American Journal of Nursing Research
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American Journal of Nursing Research. 2018, 6(3), 125-136
DOI: 10.12691/ajnr-6-3-7
Open AccessArticle

Impact of an Educational Program for Mothers about Preventing Oral Medications Misuse for Children Under Five Years

Atyat Mohammed Hassan1, , Nahed Thabet Mohamed1, Fayza Mohammed Mohammed2 and Eman Fathalla Gad3

1Lecturer of Pediatric & Premature Nursing, Faculty of Nursing, Assiut University

2Lecturer of Community Health Nursing, Faculty of Nursing, Assiut University

3Lecturer of Pediatrics, Faculty of Medicine, Assiut University

Pub. Date: April 11, 2018

Cite this paper:
Atyat Mohammed Hassan, Nahed Thabet Mohamed, Fayza Mohammed Mohammed and Eman Fathalla Gad. Impact of an Educational Program for Mothers about Preventing Oral Medications Misuse for Children Under Five Years. American Journal of Nursing Research. 2018; 6(3):125-136. doi: 10.12691/ajnr-6-3-7

Abstract

Oral drug misuses are occurring at an alarming rate; these misuses are both avoidable and expensive to the healthcare system. Study aim: The aim was to evaluate the impact of an educational program for mothers about preventing oral medications misuse for children under five years. Design: Quiz-experimental research design was used. Setting: The study was implemented at out-patient clinics in Assiut University Children Hospital. Subjects: A convenience sample of 50 mothers who had children under five years with acute common illnesses. Tools: The study used two tools: Tool I included two parts; part one; the socioeconomic scale and part two; mothers' age and main sources of information. Tool II was the structured interview questionnaire about mothers' knowledge regarding their practices during oral medications administration. Results: The majority of the mothers (88%) had a poor score of knowledge about practice before the program while 94% of them had a good score after the program. Also, the majority of them (96%, 88%, and 78%) compared to 82%, 8%, and 14% respectively in the pre and posttest gave antipyretics, cough & cold and antibiotics medications without a prescription. Conclusion: The educational program improved the mothers' knowledge about practice regarding oral medications administration for their young children and decreased oral drug misuse with a statistically significant difference between pre and posttest as regard their total score. Recommendations: Pediatric hospitals should offer the mothers with handouts, brochures, pamphlets, posters or videotapes about oral medication administration.

Keywords:
educational program drug misuse medications errors oral medications children under five years

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References:

[1]  Rinke L., David G., Christina A., Rao V., Zerhouni Y., Lobner K., Blanck J. and Miller M. (2014). Interventions to Reduce Pediatric Medication Errors: A Systematic Review. Pediatrics. August; 134(2).
 
[2]  Alsulami Z., Conroy S. and Choonara I. (2013). Medication Errors in the Middle East Countries: A systematic review of the literature. Eur J Clin Pharmaco, Apr; 69(4): 995-1008.
 
[3]  Williams C., Greene S. and Hansen R. (2008). Nursing Home Medication Error Quality Initiative MEQI Report. North Carolina: Chapel Hill; 23(3): 13-5. The Journal of Nursing Research, SEPTEMBER.
 
[4]  Hockenberg M. and Wilson D. (2015). Wong’s Essential of Pediatric Nursing. 9th ed. St. Louis: Mosby's company. Chapter 23, administration of medication; pp. 914-932.
 
[5]  Basheir A. and Mohamed G. (2014). Patterns of Acute Poisoning in Childhood in Zagazig, Egypt: An Epidemiological Study, International Scholarly Research Notices, vol. 2014, Article ID 245279, 5 pages.
 
[6]  Alazab R., Elmougy M., Fayad R., Abdelsalam H. and Mohamed A. (2012). Risk Factors of Acute Poisoning among Children: A study at a Poisoning Unit of a University Hospital in Egypt. South East Asia Journal of Public Health 2(2):41-47.
 
