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
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