Parental views and attitudes towards use of unlicensed and off‐label medicines in children and paediatric clinical trials: an online cross‐sectional study in the Arab world

Mukattash, Tareq L.; Jarab, Anan S.; Daradkeh, Aseel; Farha, Rana Abu; Abuhammad, Sawsan; Alrabadi, Nasr

doi:10.1111/jphs.12293

Cited by 4 publications

(4 citation statements)

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“…While nurses in Jordan cannot legally write prescriptions, they do contribute significantly to antibiotic management and play a critical part in the antibiotic distribution process. Given their pivotal role [9,21,22]. The results showed that Jordanian nursing staff appears not knowledgeable of the causes of ABR among children, which include improper prescription, prolonged antibiotic treatment, and self-medication [16].…”

Section: Discussionmentioning

confidence: 99%

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Nurses’ knowledge regarding children antibiotic use and resistance in Jordan: A cross-sectional study

2023

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Purpose: This study aimed at examining nurses’ knowledge, attitudes, and practices related to antibiotics use and resistance. A second objective was to identify Jordanian nurses’ sources of information about antibiotics. Method: A cross-sectional design was used for this study. Nurses (n=594) completed an online survey using Google Forms. Google Forms web link was distributed on Facebook, LinkedIn, Twitter, and other social media applications. The study included Jordanian nurses who worked in hospitals and healthcare institutions. the European Center for Diseases Control and Prevention survey was used that took about 15 minutes to complete. Results: According to the study, 48.2% of nurses prescribed antibiotics to patients daily or multiple times per day in the previous week; 13.3% of nurses offered support for daily or more frequent antibacterial drug use or infection control; and 42.3% of nurses mentioned they did not give antibiotics advice because they did not have a leaflet about their use and because the patients did not receive one. Conclusion: The study found that the most reported source for antibiotics information was Facebook and Instagram. Nurses need further education on proper use of antibiotics. Antimicrobial stewardship can benefit from the study findings, which can help develop interventions to improve antibiotics proper use.

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Section: Discussionmentioning

confidence: 99%

“…Antibiotic resistance (ABR), especially in Jordan, is a worldwide health crisis, and one of the leading reasons for this crisis is the improper use of antibiotics [1]. The increased frequency of infectious illnesses is threatening to the improper use of antibiotics within children [2,8,9].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ knowledge regarding children antibiotic use and resistance in Jordan: A cross-sectional study

2023

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“…Studying the public views towards medicine use is an important matter, as people's insight towards treatment and medication has its effect on medication adherence . When parents administer medicine to their children, it is critical to believe that the administered medicine is effective and that the child is in real need for the medicine .…”

Section: Discussionmentioning

confidence: 99%

Views regarding the safety and efficacy of medicines used in children: comparing originators and local generics in Jordan

Mukattash

Mhaidat

Al-Khawaldeh

et al. 2019

J Pharm Health Serv Res

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Objectives The present study aimed to explore the views and attitudes of the general public in Jordan towards medicines used in children and the role of the pharmacists in delivering effective and safe treatments to this age group. Methods The public opinion questionnaire was administered using a structured interview technique to a sample of a thousand member of the public. All interviews were conducted in public areas in all the main cities in Jordan. Key findings Almost half (45.8%) of the participants were males. The majority of the participants were parents; 81.4 and 4% had children with health problems. The majority of respondents (82.4%) thought that medicines prescribed for children were effective. This was for both originator medications and local generic medications used in children. Respondents (88.1%) had good confidence in the safety of medicines prescribed to children. The majority of respondents (94.1%) indicated that the pharmacist had an important role in giving advice and information to parents and guardians on medicine use and administration to their children. Conclusions The majority of respondents thought that medicines used in children were effective and safe. It was thought that local generics used in children were as effective as originator medicines. However, almost one-third of respondents thought that local generics were not as safe as originator medicines. Respondents reported high levels of confidence in the pharmacist as an important part of the healthcare team when treating children.

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“…50,51 The resulting increased involvement of patients in their care had to be achieved by maintaining the balance of providing additional information about unlicensed "special" medicines without causing concern. Participants gave examples of concerns raised by patients consistent with that in the literature, showing increased concern once fully informed about the use of unlicensed medicines, 19,52,53 one participant explained how parents often questioned the need for the unlicensed medicine prescribed for their child, suggesting that the concerns and perceptions highlighted may lead to non-adherent behaviours. 54,55 Literature reports the successful use of a range of educational interventions to increase patient awareness on medication use for different conditions.…”

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confidence: 89%

Unlicensed “Special” Medicines: Understanding the Community Pharmacist Perspective

Wale¹,

Ireland²,

Yemm³

et al. 2020

IPRP

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Objective: Community pharmacy staff are responsible for obtaining and supplying unlicensed "special" medicines to patients in primary care. Less well-defined parameters for safe and effective use of unlicensed compared to licensed medicines, along with issues around maintaining consistency between care settings or among manufacturers, have been associated with increased risks. This study aimed to explore the views and experiences of community pharmacy staff on accessing and supplying unlicensed "special" medicines to patients in Wales and the perceived impact of challenges faced on patient care. Methods: A qualitative, phenomenological approach was employed, involving semistructured interviews with pharmacists and pharmacy technicians working at one small chain of community pharmacies in Wales. The interview schedule focused on the personal experiences and perceptions of the participants on the processes involved in accessing and supplying unlicensed "special" medicines from a community pharmacy. Interviews were audio-recorded and transcribed verbatim. Results: A total of six participants completed the interview. Three main themes were constructed from inductive thematic analysis of the transcribed interviews: requirement for additional patient responsibilities; influences on the confidence felt by pharmacy staff when accessing and supplying unlicensed "special" medicines; and continuity of supply. Conclusion: This study gives a preliminary insight into the views and experiences of community pharmacy staff in Wales when accessing and supplying unlicensed "special" medicines. Further research is required to see if these views and experiences are representative of community pharmacy staff across the country.

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Parental views and attitudes towards use of unlicensed and off‐label medicines in children and paediatric clinical trials: an online cross‐sectional study in the Arab world

Cited by 4 publications

References 21 publications

Nurses’ knowledge regarding children antibiotic use and resistance in Jordan: A cross-sectional study

Nurses’ knowledge regarding children antibiotic use and resistance in Jordan: A cross-sectional study

Views regarding the safety and efficacy of medicines used in children: comparing originators and local generics in Jordan

<p>Unlicensed “Special” Medicines: Understanding the Community Pharmacist Perspective</p>

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