[7]  Abu-Baker N. (2012). Mothers’ Knowledge and Practices of Managing Minor Illnesses of Children Under Five Years, Jordan Journal of Research in Nursing 18(7) 651–666.
 
[8]  Pillitteri A., (2010). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family. 6th ed. Wolters Kluwer Health Lippincott Williams & Wilkins‏.
 
[9]  Potts N. and Mandleco B. (2007). Pediatric Nursing. Caring for Children and Their Families.2nd ed. Canada: Thomson; Chapter 19, Medication Administration; pp.547-54.
 
[10]  Rashwan Z., Waziry O. and Sabry Y., (2014). Maternal Practices in Administering Oral Medications for Their Young Children with Common Illnesses Life Science Journal;11(4) http://www.lifesciencesite.com.
 
[11]  Islamian J., Taheri F., Bahrami M. and Mojdeh S., (2010). Assessing the Nursing Error Rate and Related Factors from the View of Nursing Staff. Iran J Nurs Midwifery Res. 15:272-277.
 
[12]  Yin H., Mendelsohn A., Wolf M., Parker R., Fierman A., van Schaick L., and Dreyer B., (2010). Parents’ Medication Administration Errors: Role of Dosing Instruments and Health Literacy. Archives of Pediatrics and Adolescent Medicine, 164, 181-186.
 
[13]  Walsh K., Stille C. and Mazor K. (2008). Using Home Visits to Understand Medication Errors in Children. Vol 4. Technology and Medication Safety: Agency for Healthcare Research and Quality.
 
[14]  Abd El-Tawb (1998). Socio Economic Scale, Faculty of Education, Assiut University.
 
[15]  Huang W. and Yeh Y., (2015). Immigrant Mothers’ Knowledge of Medication Safety and Administration for Young Children. Asian Social Science; 11(13): 1911-2025. Published by Canadian Center of Science and Education. www.ccsenet.org/ass Asian Social Science.
 
[16]  You M., Nam S. and Son Y. (2015). Parental Experiences of Medication Administration to Children at Home and Understanding of Adverse Drug Events. The Journal of Nursing Research; SEPTEMBER; 23(3): 189-196.
 
[17]  Lindell-Osuagwu, L., Sepponen, K., Farooqui, S., Kokki, H., Hameen-Anttila, K., and Vainio, K. (2013). Parental Reporting of Adverse Drug Events and Other Drug-related Problems in Children in Finland. European Journal of Clinical Pharmacology; 69(4), 985-994.
 
[18]  World Health Organization (WHO, 2003). Regional Office for the Eastern Mediterranean-Ministry of Health and Population Arab Republic of Egypt. Health facility survey on out-patient care (IMCI): Egypt. Cairo: Al Marsa Printing & Publishing: Available from: http://applications.emro.who.int/dsaf/dsa364.pdf.
 
[19]  Mobarak A., Mohamed N., and Abd El-Kariem H. (2011). Effect of Health Education Program for Mothers of Children with Enterobius Vermicularis at Assiut University Children Hospital, January, AAMJ; 9(1): 277-306.
 
[20]  Gohar U., Khubaib S. and Mehmood A. (2017). Self-Medication Trends in Children by their Parents. J Develop Drugs 6(2): 1-7.
 
[21]  Andritsou F., Benetou V., Michail K., Pantazis N., and Pavlopoulou I. (2017). Out-of-Hospital Administration of Medication without Prescription and Associated Factors among Preschool Children. Bio-Med Research International, Volume 2017, Article ID 5242048, 9 pages.
 
[22]  NamGoong, B., Sohn, H., Choi K., and Shin H. (2012). Retrospective Drug Utilization Review on the Same-day Multiple Prescriptions for Pediatrics Outpatients. Korean Journal of Clinical Pharmacy; 22(1): 73-80.
 
[23]  Jassim (2010). In-home Drug Storage and Self-medication with Antimicrobial Drugs in Basrah, Iraq. Oman Medical Journal; 25(2): 79-87.
 
