The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

STAFF AND PATIENT SATISFACTION WITH A BREATH ACTUATED NEBULIZER PERFORMANCE IMPROVEMENT

John S. Emberger1, Joel Brown1, Vinay Maheshwari1,2, Lorraine Killian1; 1Respiratory Care, Christiana Care Health System, Newark, DE; 2Medicine, Christiana Care Health System, Newark, DE

BACKGROUND: New advanced nebulizer designs have been developed to improve delivery of medications. Patients with chronic obstructive lung disease as well as Respiratory Care Practitioners are accustomed to standard nebulizers for medication therapy. A performance improvement project evaluating a breath actuated nebulizer (Aeroeclipse┬« II, Monaghan Medical) approved by our Pharmacy and Therapeutics Committee was performed at our hospital. We investigated if a breath actuated nebulizer (BAN) would improve the satisifaction of the patients and the respiratory staff for aspects of care associated with the nebulizer therapy. METHODS: An IRB approved retrospective review of the surveys from our BAN patients and surveys of the respiratory therapists who performed BAN therapy was conducted. All of the survey questions were in a Likert scale format: “On a scale of 1 to 5, 5 being the BAN was superior to standard nebulizer, 1 being BAN was inferior to the standard nebulizer”. Rating categories included: Relief of symptoms, Ease of Use, Time of treatment, Care given by the respiratory therapist and Overall rating. RESULTS: There were 43 respiratory therapists surveyed about BAN therapy. There were 70 patients surveyed about BAN therapy. See chart for survey data. Patients were satisfied with the BAN therapy over standard nebulizer therapy averaging scores from 4.3 to 4.9 out of 5.0 for the aspects surveyed. Respiratory staff were satisfied with BAN therapy over standard nebulizer therapy with survey scores ranging from 4.0 to 4.7 out of 5.0 for the aspects surveyed. There were no survey results from patients or respiratory staff lower than a score of 3. CONCLUSION: Bronchodilator treatment for patients with obstructive diseases such as Asthma and COPD have conventionally used standard small volume nebulizers. Our study evaluated surveys for use of breath actuated nebulizers to assess the satisfaction of both patients and respiratory care staff. No surveys from staff or patients reflected preference of standard nebulizers. Patients and therapists were satisfied with BAN therapy in our performance improvement project. Sponsored Research - None

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