Observational study of administering intranasal steroid sprays by healthcare workers

Objectives Patients with allergic rhinitis receive their information about administering intranasal corticosteroid sprays (INCS) from healthcare workers. Since the majority of patients does not administer these sprays correctly, we investigated whether healthcare workers know how to administer INCS....

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Main Authors: Corine Rollema, Tjalling de Vries, Marielle de Boer, Eric van Roon
Format: Article
Language:English
Published: BMJ Publishing Group 2020-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/8/e037660.full
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author Corine Rollema
Tjalling de Vries
Marielle de Boer
Eric van Roon
author_facet Corine Rollema
Tjalling de Vries
Marielle de Boer
Eric van Roon
author_sort Corine Rollema
collection DOAJ
description Objectives Patients with allergic rhinitis receive their information about administering intranasal corticosteroid sprays (INCS) from healthcare workers. Since the majority of patients does not administer these sprays correctly, we investigated whether healthcare workers know how to administer INCS.Settings We studied participants at their working place: pharmacy, outpatient clinic or general practitioner centre for emergencies.Participants Pharmacist assistants, general practitioners, paediatricians and ear nose throat doctors.Design Observational study. All the participants demonstrated the administration technique with a spray device filled with water.Primary outcome Number of steps of administration of INCS based on the established INCS protocol.Secondary outcome Number of five steps are labelled essential to obtain optimal distribution of the medication.Results Among the 75 participants, none performed all the steps correctly. The median of correctly performed steps in the protocol was 14 out of 29. A significantly better result was found among the pharmacist assistants. The essential steps were performed by 27 out of the 75 participants (36%).Conclusion The majority of healthcare workers does not know how to administer INCS correctly. Patients could, therefore, receive incorrect and non-uniform instructions. The education of healthcare workers on how to administer INCS correctly may be an option for improvement.
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spelling doaj-art-9db5fa6dab34445eb44384c511ea2a1d2024-12-03T00:50:08ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-037660Observational study of administering intranasal steroid sprays by healthcare workersCorine Rollema0Tjalling de Vries1Marielle de Boer2Eric van Roon32 Department of Clinical Pharmacy and Pharmacology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands1 Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The NetherlandsPaediatrics, Medical Center Leeuwarden, Leeuwarden, The Netherlands2 Department of Clinical Pharmacy and Pharmacology, Medical Centre Leeuwarden, Leeuwarden, The NetherlandsObjectives Patients with allergic rhinitis receive their information about administering intranasal corticosteroid sprays (INCS) from healthcare workers. Since the majority of patients does not administer these sprays correctly, we investigated whether healthcare workers know how to administer INCS.Settings We studied participants at their working place: pharmacy, outpatient clinic or general practitioner centre for emergencies.Participants Pharmacist assistants, general practitioners, paediatricians and ear nose throat doctors.Design Observational study. All the participants demonstrated the administration technique with a spray device filled with water.Primary outcome Number of steps of administration of INCS based on the established INCS protocol.Secondary outcome Number of five steps are labelled essential to obtain optimal distribution of the medication.Results Among the 75 participants, none performed all the steps correctly. The median of correctly performed steps in the protocol was 14 out of 29. A significantly better result was found among the pharmacist assistants. The essential steps were performed by 27 out of the 75 participants (36%).Conclusion The majority of healthcare workers does not know how to administer INCS correctly. Patients could, therefore, receive incorrect and non-uniform instructions. The education of healthcare workers on how to administer INCS correctly may be an option for improvement.https://bmjopen.bmj.com/content/10/8/e037660.full
spellingShingle Corine Rollema
Tjalling de Vries
Marielle de Boer
Eric van Roon
Observational study of administering intranasal steroid sprays by healthcare workers
BMJ Open
title Observational study of administering intranasal steroid sprays by healthcare workers
title_full Observational study of administering intranasal steroid sprays by healthcare workers
title_fullStr Observational study of administering intranasal steroid sprays by healthcare workers
title_full_unstemmed Observational study of administering intranasal steroid sprays by healthcare workers
title_short Observational study of administering intranasal steroid sprays by healthcare workers
title_sort observational study of administering intranasal steroid sprays by healthcare workers
url https://bmjopen.bmj.com/content/10/8/e037660.full
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AT ericvanroon observationalstudyofadministeringintranasalsteroidspraysbyhealthcareworkers