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Al Khayrallah Z, Al-Saeedy Z, Medriano RAA, Lee K, Sommerfield A, Sommerfield D, Ware B, Huppatz D, Campbell A, Lim LY, von Ungern-Sternberg BS. Prescribing in a pediatric hospital setting - Lost in translation? Patient Educ Couns 2022; 105:1614-1619. [PMID: 34688523 DOI: 10.1016/j.pec.2021.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 10/07/2021] [Accepted: 10/08/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES To determine parental understanding of directions on common pediatric prescription pharmacy labels and to identify enablers and barriers that affect interpretation of these labels. METHODS Prospective qualitative descriptive study (July to August 2020) of 20 parents in post-surgical wards at a single Australian tertiary pediatric center. RESULTS Four key themes emerged through inductive analysis of the interview transcripts: 1) the addition of specific directions, such as administration with/without food and treatment course duration were perceived to be beneficial; 2) explicit phrasing of dosing intervals and times were more easily interpreted; 3) the use of simpler and common terminology enhanced understanding of the directions; and 4) presentation of multiple-step directions (e.g. tapering regimens) in a simplified and more organized manner was identified as an enabler and was thought to reduce confusion. CONCLUSION Differences in wording and presentation of pediatric prescription medication label directions led to variable interpretation by parents. PRACTISE IMPLICATIONS Therefore, there is a need for guidelines to standardize the wording of prescription medication advice labels. Findings from this study can be used to achieve this goal.
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Affiliation(s)
- Zainab Al Khayrallah
- Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia; Pharmacy Department, Perth Children's Hospital, Perth, Australia.
| | - Zahraa Al-Saeedy
- Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia.
| | - Rose Ann Ayes Medriano
- Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia.
| | - Kenneth Lee
- Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia.
| | - Aine Sommerfield
- Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Australia; Perioperative Medicine, Telethon Kids Institute, Perth Australia.
| | - David Sommerfield
- Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Australia; Perioperative Medicine, Telethon Kids Institute, Perth Australia; Division of Emergency Medicine, Anaesthesia and Pain Medicine, The University of Western Australia, Perth, Australia.
| | - Benjamin Ware
- Pharmacy Department, Perth Children's Hospital, Perth, Australia.
| | - Dean Huppatz
- Pharmacy Department, Perth Children's Hospital, Perth, Australia.
| | - Andrew Campbell
- Pharmacy Department, Sir Charles Gairdner Hospital, Nedlands, Australia.
| | - Lee Yong Lim
- Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia.
| | - Britta S von Ungern-Sternberg
- Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Australia; Perioperative Medicine, Telethon Kids Institute, Perth Australia; Division of Emergency Medicine, Anaesthesia and Pain Medicine, The University of Western Australia, Perth, Australia.
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