The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals
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The Ohio State University / OhioLINK
2011
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=osu1316123707 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu13161237072021-08-03T06:03:47Z The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals Johnson, Kimberly Lynn Health Care Health Care Management Respiratory therapy respiratory care orientation training competency assessment methods BACKGROUND: The healthcare industry relies on hospitals to employ competent individuals providing care to patients in many different specialties. There is a lack of research available that effectively describes the current state of Respiratory Therapy department orientation. The purposes of this study were to describe how respiratory therapy department managers have structured their new employee orientations programs to verify competency (using the competencies from the AARC’s 2015 and Beyond) and describe how these programs were designed to meet the JC standards. METHODS: This study was executed through the use of survey research methodology and used the list serves for the national Management and Education Section Memberships of the AARC to distribute the survey invitation email, which totaled 2,907 members. A request was made in the email for the recipient to forward the survey to the individual in the department who is responsible for new employee orientation. Thirty-seven of the sixty-nine competencies outlined in the 2015 & Beyond initiative were selected. The JC standards originated from the Human Resources section of the 2010 Hospital Accreditation Program Standards. RESULTS: From 449 respondents who accessed the online survey, 333 met the inclusion criteria. Fifty-five percent of respondents described their hospital type as a community hospital, 30.1% as Academic/Teaching, 4.0% as Children’s, and under the other option respondents listed types of hospitals as: LTACHs, specialty, and cardiology. Forty-two percent of respondents described their hospital location as urban, 30.6% as suburban, and 26.9% rural. Two hundred twenty-six (77%) respondents indicated newly hired staff therapists receive individualized orientation programs based on their needs or passed experience. Individuals responsible for conducting newly hired staff therapist orientation reported that additional training had been completed in order to be qualified to assure new staff competency. Of the AARC 2015 and Beyond competencies, 36 of the selected 37 were most frequently assessed with the observation of performing task (check-off) option. Only 8 out of 37 competencies were not assessed by greater than 25% of respondents. The JC topics for assessment used mixed methods, most commonly computer based learning, lecture, and handouts. All JC topics in the survey were covered by greater than 95% of respondents except for early warning signs of a changing patient condition. Significant differences were found between competency assurance for both location and hospital type for several competencies. Probationary periods of 60-90 days were frequently reported as a timeframe where new employees were expected demonstrate competency prior to termination. CONCLUSION: RT departments are qualified and excelling in assessing competency for new staff therapists and should continue to incorporate advanced skills for the 2015 & Beyond initiative. Methods used to assess competency should incorporate those beyond traditional tests and check-offs. Departments should consider the use of simulators due to the added benefits of learning retention, critical thinking, and teamwork skills. 2011-10-20 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1316123707 http://rave.ohiolink.edu/etdc/view?acc_num=osu1316123707 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Health Care Health Care Management Respiratory therapy respiratory care orientation training competency assessment methods |
| spellingShingle |
Health Care Health Care Management Respiratory therapy respiratory care orientation training competency assessment methods Johnson, Kimberly Lynn The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| author |
Johnson, Kimberly Lynn |
| author_facet |
Johnson, Kimberly Lynn |
| author_sort |
Johnson, Kimberly Lynn |
| title |
The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| title_short |
The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| title_full |
The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| title_fullStr |
The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| title_full_unstemmed |
The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals |
| title_sort |
structure and implementation of respiratory therapy orientation for clinical staff in acute care hospitals |
| publisher |
The Ohio State University / OhioLINK |
| publishDate |
2011 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1316123707 |
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AT johnsonkimberlylynn thestructureandimplementationofrespiratorytherapyorientationforclinicalstaffinacutecarehospitals AT johnsonkimberlylynn structureandimplementationofrespiratorytherapyorientationforclinicalstaffinacutecarehospitals |
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