Understanding the Knowledge Gap and Assessing Comfort Level among Healthcare Professionals Who Provide Inhaler Education

Karle, Ethan; Patel, Tarang; Zweig, Jason; Krvavac, Armin

doi:10.1080/15412555.2020.1746251

Cited by 10 publications

(6 citation statements)

References 34 publications

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“…Identifying gaps in pharmacists' knowledge, introducing appropriate courses and structured pharmacy educational programs, following the example of other countries could raise the level of knowledge and affect the readiness of pharmacists to act as educators [26][27][28][29].…”

Section: Resultsmentioning

confidence: 99%

Role of the Pharmacist in Improving Inhaler Technique in Patients' Opinion in Poznan (Poland)

PLEWKA¹

2022

FARMACIA

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Research shows that professional pharmaceutical services positively affect patients' compliance, errors avoidance and are costeffective for the healthcare system. Nevertheless, Poland still lacks health programs that could be carried out in a community pharmacy. Our study aimed to assess the opinions and preferences of patients regarding education on the proper use of inhalers, with particular emphasis on education conducted in community pharmacies. A survey was conducted from July 2019 to January 2020 among the patients of Polish clinics in Poznan, Poland. Respondents were asked to indicate their sources of knowledge on the proper technique of using inhalers and evaluate them. They also gave their opinion on whether they would like to receive this type of education in a pharmacy. One hundred seventy-eight patients participated in the survey. 18.5% of patients had never been educated on the inhalation technique. 10.4% of Poznan patients received education from a pharmacist and 68.3% from a physician. 63.8% of patients would like to obtain the information from a pharmacist, mainly at an age ranging from 18 to 40 (p = 0.0048) tears old, with higher and lower secondary education (p = 0.0393). Polish patients are not sufficiently educated on the correct use of inhalers. A solution could be to introduce educational programs led by pharmacists, especially as patients perceive the pharmacy as a suitable healthcare facility to obtain this type of information. RezumatCercetările arată că serviciile farmaceutice afectează pozitiv complianța pacienților și evitarea erorilor și sunt rentabile pentru sistemul de sănătate. Cu toate acestea, Polonia încă nu are programe de sănătate care ar putea fi realizate într-o farmacie comunitară. Studiul nostru și-a propus evaluarea opiniilor și a preferințelor pacienților cu privire la programele educative privind utilizarea corectă a inhalatoarelor, cu accent deosebit pe instruirea realizată în farmaciile comunitare. A fost realizat un sondaj în rândul pacienților care s-au prezentat la clinicile poloneze din Poznan, Polonia, în perioada iulie 2019 -ianuarie 2020. Respondenții au fost rugați să indice sursele lor de informare privind tehnica adecvată de utilizare a inhalatoarelor. De asemenea, aceștia și-au exprimat părerea referitor la posibilitatea informării în cadrul unei farmacii. Au participat la sondaj o sută șaptezeci și opt de pacienți. 18,5% dintre pacienți nu au fost niciodată informați cu privire la tehnica inhalării. 10,4% dintre pacienții din Poznan au primit informații de la un farmacist și 68,3% de la un medic. 63,8% dintre pacienți ar dori să obțină informațiile de la un farmacist. Pacienții polonezi nu sunt suficient de educați cu privire la utilizarea corectă a inhalatoarelor. O soluție ar putea fi introducerea unor programe educaționale conduse de farmaciști, mai ales că pacienții percep farmacia ca pe o unitate medicală potrivită pentru a obține acest tip de informații.

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Section: Resultsmentioning

confidence: 99%

Role of the Pharmacist in Improving Inhaler Technique in Patients' Opinion in Poznan (Poland)

PLEWKA¹

2022

FARMACIA

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“…Healthcare professionals play a vital role in educating patients on the proper use of inhalers, especially about mistakes and confusion regarding the technique [ 12 ]. There was a significant improvement in the inhaler technique after correcting the subject's errors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Metered Dose Inhaler Technique: Initial Assessment and Post-counseling Improvements Among the Indian Population

