scholarly journals A Survey of Suctioning Practices among Physical Therapists, Respiratory Therapists and Nurses

1999 ◽  
Vol 6 (6) ◽  
pp. 513-520 ◽  
Author(s):  
Dina Brooks ◽  
Sherra Solway ◽  
Ian Graham ◽  
Laurie Downes ◽  
Margaret Carter
Keyword(s):  
Registered Nurses ◽  
Physical Therapists ◽  
Mail Survey ◽  
Perfect Agreement ◽  
Main Indication ◽  
Respiratory Therapists ◽  
Professional Characteristics ◽  
Random Samples ◽  
Practice Variability ◽  
Harmful Effects

OBJECTIVE: To assess the current tracheal and oropharyngeal suctioning practice variability within and among the professions of physical therapy, respiratory therapy and nursing.DESIGN: A mail survey of physical therapists, respiratory therapists and registered nurses who perform suctioning. The survey instrument consisted of questions about professional characteristics, clinical suctioning practice and sociodemographics.SETTING: The survey was restricted to professionals practising within the province of Ontario.PARTICIPANTS: Random samples (n=448) were drawn from membership of the regulatory boards of all three professions.MAIN RESULTS: Fifty-eight per cent of respondents returned completed questionnaires. There was large variation in reports of gloving procedure (eg, double clean: 26% for physical therapists, 5% for respiratory therapists, 55% for registered nurses, P<0.0001) and technique of catheter use (sterile, inline or clean, P<0.01). There was also discrepancy in the techniques used to minimize harmful effects, ie, prelubrication with gel (83% for physical therapists, 54% for respiratory therapists, 17% for registered nurses, P<0.0001), use of hyperinflation (12% of physical therapists, 25% of respiratory therapists, 39% of registered nurses never hyperinflate) and use of instillation (7% of physical therapists, 0% of respiratory therapists, 19% of registered nurses never instill). However, there was agreement about the routine application of hyperoxygenation (74% or more) and there was almost perfect agreement (99% or more) within and across the three professions that secretion removal was the main indication for suctioning.CONCLUSIONS: The results of this study indicate a wide variation in suctioning techniques among physical therapists, respiratory therapists and registered nurses. Comparisons among professions revealed inconsistencies in some areas, such as the use of in-line catheters, gloving procedures, prelubrication and hyperinflation.

scholarly journals Companions in the Abyss: A Feasibility and Acceptability Study of an Online Therapy Group for Healthcare Providers Working During the COVID-19 Pandemic

2022 ◽  
Vol 12 ◽  
Author(s):  
Lorraine Smith-MacDonald ◽  
Jaimie Lusk ◽  
Dayna Lee-Baggley ◽  
Katherine Bright ◽  
Alexa Laidlaw ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Therapy Group ◽  
Healthcare Providers ◽  
Structured Interview ◽  
Outcome Data ◽  
Psychotherapeutic Intervention ◽  
Respiratory Therapists ◽  
The Third ◽  
Practical Nurses ◽  
Parametric Testing

