and birth history, and secondhand smoke exposure were also assessed. Results failed to demonstrate a significant difference in otitis media between the 2 cohorts in this study, and of the secondary variables, only cranio-facial deformities and/or a family history of these conditions resulted in higher otitis media occurrence. Further study with larger populations with higher tobacco use rates may offer additional insights into this matter.
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Freire, Mayra Jardim Medeiros. "Serious game E-baby- Família: avaliação de interface de tecnologia educacional digital junto aos pais de bebês pré-termo com foco no quadro respiratório." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-17082017-152001/.
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Mundialmente, estima-se que nasçam, por ano, 15 milhões de bebês pré-termo com alto risco de morbi-mortalidade neonatal, pós-neonatal e durante a infância, devido à imaturidade dos órgãos/sistemas, principalmente respiratório. A prematuridade é a principal causa de morte em recém-nascidos (especialmente nas primeiras 4 semanas de vida) e agora a segunda causa de morte após pneumonia em crianças com idade inferior a 5 anos. A re-hospitalizações, por afecções respiratórias, são comuns nesta população. No Brasil, 72,9% das pessoas no Brasil têm acesso à internet, seja por computador, celular ou tablet, esse dado reforça a relevância de introduzir novas tecnologias no campo da pesquisa e do processo de ensino- aprendizagem, em computadores (e-learning) e em dispositivos móveis (m-learning). Acreditando na importância da tecnologia adequada ao uso e em especial, respondendo de forma adequada à clientela, público alvo desta, elegeu-se, para este estudo como objetivo avaliar a interface de uma tecnologia educacional digital - jogo de computador, sobre a identificação e cuidado acerca do quadro respiratório do bebê pré-termo, junto à família, com base em critérios ergonômicos. Trata-se de um estudo metodológico, com avaliação embasada nos critérios ergonômicos estabelecidos pelo Ergolist (2008) junto aos pais de bebês pré-termo. A coleta de dados foi executada por meio da caracterização dos sujeitos, e avaliação objetiva sobre o game. Com base nos dados coletados através do questionário de avaliação ergonômica de interface do serious game E-Baby-Família, todos os itens do formulário de receberam mais de 70% de concordância com as afirmações realizadas quanto ao game. Com isso, podemos concluir que o serious game \"E- Baby-Família \" foi avaliado positivamente quanto à ergononomia de sua interface, demonstrando sua viabilidade para uso com os pais de bebês nascidos prematuros. Os pais, cada vez mais participativos no cuidado aos filhos pré-termo em unidades neonatais necessitam aprender sobre seus filhos e podem ser beneficiados pela tecnologia realística. Com esse estudo, reforçamos a ideia sobre a importância em incluir a família no suporte ao bebê pré-termo, preparando-os para os cuidados que deverão ser prestados no domicílio, amenizando suas inseguranças e prevenindo o bebê prematuro de possíveis complicações que possam acontecer após a alta hospitalar. Atrelado a isso, podemos ressaltar sobre a importância do uso de ferramentas tecnológicas em uma era onde os avanços na área da tecnologia só agregam valores às práticas do processo de ensino-aprendizagemGlobally, it is estimated that, every year, 15 million preterm babies are born with a high risk of neonatal and post-neonatal morbimortality, or even during childhood, because of the immaturity of the organs/systems, mainly the respiratory ones. Prematurity is the major cause of death in newborns (especially in the first 4 weeks of life), and now the second greatest cause of death after pneumonia in children under the age of 5. Re-hospitalizations because of respiratory disorders are common in this population. In Brazil, 72.9% of people in Brazil have access to the internet, whether by means of a computer, cell phone or tablet, and this data emphasizes the relevance of introducing new technologies in the field of research and of the teaching-learning process, on computers (e-learning) and on mobile devices (m- learning). By believing in the importance of the technology suited to the use and, in particular, responding in an appropriate way to the clientele, i.e., the target audience of this technology, the objective chosen for this study focused on the assessment of the interface of a digital educational technology - computer game, with respect to the identification and care of the respiratory condition of the preterm baby, together with the