The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

EDUCATIONAL INTEVENTION TO IMPROVE MDI AND DPI PROFICIENCY AMONG RESPIRATORY THERAPISTS.

Angela M. Austin, Thomas D. Jones; UAMS, Little Rock, AR

BACKGROUND: At a rural hospital, I noticed frequent readmissions, improper frequency of medication and duplication of medication. At the bedside there was improper inhaler technique. This observation led me to believe there is a need for education of proper inhaler technique. OBJECTIVE: To evaluate the overall knowledge of MDI and DPI techniques among respiratory therapists in a rural community hospital using a single, on-line, self-directed educational session. METHODS: A heterogonous group of twelve credentialed practitioners were given a pre-test and post-test related to MDI and DPI techniques. Each participant was given a unique identifier for anonymous data analysis, with each practitioner servicing as his/her own control. After taking a pre-test with open-ended questions, each practitioner was directed to review a brief, on-line, multi-media educational presentation. After two weeks, the participants were re-tested with the same open-ended questions to analyze their retention of knowledge. There was 100% participation in the pre- and post-test process. The data was collected and analyzed using McNemar and Chi-Square tests with an Alpha of 0.05. RESULTS: The comparison of scores on the paired samples statistics indicates significant improvement in mean scores: MDI (23%) and DPI (43%). All practitioners showed improvement in retention on post-test scores. The three key steps for MDI technique that demonstrated the greatest improvement were: mouth seal, breath hold and wait between actuations. The four key steps for DPI technique that demonstrated the greatest improvement were: exhale away from the mouthpiece, hear capsule vibrate, breath hold and exhale away from the mouthpiece. CONCLUSIONS: The data analysis suggests credentialed respiratory therapists in a rural community hospital lack proper MDI and DPI techniques. A single, on-line, self-directed educational session demonstrating proper MDI and DPI technique is useful in improving MDI and DPI post-test scores. Annual proficiency testing using the on-line tool could be beneficial in retention of knowledge of proper MDI and DPI techniques and positively affect patient outcomes. Sponsored Research - None