[[alternative]]Exploration of Working Situation and Practicing Competencies for Respiratory Therapists in Taiwan：A Preliminary Study for Modular Courses of Employability

[[abstract]]本研究目的在探討台灣醫院場域呼吸治療師工作情境及其執業能力項目的常見性和重要性，並分析不同工作期別（雇用時、起始期、和後續發展期）呼吸治療師被期待具備的執業能力。本研究採修正型德懷術分兩階段進行。第一階段先確認呼吸治療師單位的工作場域，使用的方法包括文獻考察、職場參與式觀察與記錄以及訪談（醫學中心1位以及區域醫院2位合計3位資深呼吸治療師），以收集各類情境中呼吸治療師應具備的知識、態度、技能與文化等能力。第二階段將所收集資料的分析結果編製為問卷，發給德懷專家進行二回合的意見調查。資料分析方面，第一階段將收集的觀察與訪談資料採內容分析法進行分析，第二階段將各回合問卷獲得之資料進行描述性統計分析（眾數、平均數、標準差以及四分位差）。邀請北、中、南、東資深呼吸治療師18位以及2位任職於大學呼吸治療學系的老師，擔任本研究的德懷專家，合計20位。二回合的問卷回收均達100%，研究歸納出呼吸治療師9類70項工作情境，重要性高度且常見性高度者有8類44項，重要性高度且常見性中度者有7類20項，重要性高度且常見性低度者有1類6項；被期待具備的執業能力有9類123項執業能力，重要性高度且常見性高度者有8類81項，重要性高度且常見性中度者有4類16項，重要性高度且常見性低度者有4類21項，重要性中度且常見性低度者有1類5項。進一步分析執業能力中，歸屬為雇用時能力有6類29項，為起始期能力有9類61項，為後續發展期能力有6類15項，尚有7類18項無法歸類。研究結果可作為各學校呼吸治療學系、台灣呼吸治療學會、各公會以及各醫療單位，依據就業或不同執業階段等需求，規劃在職教育訓練或就業模組等課程時編製教材時的依據，而學習者也能依據自己未來就業或執業的能力階段接受就業模組或在職教育訓練的課程。[[abstract]]The study is to explore the working situations and practicing competencies of respiratory therapists and both importance and occurring of these items in the hospital in Taiwan. We analyzed the expected practicing competencies of respiratory therapists in three different working stages（hiring、initiating and ongoing）. The entire research was proceeding with two phases by performing Delphi Technique. Firstly, I adopt interview and record clinical observation, literature-review. I interview with 3 senior staffs in 3 different medical centers and collect the competencies in knowledge, attitude, skill, and culture. Secondly, the data of questionnaire had been analyzed by means, modes, standard deviation of descriptive statics. We invited 20 experts included 18 respiratory therapists in the north, the middle, the east, and the south of Taiwan and 2 teachers. Two rounds of questionnaires were returned by the rate of 100 percent. The results indicated that: totally 9 categories including 70 items of working situations. The situations which valued highly in both importance and occurring among all have 8 categories and 44 items, the ones valued highly in importance but moderate occurring situations have 7 categories and 20 items, the ones valued highly in importance but low occurring situations have 1 category and 6 items. The practicing competencies were totally 9 categories, including of 123 items. The practicing competencies which valued highly in both importance and occurring among all have 8 categories and 81 items, the ones valued highly in importance but moderate occurring practicing competencies have 4 categories and 16 items, the ones valued highly in importance but low occurring practicing competencies have 4 categories and 21 items, the ones valued moderate in importance but low occurring situations have 1 category and 5 items. The conclusion could assist respiratory therapist not only for society or association , the department of respiratory care, and the school of respiratory therapy but also for consultation to recruit and design on-job training as well as staff development programs. Furthermore, it not only could facilitate teachers designing the working situations of modular curriculum, arranging the teaching contents and sequences, but also facilitate learners to choose the curriculum by themelves