Medication management in comprehensive schools in Finland: teachers' perceptions.

https://arctichealth.org/en/permalink/ahliterature281960
Source
Int J Pharm Pract. 2016 Oct;24(5):349-57
Publication Type
Article
Date
Oct-2016
Author
Piia Siitonen
Katri Hämeen-Anttila
Sirpa Kärkkäinen
Kirsti Vainio
Source
Int J Pharm Pract. 2016 Oct;24(5):349-57
Date
Oct-2016
Language
English
Publication Type
Article
Keywords
Cross-Sectional Studies
Faculty - psychology
Female
Finland
Guidelines as Topic
Health Knowledge, Attitudes, Practice
Humans
Male
Medication Therapy Management
School Health Services
Abstract
Many children who take medication require it during school time, and their participation in school activities could depend on it. The aim of this study was to identify whether schools have guidelines for medication management and to explore teachers' perceptions about medication administration practices and the characteristics affecting these practices using Bronfenbrenner's ecological systems theory as the framework.
A cross-sectional postal survey was conducted in Finland in 2010 covering a representative sample of comprehensive school teachers (n = 1700). The survey included sections on guidelines and practices for medication administration, beliefs about medicines, and background information on the respondent and the respondent's school. Quantitative and qualitative methods of analysis were used.
The response rate was 56% (928/1664). At the national level (macrosystem), teachers reported uncertainty about existing laws and guidelines, while at the local level (exosystem), most of the teachers reported having medication management guidelines (73% primary; 76% lower secondary school). However, a majority described guidelines instructing them not to administer medicines to pupils. Medication management practices were found to differ depending on the province and size of school. At the personal level (microsystem), practices were also affected by teachers' experience of, and views about, medicines.
No consistent medication administration guidelines exist in Finnish schools. Challenges were identified at all system levels of ecological theory. To ensure proper medication management, school staff need clear and consistent guidance developed in co-operation between different professions, and exploring ways to involve pharmacists in this task.
PubMed ID
26990579 View in PubMed
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