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INHALER TECHNIQUE IN A PEDIATRIC EMERGENCY DEPARTMENT: IMPACT OF AN EDUCATION INTERVENTION AMONG HEALTHCARE PROFESSIONALS
  • +3
  • Ana Jove Blanco,
  • Javier Toledano Revenga,
  • Arístides Rivas García,
  • Paula Vazquez López,
  • Jorge Lorente Romero,
  • Rafael Marañón
Ana Jove Blanco
Hospital General Universitario Gregorio Maranon

Corresponding Author:[email protected]

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Javier Toledano Revenga
Hospital General Universitario Gregorio Maranon
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Arístides Rivas García
Hospital General Universitario Gregorio Maranon
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Paula Vazquez López
Hospital General Universitario Gregorio Maranon
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Jorge Lorente Romero
Hospital General Universitario Gregorio Maranon
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Rafael Marañón
Hospital General Universitario Gregorio Maranon
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Abstract

Background: Inhaler technique (IT) knowledge among healthcare providers is poor. The aim was to improve PED healthcare providers’ IT technique by carrying out an education intervention, and sustain it for 6 months. Methods: open-label, quasi-experimental, prospective and unicentric study. Healthcare professionals working at the Pediatric Emergency Department (PED) were enrolled. The study was developed in three phases: baseline evaluation and education intervention (P1) and reevaluation 1 month (P2) and 6 months (P3) after the education intervention. Participants fulfilled an eight-question theoretical test. Practical skills were evaluated by demonstrating IT in all three phases. The education intervention consisted in a verbal explanation of IT followed by a demonstration of IT with metered-dose inhaler using a mannequin. Results: 84 healthcare providers (medical residents, nurses and nursing assistants) were involved. In the theoretical questionnaire, the mean score at baseline was 4.4/8 (SD 1.7) improving to 6.3/8 (SD 1.2) in P2 and 6.47/8 (SD 1.1) in P3. In the IT evaluation for children <7 years old, the score improved from 5.7/7 (SD1.3) to 6.5/7 in P2 and 6.7/7 in P3 (p<0.001). For children >7 years old, the mean score of IT at baseline was 3.1/10 (SD 4), which improved to 7.4/10 (SD3) and 8.2/10 in P2 and P3 respectively (p<0.001). Only laboral category influenced results at baseline. Conclusion: Healthcare providers’ theoretical knowledge and practical skills on IT are low. The education intervention performed is a useful strategy to ameliorate IT among healthcare providers.
11 Apr 2022Submitted to Pediatric Pulmonology
11 Apr 2022Submission Checks Completed
11 Apr 2022Assigned to Editor
22 Apr 2022Reviewer(s) Assigned
09 Jul 2022Review(s) Completed, Editorial Evaluation Pending
22 Jul 2022Editorial Decision: Revise Minor
03 Aug 20221st Revision Received
28 Aug 2022Submission Checks Completed
28 Aug 2022Assigned to Editor
28 Aug 2022Reviewer(s) Assigned
26 Sep 2022Review(s) Completed, Editorial Evaluation Pending
10 Oct 2022Editorial Decision: Accept