Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


  1. Neininger, Martina Patrizia PhD
  2. Kaune, Almuth
  3. Musiol, Juliane
  4. Kiess, Wieland MD
  5. Bertsche, Astrid MD
  6. Prenzel, Freerk MD
  7. Bertsche, Thilo PhD


Background: Children suffering from bronchial diseases need assistance from nurses in the use of inhalation devices.


Purpose: We aimed to assess nurses' skills and knowledge concerning drug administration with inhalation devices in hospitalized pediatric patients.


Methods: An expert panel defined medication errors in drug administration with inhalation devices in children. We monitored 241 inhalation procedures to investigate nurses' inhalation technique skills. Twenty-nine nurses completed a questionnaire to assess nurses' knowledge.


Results: Skills: In 93 of 241 (39%) inhalation procedures, the mask/mouthpiece did not fit airtight. In none of the 11 inhalations administering a glucocorticoid, the patient's mouth was thoroughly cleaned afterward. Knowledge: Ten of 29 nurses (34%) thought a distance between mask and the patient's face was acceptable. Only 16 of 29 (55%) knew that it is necessary to thoroughly clean the patient's mouth after the inhalation of budesonide.


Conclusions: We found that education on inhalation procedures including practical training is required to increase patient safety.