An exploration of perceptions of U.S.-based respiratory care department leaders regarding advanced degrees among their clinical staff
Kristen L. McHenry, Camille Stover, Veronica Menchaca-Perez, Jennifer L. Gresham-Anderson, Karsten J. RobertsBackground
Though the skill set and scope of practice for respiratory therapists (RT) have expanded over the years, the minimum degree required for entry into practice has remained at the associate-degree level. Respiratory department leadership set the tone for hiring preferences and education expectations for their staff. The purpose of this study is to understand the perceptions of RT department managers/directors regarding RTs with advanced degrees (bachelor’s or higher).
Methods
Twenty virtual semi-structured interviews with RT department leaders from across the United States were conducted between February and March 2026. Transcripts were coded by four investigators and analyzed for themes.
Results
Of the 20 participants, 12 were department managers and 8 were directors. Nine were female and 11 were male. There was near-equal distribution across the four demographic regions. Nine participants reported having earned the AARC Apex designation for Acute Care facilities. Interview questions were categorized into five content areas: (1) Value and Perception of RT, (2) Impact of Advanced Degrees, (3) Leadership and Career Advancement, (4) Support, Barriers, and Professional Development, and (5) Future Outlook of the Profession. There was a perceived status gap between the operational value of RTs and the undervaluation of their professional identity. There was a common theme that an advanced degree could positively impact patient outcomes, but leadership needs more tangible evidence. An advanced degree may provide distinguishable legitimacy that complements RTs’ experience and credentials. Participants feel that formal education and localized professional development serve different but equally vital purposes. There was a reported desire for higher-educated RTs, but there is a quantity crisis that must also be navigated.
Conclusions
This study explored leadership perceptions regarding advanced respiratory care degrees, finding that while leaders value higher education alongside credentials and experience as vital for advancing the profession, key barriers to acquisition remain.