Introduction:In the context of the global pandemic of the SARS-CoV-2 coronavirus (COVID-19), healthcare providers (HCPs) have experienced difficult moral and ethical dilemmas. Research is highlighting the importance of moral injury (MI)–a trauma syndrome related to transgressing personal morals and values–in understanding the psychological harm and occupational impairment experienced by HCPs. To date, MI treatments have largely been developed for military personnel and veterans and rely on in-person one-on-one psychotherapy.Purpose:This project aims to explore the feasibility and acceptability of an evidence-informed online Acceptance and Commitment Therapy-based group therapy for MI in HCPs called “Accepting Moral Pain and Suffering for Healthcare Providers” (AMPS-HCP).Method:This feasibility and acceptability study included three separate phases with the first two phases focused on the development of the psychotherapeutic intervention and the third phase focused on the evaluation of the psychotherapeutic intervention. Eight participants (including registered nurses, practical nurses and respiratory therapists) completed seven 90-min sessions in an online group format. The focus of these sessions included ACT and MI psychoeducation and experientials. Qualitative semi-structured interview data was thematically analyzed while demographic and quantitative self-reported outcome data underwent descriptive analysis and non-parametric testing.Results:Results show that the intervention was highly feasible and acceptable to healthcare providers who worked on the frontline during COVID-19. Feasibility (referrals, eligibility, retention, participation engagement) was strong (8 out of 10 participants; 80% vs. desired &gt;70% eligibility) and overall, 80% of participants completed 71% of the intervention. Data further supported the applicability and acceptability of the intervention. Preliminary data suggests that AMPS-HCP may supports HCPs to address MI.Discussion:This study is the first to report on the development and evaluation of an online MI group intervention for registered nurses, registered practical nurses, and respiratory therapists working during COVID-19. Results showed the use of both the online and group components of the intervention were acceptable and feasible during the third wave of COVID-19.

Clinicians’ Perception of Head-of-Bed Elevation

2010 ◽  
Vol 19 (2) ◽  
pp. 164-167 ◽  
Author(s):  
Chad Hiner ◽  
Tomoyo Kasuya ◽  
Christine Cottingham ◽  
JoAnne Whitney
Keyword(s):  
Registered Nurses ◽  
Occupational Therapists ◽  
Simulated Patient ◽  
Ventilator Associated Pneumonia ◽  
Medical Assistants ◽  
Respiratory Therapists ◽  
Bed Elevation ◽  
Correct Angle ◽  
Head Of Bed Elevation

Background Head-of-bed elevation of 30° to 45° is important in preventing ventilator-associated pneumonia, but clinicians’ perception and determination of head-of-bed elevation are not widely reported.Objectives To (1) document the accuracy of clinicians’ perception of head-of-bed elevation, (2) document methods clinicians use to determine the head-of-bed angle, and (3) assess knowledge of recommended head-of-bed elevation.Methods Clinicians (n = 175) viewed a simulated patient with head of bed elevated 30° and elevation gauge concealed. They answered 3 questions: What is the level of the head of the bed? What head-of-bed elevation is associated with decreased incidence of ventilator-associated pneumonia? When providing care, how do you routinely determine the head-of-bed elevation?Results Fifty percent of 89 registered nurses and 53% of 39 physicians identified head-of-bed elevation correctly (±5°). Head-of-bed elevation was perceived accurately by 86% of 21 respiratory therapists, 63% of 16 medical assistants, and 50% of 10 physical/occupational therapists. Ninety-five percent of nurses and respiratory therapists, 79% of physicians, 90% of physical/occupational therapists, and 46% of medical assistants correctly identified the head-of-bed angle associated with decreases in occurrence of ventilator-associated pneumonia. Techniques for determining the angle varied; 58% of respondents reported using the gauge.Conclusions Head-of-bed angle was perceived correctly by 50% to 86% of clinicians. Nurses tended to underestimate the angle, whereas other clinicians tended to overestimate. Nurses, respiratory therapists, and physical/occupational therapists showed the best understanding of the correct angle for minimizing occurrence of ventilator-associated pneumonia. Elevation gauges were most often used to determine the angle.

scholarly journals Physical Therapists’ Attitudes, Knowledge, and Practice Approaches Regarding People Who Are Obese

2009 ◽  
Vol 89 (8) ◽  
pp. 804-815 ◽  
Author(s):  
Suzanne Sack ◽  
Dianne Rigassio Radler ◽  
Kathleen K. Mairella ◽  
Riva Touger-Decker ◽  
Hafiz Khan
Keyword(s):  
Health Care ◽  
Physical Therapists ◽  
A Priori ◽  
Mail Survey ◽  
Knowledge Score ◽  
Work Force ◽  
Team Approach ◽  
Nutritional Habits ◽  
Attitudes And Knowledge ◽  
Knowledge And Practice

