Nursing Practice in the Rational Use of Antibiotics among Pediatric Patients at Health Promotion Hospitals
Keywords:
antibiotics reasonable use, pediatric patients, register nurse, primary care unitsAbstract
Introduction: Nurses play an important role in advocating for the rational use of antibiotics in pediatric patients at sub-district health-promoting hospitals (HPHs) by supporting parents to ensure the appropriate use of antibiotics.
Research objectives: To examine the nursing practices and the factors associated with the appropriate use of antibiotics in pediatric patients.
Research methodology: A descriptive research design was employed with a sample of 180 registered nurses working at HPHs in Phayao Province. Data were collected using a questionnaire that included personal information and an assessment of nurses' behaviors related to the rational use of antibiotics in pediatric patients. The content validity index and Cronbach’s alpha of the questionnaire were .82
and .90, respectively. Data were analyzed using descriptive statistics and point-biserial correlation test.
Results: The highest overall scores for nursing practice concerning rational use of antibiotics in pediatric patients were reported (M = 4.58, SD = .41). Significant correlations were found between nursing practice concerning rational use of antibiotics and several factors, including working experience (r = .43, p < .01), primary medical care experience (r = .50, p < .01), nurse practitioner training (r = -.61, p < .01), and education on rational drug use (r = -.66, p < .01).
Conclusions: Nurses working at HPHs demonstrated rational use of antibiotics, which was related by several factors- primarily education on rational drug use.
Implications: HPHs should continue to advocate for and support professional nurses in the rational use of antibiotics.
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Chanvatik S, Lekagul A, Vongmongkol V, Patcharanarumol W, Thunyahan A, Tangcharoensathien V. Situation on antimicrobial use and knowledge on antimicrobials: a national health and welfare survey in Thailand 2017. Journal of Health System Research [Internet]. 2018 [cited 2022 Nov. 18];12(3):420-36. Available from: https://kb.hsri.or.th/dspace/handle/11228/4938?show=full (in Thai)
Ruanpech P, Ngamchaliew P. Proportion, patterns and associated factors of inappropriate antibiotic prescriptions in acute upper respiratory tract infection. Journal of Health Systems Research [Internet]. 2021 [cited 2022 Nov. 18];(2):218-30. Available from: https://kb.hsri.or.th/dspace/bitstream/handle/11228/5375/hsri-journal-v15n2-p218-230.pdf?sequence=1&isAllowed=y
Food And Drug Administration. Annual spontaneous reports of adverse drug reactions 2022. Nonthaburi: Aksorn Graphic and Design; 2023. (in Thai)
Charrin K, Techaraksasri T. Factors influencing parents' behavior in administering antibiotics to school-age children. Journal of The Faculty of Nursing Burapha University [Internet]. 2019 [cited 2024 Dec. 18];27(4):77-88. Available from: https://he02.tci-thaijo.org/index.php/Nubuu/article/view/232597/159027 (in Thai)
O’Neill J. Antimicrobial resistance: tackling a crisis for the health and wealth of nations [Internet]. 2022 [cited 2022 Nov. 18]. Available from: https://amr-review.org/sites/default/files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf
World Health Organization (WHO). Thailand sounds the alarm on antimicrobial resistance [Internet]. 2024 [cited 2024 Dec. 18]. Available from: https://www.who.int/thailand/news/detail/14-06-2024-thailand-sounds-the-alarm-on-antimicrobial-resistance
Health Policy And Systems Research on Antimicrobial Resistance (HPSR-AMR) Network. Thailand’s One Health report on antimicrobial consumption and antimicrobial resistance in 2018 [Internet]. 2020 [cited 2024 Dec. 20]. Available from: https://cms.thaiamrwatch.net/uploads/2018_Thailand_One_Health_Report_on_Antimicrobial_Consumption_and_Antimicrobial_Resistance_in_2018_Final_799d504b4a.pdf