Haward,

Chakraborty

2024

Cureus

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Objective The objective of this study was to evaluate errors in the use of metered-dose inhalers (MDIs) among patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD). Additionally, we aimed to assess improvements following corrective interventions. Settings and design This cross-sectional study was done by simple random sampling. Methods and materials This study was done at a tertiary care center in South India in an outpatient department and ward for tuberculosis and chest disease to find out the right way to use an MDI and investigate the reasons why people with asthma and COPD don't use it correctly. There were a total of 12 steps. The patient was given an empty canister to try the inhalation technique and was scored one point for every correct step and zero for every incorrect step, for a total of 12 steps. Following the demonstration, an educator used a variety of tools, including verbal communication, pictorial demonstrations, and practical demonstrations, to correct the mistakes. After education was provided, post-interventional data was collected. Results During pre-intervention of the 12 steps out of the 183 participants, step one had 183 correct participants (100%), step two had 104 correct participants (56.83%), step three had 129 correct participants (70.49%), step four had 71 correct participants (38.79%), step five had 167 correct participants (91.25%), step six had 123 correct participants (67.21%), step seven had 132 correct participants (72.13%), step eight had 81 correct participants (43.71%), step nine had 123 correct participants (67.21%), step 10 had 108 correct participants (59.01%), step 11 had 128 correct participants (69.94%), and step 12 had 175 correct participants (95.62%). During the post-intervention of the 12 steps, out of the 183 participants, step one remained at 183 correct participants (100%), step two increased to 149 correct participants (81.42%), step three to step seven increased to 183 correct participants (100%), step eight increased to 142 correct participants (77.59%), step nine increased to 174 correct participants (95.08%), step 10 increased to 177 correct participants (96.72%), step 11 increased to 143 correct participants (78.14%) and step 12 increased to 177 correct participants (96.72%). Conclusion This study highlights the prevalent errors in the use of metered-dose inhalers (MDIs) among patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD). The results demonstrate significant improvements in the MDI technique. Following educational interventions such as verbal communication, pictorial demonstrations, and practical exercises, patients were able to correct their inhaler technique effectively and emphasized the importance of patient education and counseling to ensure the maintenance of correct usage over time.

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“…Incorporating these components remotely may be difficult for both patients and clinicians, with recent studies suggesting that clinicians may not feel able to educate, or knowledgeable about educating, patients on inhaler technique. 3 , 43 Also, remote reviews were seen as more rigid, and inadvertently facilitated the scripted delivery of asthma reviews, rather than being patient led.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, face-to-face reviews were perceived as "gold standard" as they also allowed checking of inhaler technique and conducting of measurements such as peak flow. Incorporating these components remotely may be difficult for both patients and clinicians, with recent studies suggesting that clinicians may not feel able to or feel knowledgeable about educating patients about inhaler technique (3,42). Also, remote reviews were seen as more rigid, and inadvertently facilitating the scripted delivery of asthma reviews, rather than being patient-led.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Management of asthma in primary care in the changing context of the COVID-19 pandemic: a qualitative longitudinal study with patients

Santillo

Tonkin‐Crine²,

Butler

2023

Br J Gen Pract

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Background: The COVID-19 pandemic dramatically affected asthma monitoring in primary care. Yet, patients’ views and experiences of managing their asthma and seeking help from primary care during the pandemic have not been explored. Aim: To investigate patients’ experiences of asthma management in the community during the COVID-19 pandemic. Design and setting: A qualitative longitudinal study using semi-structured interviews with asthma patients usually managed in primary care. Method: Interviews were audio recorded, transcribed and analysed using inductive temporal thematic analysis and trajectory approach. Results: Forty-six interviews were conducted with 18 asthma patients over eight months that covered contrasting stages of the pandemic. Patients felt less vulnerable as the pandemic subsided but the process of making sense of risk was dynamic and influenced by multiple factors. Patients relied on self-management strategies but felt that routine asthma reviews should still have been conducted during the COVID-19 pandemic and highlighted limited opportunities to discuss their asthma with health care professionals. Patients with well controlled symptoms felt that remote reviews were largely satisfactory but still felt that face to face reviews were necessary for certain aspects such as physical examination and patient-led discussion of sensitive or broader issues associated with asthma including mental health. Conclusions: The dynamic nature of patients’ perception of risk throughout the pandemic highlighted the need for a greater clarity regarding patients’ personal risk. Having opportunity to discuss their asthma is important to patients even during periods when access to face to face consultations in primary care is more restricted than usual.

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Understanding the Knowledge Gap and Assessing Comfort Level among Healthcare Professionals Who Provide Inhaler Education

Cited by 10 publications

References 34 publications

Role of the Pharmacist in Improving Inhaler Technique in Patients' Opinion in Poznan (Poland)

Role of the Pharmacist in Improving Inhaler Technique in Patients' Opinion in Poznan (Poland)

Evaluation of the Metered Dose Inhaler Technique: Initial Assessment and Post-counseling Improvements Among the Indian Population

Management of asthma in primary care in the changing context of the COVID-19 pandemic: a qualitative longitudinal study with patients

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