Nurses' performance of inhalation technique with metered-dose inhaler plus spacer device

Ann Pharmacother. 1993 Feb;27(2):185-7. doi: 10.1177/106002809302700211.

Abstract

Objective: To determine if nurses could correctly use a metered-dose inhaler plus spacer (MDI-spacer) device after a brief description and demonstration of proper use by a clinical pharmacist.

Design: Pretest, educational intervention, posttest.

Setting: University hospital.

Participants: Twenty-three nurses.

Interventions: Nurses were asked to use the MDI-spacer (Aerochamber) and were scored using a nine-point checklist (pretest). Educational intervention by the clinical pharmacist consisted of a five-minute discussion and correct demonstration of the device. Nurses were then asked to use the device again (posttest).

Main outcome measures: Pre- and posttest scores.

Results: Total scores were improved after the educational intervention (66 percent pretest vs. 88 percent posttest, p = 0.0001). In an item analysis, four of the nine steps had improved significantly.

Conclusions: A brief discussion and demonstration of correct use of MDI-spacers is effective in improving nurses' skill in using the device.

MeSH terms

  • Clinical Competence
  • Hospitals, University
  • Humans
  • Inservice Training
  • Nebulizers and Vaporizers*
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / standards*
  • Task Performance and Analysis*
  • Tennessee