Enhancement Program for Nursing Staff and Patients on Nebulizer Use and Care

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Abstract Description
Submission ID :
HAC1110
Submission Type
Authors (including presenting author) :
Mo SH(1), Chan NS(1), Chau C(1), Lam WS(1), Wong LP(1), Yau YH(1)
Affiliation :
(1)Department of Medicine, Haven of Hope Hospital
Keyword 1: :
Nebuliser therapy
Keyword 2: :
Nursing education
Keyword 3: :
Patient education
Keyword 4: :
Respiratory care
Keyword 5: :
KAP framework
Keyword 6: :
NULL
Introduction :
Nebulizing therapy is a cornerstone in managing chronic respiratory conditions. It delivers medication directly to the lungs, ensuring rapid and effective relief. However, improper technique and knowledge gaps among patients and nursing staff can compromise treatment outcomes and lead to higher healthcare utilization. At Haven of Hope Hospital (HHH), the absence of standardized educational tools and structured training has created variability in practice. Addressing these gaps is critical to improving adherence, patient confidence, and nursing competency. This pilot project was designed to implement a structured, multimedia-based educational program to enhance nebulizer-related knowledge and skills.
Objectives :
(1)To develop standardized educational resources, including a six-minute training video and a nebulizer skill checklist
(2)To enhance knowledge and skills in nebulizer use for patients and nurses
(3)To evaluate program effectiveness through structured pre- and post-intervention assessments
Methodology :
Using the Knowledge, Attitude, and Practice (KAP) framework, interventions were tailored for three groups: a)Inpatients (n=7) received training video and hands-on demonstrations during hospitalization; b)Outpatients (n=4) received training video during follow-up and after collection of medications at pharmacy.
c)Nursing staff (n=16) attended a seminar including live demonstration and Q&A session. For outpatients and nurses, evaluation tools consisted of a structured 10‑item questionnaire, scored on a 5‑point Likert scale, administered both before and after the intervention. For inpatients, in addition to the structured questionnaire, patient return demonstrations were assessed using a standardized checklist to evaluate practical skills. The patients’ age range was 45–78 years, highlighting diverse learning needs.
Result & Outcome :
Patient knowledge of nebulizer operation improved by 22.5%, while aftercare knowledge increased by 32.1%. Confidence in nebulizer use rose to 94.4%. Nursing staff demonstrated a marked improvement in correct responses and confidence. Multimedia education combined with standardized checklists significantly enhanced competency across all groups. This structured program effectively improved nebulizer-related knowledge and skills among patients and nurses. Sustainability will be supported through periodic refresher training and integration of digital platforms for ongoing education. Future directions include scaling the program hospital-wide and exploring e-learning modules to maintain competency and optimize respiratory care outcomes.
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