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Brief Education Improves Proper Metered-Dose Inhaler Use.

Dwayne A Kellman1, Kenneth V Iserson2, Robert D Levy3

  • 1Department of Emergency Medicine, Georgetown Public Hospital, Georgetown, Guyana.

The Journal of Emergency Medicine
|April 5, 2020
PubMed
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Emergency department staff initially lacked knowledge of metered-dose inhaler (MDI) techniques but showed significant improvement after brief education, enhancing their ability to instruct patients on proper MDI use.

Area of Science:

  • Pulmonary Medicine
  • Medical Education

Background:

  • Metered-dose inhalers (MDIs) are crucial for treating asthma and chronic lung disease.
  • Effective patient instruction on MDI use is vital upon emergency department (ED) discharge.
  • Prior research indicates a knowledge gap in MDI technique among ED personnel.

Purpose of the Study:

  • To assess emergency medical personnel's baseline knowledge of MDI techniques.
  • To evaluate the effectiveness of a brief educational intervention on MDI use proficiency.

Main Methods:

  • Emergency physicians and nurses were assessed on three MDI techniques (open-mouth/two-finger, spacer, closed-mouth).
  • A spirometry nurse provided a short educational session on proper MDI techniques.
  • Personnel were re-evaluated two weeks post-intervention.
Keywords:
asthmaeducationemergency medicineinhalerspatienttreatment

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Main Results:

  • Initial MDI technique performance averaged only 29.8% of correct steps.
  • Following education, performance significantly improved to an average of 89.4% correct steps.

Conclusions:

  • ED personnel demonstrated deficient baseline knowledge of MDI techniques.
  • A brief educational intervention substantially improved MDI use proficiency.
  • This improved proficiency is expected to enhance patient and parent instruction.