Checking Inhaler Technique in the Community Pharmacy: Predictors of Critical Errors

Makhinova, Tatiana; Walker, Brandie; Gukert, Marlene; Kalvi, LeAnna; Guirguis, Lisa M.

doi:10.3390/pharmacy8010006

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…The present study found that MDI was the most commonly used inhaler device, followed by DPIs (Turbohaler and Diskus). Such results have been reported by previous asthma studies, specifically in Jordan 23 and worldwide 5,24,25 . Regarding MDI, our patients had poor inhaler technique; only 13.4% of MDI users used their device appropriately (had no error).…”

Section: Discussionsupporting

confidence: 87%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

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Background Improper use of asthma inhalers is one of the potential factors of poor asthma control among children. This study aimed to assess the proper handling of asthma inhalers and asthma control in addition to factors influencing them among pediatric patients who self‐administer their inhalers. Methods A cross‐sectional study was conducted in Jordan from February 2019 to February 2020. All eligible pediatric patients with asthma attending outpatient settings were approached. The inhalation technique was assessed according to a standard checklist, and asthma control was assessed using the Asthma Control Test. Results A total of 150 patients were included in this study. A metered dose inhaler (MDI) was the most commonly used inhaler device (89.4%) which was used appropriately by only 13.4% of participants. Whereas, appropriate use of Turbohaler and Diskus was reported by 38.5% and 28.9%, respectively. The higher level of parental knowledge was associated with higher number of correct MDI steps (OR = 1.066; 95% CI = 1.010–1.125; p = .020) and less reported errors in critical steps (OR = 0.949; 95% CI = 0.900–0.999; p = .047). Higher level of both parental education and pediatric average stigma score (less stigmatized) were associated with better asthma control ([OR = 5.181; 95% CI = 1.238–21.677; p = .024], [OR = 2.825; 95% CI = 1.420–5.619; p = .003], respectively). Conclusion Continuous education on appropriate inhaler self‐administration for asthmatic children is highly recommended. Clinical pharmacists play a major role toward improving the administration of inhalers through patient training and counseling.

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Section: Discussionsupporting

confidence: 87%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

View full text Add to dashboard Cite

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“…Cyclical training has a positive impact because pharmacists are able to refresh their knowledge and find motivation. A systematic review of effective inhalation techniques showed that the effect diminishes over time; therefore, it is important to conduct periodic training, not only for the benefit of patients but also for pharmacists [ 38 ]. Pharmacy students also have great potential.…”

Section: Discussionmentioning

confidence: 99%

The Influence of the Pharmacists’ Training on the Quality and Comprehensiveness of Professional Advice Given in the Field of Inhalation Techniques in Community Pharmacies in Poland

Waszyk-Nowaczyk

Guzenda

Targosz

et al. 2022

IJERPH

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Background: Following the example of other countries, it is very important to educate patients on the correct use of inhalers by properly trained healthcare professionals, including pharmacists. Objectives: The aim of the study was to assess the quality and comprehensiveness of professional advice given by pharmacists on the use of inhalers, which was determined by the pharmacists’ level of training. Methods: The study was conducted from June 2019 to March 2020. 150 pharmacists from Poznan and Warsaw (Poland) were involved. Before the study began, the professional education of 240 pharmacists was conducted in Warsaw to implement standard operating procedures. The study used the model of a mystery shopper. Results: The conversation with a trained pharmacist lasted on average 5.5 min, with an untrained one—3.0 min (p < 0.0001). Placebo inhalers were used more often by trained pharmacists during patients’ education (p < 0.0001). Moreover, 10.3% of untrained pharmacists did not provide any education. Additionally, untrained employees’ quality of advice was assessed on an average of 3.5 points, while trained ones—7.6 points (p < 0.0001). Conclusions: This study has shown that there is a need for professional training among pharmacists in Poland, which translates into better patient education in the field of inhalation techniques.

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“…Cyclical training has a positive impact, because pharmacists are able to refresh their knowledge and nd motivation. A systematic review of effective inhalation techniques has shown that the effect diminishes over time, therefore it is important to conduct periodic training, not only for the bene t of patients, but also for pharmacists [35]. Pharmacy students also have great potential.…”

Section: Discussionmentioning

confidence: 99%

The Influence of the Pharmacists’ Training on the Patients’ Education in the Field of Inhalation Techniques in Community Pharmacies in Poland

Waszyk-Nowaczyk

Targosz

Guzenda

et al. 2021

Preprint

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Background: Following the example of other countries, it is very important to educate patients on the correct use of inhalers by properly trained healthcare professionals, including pharmacists.Objectives: The aim of the study was to assess the quality and comprehensiveness of professional advice given by pharmacists on the use of inhalers, which was determined by the pharmacists’ level of training. Methods: The study was conducted from June 2019 to March 2020. 150 pharmacists from Poznan and Warsaw (Poland) were involved. Before the study began, the professional education of 240 pharmacists was conducted in Warsaw to implement standard operating procedures. The study used the model of a mystery patient.Results: The conversation with a trained pharmacist lasted on average 5.5 minutes, with an untrained one - 3.0 minutes. Placebo inhalers were used more often by trained pharmacists during patients’ education. 10.3% of untrained pharmacists did not provide any education. Additionally, untrained employees quality of advice were assessed on an average of 3.5 points, while trained ones - 7.6 points. Conclusions: This study has shown that there is a need for professional training among pharmacists in Poland, which translates into better patient education in the field of inhalation techniques.

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Checking Inhaler Technique in the Community Pharmacy: Predictors of Critical Errors

Cited by 9 publications

References 37 publications

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

The Influence of the Pharmacists’ Training on the Quality and Comprehensiveness of Professional Advice Given in the Field of Inhalation Techniques in Community Pharmacies in Poland

The Influence of the Pharmacists’ Training on the Patients’ Education in the Field of Inhalation Techniques in Community Pharmacies in Poland

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