family, based on ergonomic criteria. This is a methodological study, with an assessment underpinned by the ergonomic criteria established by the Ergolist (2008), involving parents of preterm babies. Data collection was performed by means of the characterization of the subjects, in addition to an objective assessment of the game. Based on the data collected through the questionnaire for assessing the ergonomic interface of the \"E-Baby-Família\" serious game, all items of the form received over 70% agreement with the statements made with respect to the game. Accordingly, we can conclude that the \"E-Baby-Família\" serious game was positively assessed with regard to the ergonomics of its interface, which proves its feasibility to use with the parents of prematurely born babies. Parents, who are increasingly involved in the care of preterm children in neonatal units, should learn about their children, and therefore may be benefited from the realistic technology. With this study, we highlight the idea about the importance of including the family members in the support towards the preterm baby, thereby preparing them for the care that should be provided at home, mitigating their insecurities and preventing the premature baby from possible complications that may take place after hospital discharge. Coupled with this, we can point out the importance of the use of technological tools in an era in which the advances in the field of technology only add value to the practices of the teaching-learning process
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D\'Agostini, Marcela Mobiglia. "Serious game e-Baby-Família: tecnologia educacional digital direcionada a oxigenação de bebês pré-termo desenvolvida junto ao pais." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-22122015-160529/.
Full textAbstract:
Mundialmente, estima-se que nasçam, por ano, 15 milhões de bebês pré-termo com alto risco de morbi-mortalidade neonatal, pós-neonatal e durante a infância, devido à imaturidade dos órgãos/sistemas, principalmente respiratório. Tanto que, re-hospitalizações, por afecções respiratórias, são comuns nesta população. Objetivou-se desenvolver uma tecnologia educacional digital, serious game, em e-learning e m-learning, que possua subsídios para suprir as necessidades de aprendizagem dos pais de bebês pré-termo. Utilizou-se o design participativo (DP), envolvendo os pais de pré-termo hospitalizados em unidade neonatal durante todo o desenvolvimento do game, da escolha da temática, roteiro à avaliação do game denominado e-Baby-Família. A oxigenação foi escolhida como tema principal, e todo o roteiro desenvolveu-se baseado nas necessidades elencadas pelos pais como necessárias ao aprendizado para a identificação de sinais de comprometimento respiratório e seus cuidados, a partir das questões norteadoras lançadas. Desse modo, a equipe técnica, programou um protótipo e as famílias avaliaram jogando, e por meio de suas sugestões e percepções da pesquisadora, o jogo foi aprimorado. As falas foram analisadas e categorizadas segundo Bardin: Categoria A: A aparência realística do cenário virtual e seu conteúdo do game e- Baby-Família e suas subcategorias: a aparência realística do bebê virtual no game e-Baby- Família; o realismo das situações do game e-Baby-Família se assemelham às experiências vividas pelos pais; o realismo das situações do game e-Baby-Família faz com que os pais se preparem para circunstancias que ainda não vivenciaram; aperfeiçoamento da aparência realística do bebê virtual do game e-Baby-Família. Categoria B Implicações da jogabilidade para o uso do game e-Baby-Família e suas subcategorias: satisfação dos pais de bebês pré- termo ao jogarem o e-Baby-Família; aperfeiçoamento no acesso e disponibilização do game e-Baby-Família; aquisição de conhecimento por meio do game e-Baby-Família. Portanto, pode-se concluir que, o e-Baby, família possui potencial para proporcionar ensino- aprendizagem mais flexível, atrativo, interativo, autônomo e real, principalmente por envolver os pais na fase de construção do design-jogo, visando diminuir ansiedade e insegurança da família na internação e alta hospitalar. Considera-se que o game trouxe satisfação e apreensão de conteúdos, remetendo-os ao vivido anteriormente, atualmente na unidade neonatal e despertando para a aprendizagem do que poderão vivenciar posteriormente no domicílio. O e-Baby-Família está adequado para uso dos pais, para um processo ensino-aprendizagem mais motivador, lúdico e eficazGlobally, about 15 million preterm babies are born every year with high risk of neonatal, post neonatal and childhood morbi-mortality due to immaturity