BackgroundLittle is known about physical therapists’ attitudes, knowledge, and practice approaches regarding people who are obese.ObjectiveThe objectives of this study were to determine physical therapists’ attitudes, knowledge, and practice approaches regarding obesity and to explore the relationships between attitudes and knowledge.DesignA prospective paper mail survey was designed to obtain demographic characteristics, attitudes, knowledge, and practice approaches regarding obesity. Participants were randomly selected members of the American Physical Therapy Association.MethodsDescriptive statistics were used to explore physical therapists’ attitudes, knowledge, and practice approaches regarding obesity. Pearson product moment and Spearman rank correlations were used to test the relationships between attitudes and knowledge. The a priori alpha value was set at .05.ResultsThe response rate was 34.5%. Physical therapists indicated that physical inactivity (92.8%, n=320) and overeating (78.5%, n=270) are the most important causes of obesity and that diet modifications and exercise are the most effective treatments. Respondents frequently recommended exercising more (87.4%, n=263) but rarely recommended changes in nutritional habits or referred clients to other health care disciplines. Attitude scores regarding obesity were neutral. The mean knowledge score was 6.7 (of 10). A significant correlation (r=.133, P=.043) was found between the respondents’ knowledge scores and attitudes regarding statements about obesity. Inverse correlations were seen between the respondents’ age and knowledge scores (r=−.195, P&lt;.0005) and between years in practice and knowledge scores (r= −.216, P&lt;.0005).LimitationsThe descriptive nature of this study did not allow for further investigation. The survey questionnaire was adapted from a nonvalidated tool.ConclusionsThe results suggested that physical therapists have neutral attitudes toward people who are obese. Physical therapists appropriately indicated that lack of physical activity and poor nutritional habits contribute to obesity. Younger respondents, who had recently entered the work force, had higher knowledge scores than respondents who were older and had worked longer. Improvements in physical therapists’ referral patterns may assist in the health care team approach to the treatment of obesity. Education to enhance physical therapists’ knowledge about obesity should be emphasized.

scholarly journals Transfer of Training: Improving the Effectiveness of Employee Training in Nepal

2013 ◽  
Vol 1 ◽  
pp. 51-61
Author(s):  
Bhawani Shankar Subedi
Keyword(s):  
Transfer Of Training ◽  
Mail Survey ◽  
Employee Training ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Doctoral Study ◽  
Descriptive Research ◽  
Site Survey ◽  
Random Samples

This paper presents a summary, conclusions and recommendations of a recent doctoral study titled ‘Transfer of Training: Improving the Effectiveness of Employee Training in Nepal’.The purpose of this study was to examine the extent of transfer and to identify factors influencing it in the context of civil and corporate sector organizations of Nepal. This cross sectional descriptive research included stratified random samples of organizations from four development regions of Nepal. Data were collected from 299 cases (56 managers, 78 supervisors and 165 employees, who received training within the last twelve months) using a mail survey, on-site survey, personal interviews, focus group discussions, training evaluation models, and observations for the verification of workplace evidences of transfer or non-transfer of the training. DOI: http://dx.doi.org/10.3126/jer.v1i0.7951 Journal of Education and Research 2008, Vol. 1, No. 1, pp. 51-61

scholarly journals Practitioner and Organizational Barriers to Evidence-based Practice of Physical Therapists for People With Stroke

2007 ◽  
Vol 87 (10) ◽  
pp. 1284-1303 ◽  
Author(s):  
Nancy M Salbach ◽  
Susan B Jaglal ◽  
Nicol Korner-Bitensky ◽  
Susan Rappolt ◽  
Dave Davis
Keyword(s):  
Self Efficacy ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Mail Survey ◽  
Research Literature ◽  
Academic Preparation ◽  
Evidence Based ◽  
Cross Sectional ◽  
Organizational Barriers ◽  
Almost All