Phumart P, Phodha T, Thamlikitkul V, Riewpaiboon A, Prakongsai P, Limwatananon S. Health and economic impacts of antimicrobial resistant infections in Thailand: a preliminary study. Journal of Health Systems Research 2012;6(3):352-60. (in Thai)
Punnin S. Trend monitoring [Internet]. 2023 [cited 2023 Aug. 21]. Available from: https://www.thaidrugwatch.org/download/series/49/series49-27.pdf. (in Thai)
Department of Medical Services, Ministry of Public Health, Thailand. Guideline for integrated assessment of antimicrobial resistance management in hospitals (EE-AMR Tool, Thailand). Bangkok: Printing Division; 2022. (in Thai)
Chankunaphas P, Boonyarit P, Srisupan W, Praphaso N. Development of the health service system (Service Plan) for rational drug use. Nonthaburi: Service System Support Development Unit, Bureau of Health Administration, Office of the Permanent Secretary, Ministry of Public Health; 2016. (in Thai)
Khongsaktrakun P, Chowwanapoonphon H, Prasertsuk S. Effectiveness of promote rational use of antibiotics in Sub-District Health Promoting Hospitals case Nakornrajsima Province. Isan Journal of Pharmseutical Sciences [Internet]. 2019 [cited 2024 Dec. 18];15(2):106-17. Available from: https://he01.tci-thaijo.org/index.php/IJPS/article/view/171593/133292 (in Thai)
Thammalikitkul V. Guide to treating bacterial infections with antibiotics in Sub-District Health Promoting Hospitals. Thailand antimicrobial resistance containment and prevention program. Bangkok: Ministry of Public Health; 2015. (in Thai)
Teeranantakul C, Sribundit N. Factors related to the practice of antibiotic of antibiotic use for common cold in children among parents in Bangkok [Master’s thesis]. Bangkok. Silpakorn University; 2019. (in Thai)
Phaengwong P, Naewbood S, Oba N. factors related to rational drug usage competency of nurse practitionersin primary care system, Nakhonsawan Province. Humanities And Social Science Research Promotion Network Journal [Internet]. 2020 [cited 2025 Jan. 20];3(2):56-67. Available from: https://so06.tci-thaijo.org/index.php/hsrnj/article/view/252325/170345 (in Thai)
Patel P, Hou CD, Manning ML. Factors influencing antibiotic prescribing by nurse practitioners: a quantitative pilot study using the theory of planned behavior [Internet]. 2023 [cited 2025 Jan. 20]. Journal of The American Association of Nurse Practitioners 2023;35(11):684-90. Available from: https://doi.org/10.1097/JXX.0000000000000915
Haengphit S. Factors related to the awareness of reasonable use of antibiotics in Health Promoting Hospital in Phrae Province [Independent study in Master of Public Health]. Bangkok, Thammasat University; 2018. (in Thai)
Faul F, Erdfelder E, Lang AG, Bucher A. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007;39(2):175-91.
Srisa-ard B. Preliminary research. Bangkok: Suwiriyasarn; 2010. (in Thai)
Angsuchoti S. Techniques for analyzing the relationship between variables [Internet]. [n.d.] [cited 2023 Nov. 13]. Available from: https://www.stou.ac.th/offices/ore/info/cae/uploads/pdf/636366560441132172.pdf
Jaisue S, Eua-Anant S. Impact of antibiotic smart use program on antibiotic dispensing knowledge of nurse practitioners in Khon Kaen Health Promoting Hospitals. Srinagarind Medical Journal [Internet]. 2022 [cited 2025 Jan. 20];32(2):119-26. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/85001/67706 (in Thai)
Choodam N, Noonil N, Jantasuwan R. Nurse’s roles in a primary medical care unit (Health Region 11). The Southern College Network Journal of Nursing and Public Health [Internet]. 2022 [cited 2025 Feb. 7];9(1):42-54. Available from: https://he01.tci-thaijo.org/index.php/scnet/article/view/241924/170751 (in Thai)
Chuangsakul C. Practices of health personnel related to rational drug use policy at Sub-District Health Promoting Hospitals in Sisaket Province. Medical Journal of Srisaket Surin Buriram Hospital [Internet]. 2018 [cited 2025 Feb. 7];33(3):275-90. Available from: https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/160742/117420 (in Thai)
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