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Perspectives on Incentive Spirometry Utility and Patient Protocols.

Adam E M Eltorai1, Grayson L Baird2,3, Ashley Szabo Eltorai2

  • 1Yale University School of Medicine, New Haven, Connecticut. adam_eltorai@brown.edu.

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|January 25, 2018
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Summary
This summary is machine-generated.

Healthcare professionals widely believe incentive spirometry (IS) is essential for patient care and preventing complications, despite limited evidence. Their varied beliefs on IS use highlight a lack of standardized protocols and evidence-based guidelines.

Keywords:
incentive spirometrynurseperspectivespostoperative carerespiratory therapy

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Area of Science:

  • Pulmonary Medicine
  • Healthcare Professional Education
  • Clinical Practice Guidelines

Background:

  • Incentive spirometry (IS) is a common intervention for preventing postoperative pulmonary complications.
  • Existing clinical data on IS effectiveness is limited, and standardized protocols for its use are lacking.

Purpose of the Study:

  • To evaluate healthcare professionals' perspectives on the effectiveness of incentive spirometry (IS).
  • To assess current beliefs regarding standardized use procedures for IS in clinical practice.

Main Methods:

  • An online survey was disseminated to national nursing and respiratory care societies via social media and newsletters.
  • Attitudes towards IS were compared between the American Association for Respiratory Care (AARC) and nursing society members.

Main Results:

  • A high percentage of respondents (over 90%) believe IS is essential for patient care, improves pulmonary function, and helps prevent/reverse atelectasis.
  • Most respondents believe IS is effective in preventing pneumonia and comparable to other methods like deep-breathing exercises.
  • Significant discrepancies were noted in perceived IS utility between AARC members and nursing societies, despite most reporting adequate IS education.

Conclusions:

  • A significant gap exists between healthcare professionals' beliefs about IS and the available clinical evidence.
  • Variability in perceived appropriate IS use procedures highlights the lack of standardized, evidence-based protocols in the literature.
  • Further research is needed to establish standardized, evidence-based guidelines for incentive spirometry use.