The Harry Crossley Children's Nursing Development Unit, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town.
Curationis. 2021 Sep 29;44(1):e1-e11. doi: 10.4102/curationis.v44i1.2224.
In paediatric wards, children are often reluctant to receive medication from nurses and eventually it is given by the parents. It is a common practice for nurses to hand the medication to mothers to give to their children, However, it is an 'informal' practice and lacks evidence-based guidelines.
To develop a contextualised and adapted evidence-based guideline to support nurses to partner with mothers/carers so that they can safely give oral medication to their hospitalised child under the supervision of a competent nurse.
Existing relevant guidelines were identified through searches of bibliographic databases and websites. The AGREE II: Appraisal of Guidelines for Research and Evaluation II instrument was used to appraise the quality of the identified sources. The process of guideline adaptation recommended by the South African Guidelines Excellence project was followed, and a list of adapted recommendations was developed, aligned with the legislative and regulatory frameworks for nursing in South Africa. Accessible end user documentation was developed.
Six sources were screened and three sources were found to be eligible and were subjected to full appraisal. Two guidelines and one policy document were identified as suitable for adaptation. Expert consultation confirmed that the resulting adapted guideline was sound, easy to understand, and well presented for the target audience.
This process successfully led to the development of a modified evidence-based practice guideline to enable nurses to partner with mothers/caregivers in safely giving oral medication to their hospitalised child in lower-resourced African settings.
在儿科病房，儿童通常不愿意接受护士提供的药物，最终由父母提供。护士将药物交给母亲，让母亲喂给孩子是一种常见的做法。然而，这是一种“非正式”的做法，缺乏循证指南。
制定一个基于情境和适应的循证指南，以支持护士与母亲/照顾者合作，以便在有能力的护士监督下，安全地为住院儿童提供口服药物。
通过搜索书目数据库和网站，确定了现有的相关指南。使用 AGREE II：评估研究和评估指南 II 工具来评估确定来源的质量。遵循南非指南卓越项目推荐的指南改编过程，并制定了改编建议的清单，与南非护理的立法和监管框架保持一致。开发了易于访问的最终用户文档。
筛选了 6 个来源，发现 3 个来源符合条件，并进行了全面评估。确定了 2 个指南和 1 个政策文件适合改编。专家咨询证实，由此产生的改编指南是合理的、易于理解的，并且为目标受众提供了良好的呈现。
这个过程成功地制定了一个修改后的基于证据的实践指南，使护士能够在资源较少的非洲环境中与母亲/照顾者合作，安全地为住院儿童提供口服药物。