of organs/systems, mainly respiratory. Common re-hospitalizations caused by respiratory conditions reinforces this picture. The aim of this research was to develop a digital educational technology which is a serious game, approaching both e-learning and m-learning, to supplement learning needs of preterm newborn\' parents. The method of development was participative design (PD), involving the parents of hospitalized preterm in neonatal unit throughout the development of the game, the choice of theme, script evaluate this game named e-Baby-family. Oxygenation was chosen as the main theme, and the whole script was developed based on the needs identified by parents as needed when learning to identify signs of respiratory impairment and their care, from the guiding questions posted. In this way, the technical team, programmed a prototype and families assessed playing, and through your suggestions and insights of the researcher, the game has been enhanced. Speeches were analyzed and categorized according to Bardin: Category A: chainmail virtual scenery and its content of the game e-Baby-family and its subcategories: the realistic appearance of the virtual game e-Baby-Family; the realism of the game and situations e-Baby-Family resemble the experiences by the parents; the realism of the game and situations e-Baby-family causes the parents to prepare for circumstances that have not yet experienced; improvement of the chainmail game and virtual e-Baby-family. Category (B) Implications of the gameplay for the use of the game e-Baby- family and its subcategories: satisfaction of parents of preterm babies to play e-Baby-Family; improvement in access and availability of game e-Baby-Family; knowledge acquisition through the game e-Baby-family. Therefore, we can conclude that, e-Baby, family has potential to provide teaching and learning more flexible, attractive, interactive, and real, especially by involving parents in the construction phase of design-game, aiming to decrease anxiety and insecurity of the family. It is considered the game brought satisfaction and apprehension of contents, referring them to the lived previously, currently in the neonatal unit and arousing for learning which may experience later at home. E-Baby-family is suitable for the use of parents, to a teaching-learning process more motivating, playful and effective
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Balci, Sibel. "Improving 8th Grade Students&." Master's thesis, METU, 2005. http://etd.lib.metu.edu.tr/upload/2/12605925/index.pdf.
Full textAbstract:
The purpose of this study was to investigate the effects of 5E learning cycle, conceptual change texts and traditional instruction on 8th grade students’
understanding of photosynthesis and respiration in plants. Besides, the effect of instruction on students&
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attitudes toward science as a school subject was investigated. One hundred and one, 8th grade students from three classes of one elementary school in Ankara attended in this study. This study was carried out during the fall semester of 2003-2004 academic year. The classes were randomly assigned as control and experimental groups. Students in the first experimental group (n=33) received 5E learning cycle based instruction, the second experimental group (n=34) received conceptual change text based instruction and students in the control group (n=34) received traditional instruction. Two-tier multiple-choice diagnostic test, Photosynthesis and Respiration in Plants Concept Test, was used to determine students&
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understanding of photosynthesis and respiration in plants. The test was administered to the sample of the study as pre- and post-test. Students&
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attitudes toward science and their reasoning abilities were measured by Attitude Scale Toward Science and Test of Logical Thinking respectively. The hypotheses of the study were tested by using analysis of covariance (ANCOVA). The results indicated that there were significant differences among the treatment groups with respect to their understanding of photosynthesis and respiration in plants. Both 5E learning cycle based instruction and conceptual change text based instruction were found effective to eliminate 8th grade students&
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misconceptions about photosynthesis and respiration in plants. The results also showed that there were no significant differences among the treatment groups with respect to attitudes toward science as a school subject.