About The National Alliance of Respiratory Therapy Regulatory

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The outer ring — Assessment, Decision, Planning, Intervention, Evaluation

It is inspired by the ADPIE framework (Assessment, Diagnosis, Planning, Implementation, and Evaluation, American Nursing Association, 2022). This framework is commonly used in healthcare to refer to the process of care. The steps represent a systematic approach to patient care and are used to direct the delivery of care, ensure comprehensive and effective intervention, and guide continuous learning. ADPIE is a cyclical process, which has been integrated throughout the competency profile. Respiratory therapists continually repeat these steps to ensure that the care provided is evidence-based, individualized, and responsive to the changing needs of the patient.

The ADPIE ring serves to highlight key behaviours contained within the process and their applicability to all domains of expertise.

 “Diagnosis” is not used in this profile, as it is considered a controlled/reserved act in most jurisdictions. This means that it can only be performed by qualified healthcare professionals who are authorized by law to do so. While respiratory therapists contribute to the determination of a patient’s diagnosis, they are not permitted to
do so autonomously. As a result, the term “Decision” is used in this profile.