Rashid Alina R, Duffett Mark
Division of Pediatric Hematology Oncology, McMaster Children's Hospital.
Departments of Pediatrics and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
J Pediatr Pharmacol Ther. 2016 May-Jun;21(3):213-23. doi: 10.5863/1551-6776-21.3.213.
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.
The purpose of this study was to understand community pharmacists' comfort level and confidence in providing care for children.
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.
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.
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.
让儿童顺利且安全地出院需要与社区药剂师成功协作，而儿科在社区药剂师的业务中通常只占一小部分。
本研究旨在了解社区药剂师在为儿童提供护理方面的舒适程度和信心。
我们对加拿大安大略省的社区药剂师进行了一项在线自填式调查。受访者在三种情况（口服吗啡、泼尼松和阿莫西林）下，按照1至7的评分标准对自己的舒适程度和信心进行评分。我们还评估了参与者的舒适程度与人口统计学特征之间的关系。
我们纳入了622份回复（377份完整回复和245份部分完成的调查问卷）。共有182名参与者（48%）为女性，271名参与者（72%）有自己的孩子，他们从事药剂工作的时间中位数（四分位间距）为19（5 - 28）年。对于按处方配药感到舒适（7分制中得5 - 7分）的受访者比例，吗啡为64%，泼尼松为58%，阿莫西林为61%，各情况之间无差异。有孩子与舒适程度的提高相关（p = 0.02），而其他人口统计学变量则不然。与阿莫西林的情况相比，药剂师报告称，对于泼尼松更有可能选择其他行动方案（p = 0.01），但对于吗啡则不然（p = 0.25）。尽管428名药剂师（70%）同意他们对儿科主题有足够的了解，但558名（91%）表示有兴趣接受更多教育。
社区药剂师在处理儿童问题时的信心和舒适程度存在差异，许多人对本调查中的常见处方并不感到舒适。
