RT Journal Article
SR Electronic
T1 Incentive Spirometry Adherence: A National Survey of Provider Perspectives
JF Respiratory Care
FD American Association for Respiratory Care
SP 532
OP 537
DO 10.4187/respcare.05882
VO 63
IS 5
A1 Eltorai, Adam E M
A1 Baird, Grayson L
A1 Eltorai, Ashley Szabo
A1 Pangborn, Joshua
A1 Antoci, Valentin
A1 Cullen, H Allethaire
A1 Paquette, Katherine
A1 Connors, Kevin
A1 Barbaria, Jacqueline
A1 Smeals, Kimberly J
A1 Agarwal, Saurabh
A1 Healey, Terrance T
A1 Ventetuolo, Corey E
A1 Sellke, Frank W
A1 Daniels, Alan H
YR 2018
UL http://rc.rcjournal.com/content/63/5/532.abstract
AB BACKGROUND: Patient adherence is a critical factor for success of patient-administered therapies, including incentive spirometry (IS). Patient adherence with IS is not known, so we sought to evaluate providers' perspectives on the current state of IS adherence and elucidate possible factors hindering patient adherence.METHODS: Respiratory therapists (RTs) and nurses across the United States were surveyed via social media and online newsletters. Surveys were distributed to the relevant national RT and nursing societies: the American Association for Respiratory Care, the Academy of Medical-Surgical Nurses, the American Society of Peri-Anesthesia Nurses, and the American Association of Critical-Care Nurses.RESULTS: Responses from 1,681 (83.8% completion rate) RTs and nurses were received. The clear majority of all providers agreed that patient adherence is poor (86.0%; 1,416 of 1,647 respondents) and should be improved (95.4%; 1,551 of 1,626 respondents). Providers believe that IS adherence is hindered by various factors. The most common reasons cited were that patients forget to use their ISs (83.5%; 1,404 of 1,681 respondents), do not use them effectively (74.4%; 1,251 of 1,681 respondents), and do not use them frequently enough (70.7%; 1,188 of 1,681 respondents).CONCLUSIONS: These findings from a large national survey of health care providers highlight the need for improved IS adherence and indicate that patient forgetfulness may be a large contributor to nonadherence. Efforts aimed at improving IS adherence are warranted.