Background and Purpose The purpose of this study was to identify practitioner barriers (education, attitudes and beliefs, interest and perceived role, and self-efficacy) and organizational barriers (perceived support and resources) to physical therapists’ implementation of evidence-based practice (EBP) for people with stroke. Subjects The participants were 270 physical therapists providing services to people with stroke in Ontario, Canada. Methods A cross-sectional mail survey was conducted. Results Only half of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. Although 78% agreed that research findings are useful, 55% agreed that a divide exists between research and practice. Almost all respondents were interested in learning EBP skills; however, 50% indicated that physical therapists should not be responsible for conducting literature reviews. Average self-efficacy ratings were between 50% and 80% for searching and appraising the literature and below 50% for critically appraising psychometric properties and understanding statistical analyses. Despite Internet access at work for 80% of respondents, only 8% were given protected work time to search and appraise the literature. Discussion and Conclusion Lack of education, negative perceptions about research and physical therapists’ role in EBP, and low self-efficacy to perform EBP activities represent barriers to implementing EBP for people with stroke that can be addressed through continuing education. Organizational provision of access to Web-based resources is likely insufficient to enhance research use by clinicians.

scholarly journals Violence and Sexual Harassment

AAOHN Journal ◽  
1996 ◽  
Vol 44 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Margie Ford Williams
Keyword(s):  
Job Satisfaction ◽  
Sexual Harassment ◽  
Registered Nurses ◽  
Significant Relationship ◽  
Personal Experience ◽  
Mail Survey ◽  
Active Role ◽  
Bivariate Analysis ◽  
Physical Assault ◽  
Sexual Assaults

This study sought to determine the prevalence and impact of violence and sexual harassment experienced by registered nurses (RNs) in their workplaces in Illinois. A random sample of 1,130 RNs were selected to participate in the mail survey. The instrument used was the Nurse Assault Survey originally developed by the Nurse Assault Project Team in Ontario, Canada, and modified by the author. Three hundred forty-five subjects completed the survey (response rate: 30%). Fifty-seven percent of those responding reported personal experience with some aspect of sexual harassment, and 26% reported being victimized by physical assault while on the job. About one third of those who indicated they had been sexually harassed also had been physically assaulted. Patients/clients were the most frequent perpetrators of sexual harassment and physical assault, while physicians committed over half of the sexual assaults. Bivariate analysis showed a significant relationship between physical assault and levels of job satisfaction. A significant relationship also was found between sexual harassment and levels of job satisfaction. Results demonstrate that nurses need to take an active role in fostering a work environment free from violence and sexual harassment. They should be knowledgeable about institutional policies and, where none exist, they should work with administrators to develop them. Prevention and intervention programs should be developed for both student and registered nurses.

Predictors of Service-Delivery Models in Center-Based Early Intervention

1994 ◽  
Vol 61 (1) ◽  
pp. 56-71 ◽  
Author(s):  
R. A. McWilliam ◽  
Donald B. Bailey
Keyword(s):  
Service Delivery ◽  
Special Educators ◽  
Physical Therapists ◽  
Mail Survey ◽  
Occupational Therapists ◽  
Speech Language Pathologists ◽  
Service Delivery Models ◽  
Special Services ◽  
Childhood Intervention ◽  
Delivery Models

This study examined the perceptions of early childhood intervention professionals toward the integration of special services into regular classrooms, rather than through segregated, pullout approaches. A mail survey of occupational therapists, physical therapists, special educators, and speech-language pathologists asked (a) what practitioners perceived as their typical and ideal practices and (b) what influenced their choices of service-delivery models. Multiple-regression analyses were used to determine how choice of models for different situations predicted the extent to which respondents used integrated practices. Results showed that special educators were most likely to use and favor integrated services, followed by occupational therapists, speech-language pathologists, and physical therapists.

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