Incorrect Use of Metered Dose Inhalers by Medical Personnel

Guidry, G G; brown, w .david; Stogner, Steven W.; George, Ronald B.

doi:10.1378/chest.101.1.31

Cited by 97 publications

(32 citation statements)

References 9 publications

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“…Various other studies on nurses have also reported similar results about demonstration of these important steps. 10,14 One study conducted by Plaza et al on-healthcare workers has also shown poor practical knowledge. 15 The reasons might be due to fact that nurses have not attended the training programme and workshop regularly related to these steps.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, practices of inhalational therapy among nursing staff posted at tertiary care teaching hospital

2017

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Background: Inhalational therapy for patients with chronic respiratory disorder can greatly benefit. Nurses are one of the major components of health care system of hospital and have an important role in education and training of patients. This study was planned to assess knowledge, attitude, and practices of inhalational therapy among nurses.Methods: This questionnaire based cross sectional study was conducted after taking permission from the institutional ethics committee in all the nurses of a tertiary care teaching hospital. This questionnaire consists of few socio-demographic questions and other questions for assessing level of knowledge, attitudes, and practices related to inhalational therapy. Incompletely filled questionnaire were excluded out for data analysis. Data was interpreted in percentage.Results: Total 344 (87.31%) questionnaires were analysed. 334 (97.09%) have heard the term inhalational therapy and 310 (90.12%) responded that it is preferred in respiratory disease. 117 (34.01%) nurses could not mention single side effect of inhalational therapy. 178 (51.74%) nurses always assess/observe the patient and 211 (61.34%) always train the patients for correct inhalational technique. 165 (47.97%) nurses responded that knowledge of inhaler use came from attending meetings, courses or workshops organized by scientific bodies. 163 (47.38%) nurses considered ‘Disease to be treated’ the most important variable while prescribing an inhalational device.Conclusions: The knowledge of inhalational therapy was satisfactory while the demonstration of inhaler techniques to patients was moderate in this study. So regular training courses and workshop should be conducted for the nurses about inhalational therapy practical approach.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, practices of inhalational therapy among nursing staff posted at tertiary care teaching hospital

2017

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“…This may be because clinicians do not realize the importance of technique assessment, because of time constraints during clinic visits and because many other health professionals responsible for patient education in inhaler technique often do not understand the factors responsible for the optimal delivery of the inhaled medication. 13 The steps included in the inhalation technique are very important in achieving the maximum benefit from the inhaler device. For example, to mix the medication with the propellant, an MDI must be shaken well before the inhalation maneuver.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Different Inhaler Devices in Asthmatic Children

Alsheri

2003

Ann Saudi Med

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Background:The inhaler is an important drug delivery system in the treatment of asthma, but inhaler technique is often inadequate. We assessed technique in children diagnosed with asthma, comparing the performance of three devices. Patients and Methods:In a cross-sectional survey, 523 children (271 boys, 252 girls, ages 5 to 12 years; mean±SD 7.53±1.79 years) demonstrated inhalation technique according to Netherlands Asthma Foundation criteria during a first visit to a primary care clinic in Abha, Saudi Arabia. Patients used the device with which they were most familiar (either pMDI, Turbuhaler or Diskus). Results: Two hundred children (38% of total population) used a pMDI, while 323 (62% of total population) used one of the dry powder inhalers‹173 (58%) the Turbuhaler and 150 (47%) the Diskus. Only 49 children (25% of the total population) completed the assessment without making a mistake. The remaining 474 (75% of the total population) performed one or more manuevers poorly. Only 80 children who used an MDI (40% of those using the device) completed 50% or more of the maneuvers correctly compared with 111 (69% of those using the device) and 100 (67% of those using the device) of those using the Turbuhaler and Diskus, respectively (P=0.001 for comparison of MDI with dry powder inhalers). Children whose mothers had intermediate school or higher education performed better than those whose mothers had less education (P=0.001). The father's education had no bearing on performance with the inhaler. Conclusion:The inhaler technique of most asthmatic children is poor, but technique is better in children who use a dry powder compared a metered-dose inhaler. The level of the mother's education is positively associated with better inhalation technique in the child. Ann Saudi Med 23 (6): [349][350][351][352][353]

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“…Although improper use and underuse often coexist in the same patient, improper use may not correlate with underuse. 55 Several studies have suggested that the poor inhalation techniques among patients is not surprising when health professionals such as doctors, respiratory therapists, nurses and pharmacists who are involved in educating patients on inhalation techniques, themselves are known to have poor knowledge to use those devices. 56,57 However, in contrast to our findings, some studies have reported that adherence is higher to oral form of medication than to inhalation form.…”

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confidence: 99%