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Medications for Children: A Survey of Community Pharmacists
Alina R Rashid1, Mark Duffett2
1Division of Pediatric Hematology Oncology, McMaster Children's Hospital.
Insights
Community pharmacists show varied comfort levels when dispensing pediatric medications. Many desire more pediatric education, despite feeling knowledgeable, highlighting a need for targeted training to improve pediatric patient care.
Area of Science:
- Pharmacy Practice
- Pediatric Care
- Medication Management
Background:
- Pediatric care is a small part of community pharmacy practice.
- Safe hospital discharge for children relies on community pharmacist collaboration.
- Understanding pharmacists' confidence in pediatric care is crucial.
Purpose of the Study:
- To assess community pharmacists' comfort and confidence in providing pediatric care.
- To identify factors influencing pharmacists' comfort levels with pediatric prescriptions.
Main Methods:
- An online survey of 622 community pharmacists in Ontario, Canada.
- Pharmacists rated comfort/confidence (1-7 scale) for morphine, prednisone, and amoxicillin.
- Demographic data were analyzed for associations with comfort levels.
Main Results:
- Comfort levels varied, with 58-64% comfortable dispensing common pediatric prescriptions.
- Pharmacists with children reported higher comfort.
- Many pharmacists (91%) desired additional pediatric education.
Conclusions:
- Significant variability exists in community pharmacists' confidence with pediatric care.
- Many pharmacists are not fully comfortable with common pediatric prescriptions.
- Targeted education is needed to enhance pediatric medication management by community pharmacists.
Background:
Seamless and safe discharge of children from hospital requires successful collaboration with community pharmacists, for whom pediatrics is often a small part of their practice.
Objectives:
The purpose of this study was to understand community pharmacists' comfort level and confidence in providing care for children.
Methods:
We conducted a self-administered online survey of community pharmacists in Ontario, Canada. Respondents rated their comfort and confidence on a scale of 1 to 7 in each of 3 scenarios: oral morphine, prednisone, and amoxicillin. We also evaluated the relationship between participants' comfort level and demographics.
Results:
We included 622 responses (377 completed and 245 partially completed surveys). A total of 182 participants (48%) were female, 271 participants (72%) had children of their own, and they had practiced pharmacy for a median (interquartile range) of 19 (5-28) years. The percentage of respondents who were comfortable (5-7 on a 7-point scale) with filling the prescriptions as written was 64% for morphine, 58% for prednisone, and 61% for amoxicillin and was not different among the scenarios. Having children was associated with increased comfort (p = 0.02), whereas other demographic variables were not. Compared to the amoxicillin scenario, pharmacists reported being significantly more likely to choose another course of action for prednisone (p = 0.01) but not for morphine (p = 0.25). Although 428 pharmacists (70%) agreed that they maintained adequate knowledge of pediatric topics, 558 (91%) were interested in more education.
Conclusions:
Variability exists in the confidence and comfort levels of community pharmacists when dealing with children, and many are not comfortable with the common prescriptions in this survey.
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