0
Education, Teaching, and Quality Improvement |

Nurses’ Knowledge of Inhaler Technique in the Inpatient Hospital Setting

Katie DeTratto, BSN; Christy Gomez, BSN; Catherine Ryan, PhD; Nina Bracken, MS; Susan Corbridge, PhD
Chest. 2013;144(4_MeetingAbstracts):531A. doi:10.1378/chest.1702318
Text Size: A A A
Published online

Abstract

SESSION TITLE: Clinical Improvement Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: The purpose of this study was to explore inpatient staff nurses’ perception of their knowledge and demonstrated performance of proper inhaler technique.

METHODS: 100 nurses working on medical units at a large urban medical center participated in the study. Participants completed an author developed 5-item, Likert-scale survey evaluating: 1) perception of their own knowledge regarding proper use of two common prescription inhalers (metered dose inhaler and Diskus® inhaler); 2) frequency of their performance of patient inhaler education; 3) perception of who is responsible for patient education. Participants demonstrated inhaler technique to the investigators using both devices, and performance was measured via a checklist.

RESULTS: Misuse rates were high for both MDI and Diskus® (82% and 92% respectively). There was poor agreement between perceived ability and performance for both devices. Seventy-one percent either agreed or strongly agreed that they knew how to properly use a MDI device, however measured rate of misuse was 79% (kappa 0.07; 95% CI). Sixty-one percent either agreed or strongly agreed that they knew how to properly use the Diskus® device, however measured rate of misuse was 88% (kappa 0.07; 95% CI). Frequency of Diskus® device teaching by nurses during hospitalization and at discharge was correlated with higher scores on the checklist (during hospitalization [rs] = 0.373, p = 0.0001; discharge [rs] = 0.250, p = 0.012); but not for the MDI device (hospitalization [rs] = 0.179, p = 0.074; discharge [rs] = 0.135, p = 0.179).

CONCLUSIONS: Identifying gaps in nursing knowledge regarding proper inhaler technique for patient education is important to improve patient outcomes.

CLINICAL IMPLICATIONS: Interventions that would improve nursing knowledge of proper inhaler technique could include one on one education, web-based education, unit-based education, or hospital-wide competency-based education with return demonstration.

DISCLOSURE: The following authors have nothing to disclose: Katie DeTratto, Christy Gomez, Catherine Ryan, Nina Bracken, Susan Corbridge

No Product/Research Disclosure Information


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543