Bellis Jennifer Ruth, Arnott Janine, Barker Catrin, Prescott Rebecca, Dray Oliver, Peak Matthew, Bracken Louise
Paediatric Medicines Research Unit, Institute in the Park, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
School of Health, University of Central Lancashire, Preston, UK.
BMJ Paediatr Open. 2017 Sep 5;1(1):e000110. doi: 10.1136/bmjpo-2017-000110. eCollection 2017.
To describe how individual schools manage medicines and strategies for implementation of guidance, to determine the nature of problems perceived by children, parents, teachers and healthcare professionals (HCPs) in relation to medicines management in schools and to highlight differences between these perceptions.
A cross-sectional survey study in which questionnaires were completed by children, their parents and carers, groups of HCPs and head teachers.
There were 158 respondents to this survey. The management of medicines varies between schools and this reflects how policy guidance is interpreted and is revealed by the differences in experience described. Head teachers acknowledge that there is a lack of expertise about medicines among their staff and they rely on interpretation of and adherence to policy and procedure and compliance with training was used as a measure of good medicines management. There are inconsistencies in how information about medicines is communicated between the healthcare team, families and schools, and there is evidence that this communication is not always timely or effective. This results in problems with medicines at school. Parents emphasised the need for staff at school to understand their child's condition and their medicines.
There are differences between how individual schools manage medicines and interpret policy guidance and discrepancies between the views of each stakeholder group. There is some evidence that medicines management does not always meet the needs of children and their families. Fewer than half of parents and HCPs are satisfied with how medicines are dealt with in schools.
描述各学校如何管理药品以及实施指南的策略，确定儿童、家长、教师和医疗保健专业人员（HCPs）在学校药品管理方面所察觉到问题的性质，并突出这些看法之间的差异。
一项横断面调查研究，由儿童、其家长和照料者、医疗保健专业人员群体及校长填写问卷。
本次调查有158名受访者。各学校在药品管理方面存在差异，这反映了对政策指南的解读方式，且从所描述的经验差异中可见一斑。校长承认其员工缺乏药品方面的专业知识，他们依赖对政策和程序的解读及遵守情况，将培训的合规性作为良好药品管理的一项衡量标准。医疗团队、家庭和学校之间在药品信息沟通方面存在不一致，且有证据表明这种沟通并不总是及时或有效的。这导致了学校药品方面的问题。家长强调学校工作人员需要了解其孩子的病情及其所用药品。
各学校在药品管理和政策指南解读方式上存在差异，各利益相关者群体的观点也存在差异。有证据表明药品管理并不总是能满足儿童及其家庭的需求。不到一半的家长和医疗保健专业人员对学校处理药品的方式感到满意。