[24]  Pfaffenbach G., Tourinho F. and Bucaretchi F. (2010). Self-medication among children and adolescents. Current Drug Safe; 5(4):324-8.
 
[25]  Togoobaatar G., Ikeda N., Ali M., Sarangerel S., Mori M. and Shibuya K. (2010). Survey of Non-prescribed Use of Antibiotics for Children in an Urban Community in Mongolia. Bulletin of the World Health Organization; 88(12): 930-6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC29 95192/.
 
[26]  Salazar M., Thomas M., and Lea S. (2012). Caregivers’ Baseline Understanding and Expectations of Antibiotic Use for their Children .Clin Pediatr; 7(2): 30-8.
 
[27]  Mainous A., Everett C., Post R., Diaz V. and Hueston W. (2009). Availability of Antibiotics for Purchase without a Prescription on the Internet. Ann Fam Med; 7(5)7:431-435.
 
[28]  Ryan T, Brewer M, Small L. (2008). Over-the-counter cough and cold medication use in young children. Pediatr Nurs. 2008; 34(2): 174-84.
 
[29]  Eldalo A. (2013). Saudi Parent's Attitude and Practice about Self-medicating their Children. Arch Pharma Pract, 4: 57-62.
 
[30]  Eldalo A., El-Hadiyah T. and Yousif M. (2013). Sudanese Parents’ Knowledge, Attitudes and Practice about Self-medication to their Children: Qualitative study Saudi. J Health Sci, 2: 103- from http://www.saudijhealthsci.org. IP: 197.39.66.92.
 
[31]  Tourinho F., Bucaretchi F., Stephan C. and Cordeiro R. (2008). Home Medicine Chests and their Relationship with Self-medication in Children and Adolescents. Pediatr (Rio J); 84(5): 416-22.
 
[32]  Mendelsohn L, Yin H, Wolf M, Parker R. (2010). Parents’ medication administration errors. Arch Pediatr Adolesc Med.; 164(2): 181-186.
 
[33]  Bolle L., Mehuys E., Adriaens E., Remon J., Van Bortel L. and Christiaens T. (2008). Home Medication Cabinets and Self-medication: A source of Potential Health Threats. An Pharmacotherapy; 42(4):572-9.
 
[34]  Sontakke S., Magdum A., Jaiswal K., Bajait Ch., Pimpalkhute S. and Dakhale G. (2015). Evaluation of Parental Perception about Self-medication and other Medicine Use Practices in Children”. European journal of pharmaceutical and medical research. Ejpmr; 2(7): 179-185.
 
[35]  Yong Ch., Islahudin F., and Shah N., (2015). Knowledge, Attitude and Perception of Parents on the Use of Cough and Cold Medications in Children. Southeast Asian J Trop Med Public Health; May; 46(3): 512-525.
 
[36]  Varney S., Bebarta V., Pitotti R. and Vargas T. (2012). Survey in Emergency Department of Parent’s Understanding of Cough and Cold Medication Use in Children Younger than 2 Years. Pediatr Emerg Care; 28: 883-5.
 
[37]  Masiha S., Khalid A., Malik B. and Ali Shah S., (2015). Oral Rehydration Therapy- Knowledge, Attitude and Practice (KAP) Survey of Pakistani Mothers. Journal of Rawalpindi Medical College Students Supplement;19(S-1):51-54.
 
[38]  Holappa M., Ahonen R., Vainio K. and Hameen- Anttila K. (2012). Information Sources Used by Parents to Learn about Medications They are Giving their Children. Res Soc Adm Pharm; 8: 579-84.
 
[39]  Nesrin, A., Huda G., Haya M., Christine S., and Muntaha G., (2012). Mothers’ Knowledge and Practices of Managing Minor Illnesses of Children under Five Years. J Res Nurs; 18(7): 651-666.