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Patterns and factors associated with respiratory care protocol use.

Ashley Y Metcalf1, James K Stoller2, Timothy D Fry3

  • 1College of Business, Ohio University, Athens, Ohio. metcalfa@ohio.edu.

Respiratory Care
|January 29, 2015
PubMed
Summary

Hospital size, stakeholder support, and information systems influence the adoption of respiratory care protocols. Larger hospitals and those with strong support and advanced systems use these protocols more effectively.

Keywords:
empirical researchempowermentinformation systemsorganizational studyprotocolsqualityrespiratory care

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Area of Science:

  • Healthcare Management
  • Respiratory Care
  • Health Informatics

Background:

  • Organizational factors influencing respiratory care protocol adoption are understudied.
  • This research investigates hospital and provider characteristics linked to protocol use.

Purpose of the Study:

  • To identify features of hospitals and healthcare providers associated with the adoption and utilization of respiratory care protocols.
  • To understand the relationship between hospital characteristics and the extent of respiratory care protocol implementation.

Main Methods:

  • A survey was administered to 44 hospitals and their healthcare providers.
  • Data collected included perceived outcomes, support for protocols, and hospital features (size, teaching status, information systems).
  • Descriptive statistics and multivariate logistic regression were employed for analysis.

Main Results:

  • Oxygen titration and ventilator weaning protocols were most frequently used.
  • Larger hospitals (>350 beds) demonstrated wider protocol adoption compared to smaller facilities (P = .01).
  • Key factors associated with overall protocol use included stakeholder support and high-quality hospital information systems.

Conclusions:

  • This study identifies specific hospital and provider features that correlate with respiratory care protocol use.
  • Findings enhance understanding of organizational influences on protocol implementation in healthcare settings.
  • Further validation in future studies is recommended to advance this knowledge.