Administration of liquid medications for oral use in babies: development and validation of educational material for caregivers
DOI:
https://doi.org/10.30968/rbfhss.2024.152.1172Abstract
Objective: To develop an educational material with guidelines for caregivers on the administration of oral liquid medications in infants. Methods: the study comprised three stages: (i) development of the educational material based on a literature review, (ii) evaluation by a committee of eight specialists, and (iii) subsequent evaluation by the target population. The validation of the material was based on a minimum Content Validity Index (CVI) of 0.80 and an agreement rate of 75% among participants. Results: the educational material, titled “Administering Liquid Medications to Infants: A Guide for Caregivers and Guardians,” was completed with 32 pages, featuring logical organization, simple language, examples, and images. After evaluation by the committee of specialists, the material achieved a CVI of 0.98 and incorporated seven suggestions. The evaluation by the target population resulted in an agreement rate of 97.5%, with all suggestions being considered. Conclusions: the educational material was validated, standing out for its alignment with objectives, cohesive structure, and relevance. This safe and informative tool can benefit both caregivers and healthcare professionals, being essential to prevent errors in the administration of liquid medications in infants, thereby reducing the risks of intoxication and other health impacts.
Downloads
References
Ernest TB, Elder DP, Martini LG, Roberts M, Ford JL. Developing paediatric medicines: identifying the needs and recognizing the challenges. Journal of Pharmacy and Pharmacology. 2010;59(8).
Souza ALDM de, Batista FF de A, Tacla MTGM, Cardelli AAM, Ferrari RAP. Uso de medicamentos em crianças menores de um ano. Revista da Sociedade Brasileira de Enfermeiros Pediatras. 2020;20(1).
ISMP IPPS no U de M. Uso seguro de medicamentos em pacientes pediátricos. Boletim ismp. 2017;6(4).
Smith MD, Spiller HA, Casavant MJ, Chounthirath T, Brophy TJ, Xiang H. Out-of-hospital medication errors among young children in the United States, 2002-2012. Pediatrics. 2014;134(5).
Harris LM, Dreyer BP, Mendelsohn AL, Bailey SC, Sanders LM, Wolf MS, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;17(4).
Neuspiel DR, Taylor MM. Reducing the Risk of Harm from Medication Errors in Children. Vol. 6, Health Services Insights. 2013.
Torres A, Parker RM, Sanders LM, Wolf MS, Bailey SC, Patel DA, et al. Parent Preferences and Perceptions of Milliliters and Teaspoons: Role of Health Literacy and Experience. Acad Pediatr. 2018;18(1).
Williams TA, Wolf MS, Parker RM, Sanders LM, Bailey S, Mendelsohn AL, et al. Parent Dosing Tool Use, Beliefs, and Access: A Health Literacy Perspective. Journal of Pediatrics. 2019;215.
Yin HS, Dreyer BP, Foltin G, van Schaick L, Mendelsohn AL. Association of Low Caregiver Health Literacy With Reported Use of Nonstandardized Dosing Instruments and Lack of Knowledge of Weight-Based Dosing. Ambulatory Pediatrics. 2007;7(4).
Yin HS, Mendelsohn AL, Wolf MS, Parker RM, Fierman A, Van Schaick L, et al. Parents’ medication administration errors: Role of dosing instruments and health literacy. Arch Pediatr Adolesc Med. 2010;164(2).
Yin HS, Neuspiel DR, Paul IM. Preventing Home Medication Administration Errors. Pediatrics. 2021;148(6).
Jeetu G, Girish T. Prescription drug labeling medication errors: A big deal for pharmacists. Vol. 2, Journal of Young Pharmacists. 2010.
Kaushal R, Goldmann DA, Keohane CA, Abramson EL, Woolf S, Yoon C, et al. Medication errors in paediatric outpatients. Qual Saf Health Care. 2010;19(6).
De Jesus Castro Sousa Harada M, Chanes DC, Kusahara DM, Da Luz Gonçalves Pedreira M. Segurança na administração de medicamentos em Pediatria. ACTA Paulista de Enfermagem. 2012;25(4).
De Carvalho MRF, Pereira DN. A condução do uso de medicamentos por mães de crianças / The leading of use of medicines by mothers of children. Brazilian Journal of Development. 2022;8(6).
Abreu RB de, Carioca AAF, Sampaio HA de C, Vasconcelos CMCS de. Validação do Instrumento de Avaliação de Materiais Educativos Impressos com foco no Letramento em Saúde para o Brasil (AMEELS-BR). Research, Society and Development. 2021;10(12).
ARAÚJO DC, FINATTO MJ. Farmácia e linguística: estratégias para a promoção do letramento em saúde. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde. 2024 Mar 28;15(1):1141.
Slatore CG, Kulkarni HS, Corn J, Sockrider M. Improving health literacy: The new American thoracic society guidelines for patient education materials. Vol. 13, Annals of the American Thoracic Society. 2016.
Cangussú LR, Alho EAS, Cardoso FEL, Tenório AP de O, Barbosa RH de A, Lopes JM, et al. Concordância entre dois instrumentos para avaliação do letramento em saúde. Epidemiologia e Serviços de Saúde. 2021;30(2).
Paiva APRC, Vargas EP. Material Educativo e seu público: um panorama a partir da literatura sobre o tema. Revista Práxis. 2017;9(18).
Lima Nogueira D, Do Socorro de Sousa M, Socorro de Araújo Dias M, De Paulo Teixeira Pinto V, Cristina Lindsay A, Maria Tavares Machado M. Educação em saúde e na saúde: conceitos, pressupostos e abordagens teóricas. SANARE - Revista de Políticas Públicas. 2022;21(2).
Acessibilidade textual e terminológica. Acessibilidade textual e terminológica. 2022.
American Academy of Pediatrics Council on Quality Improvement and Patient Safety. How to Use Liquid Medicines for Children. https://www.healthychildren.org/English/safety--prevention/at-home/medication-safety/Pages/Using-Liquid-Medicines.aspx. 2021.
Centers for Disease Control and Prevention. Adverse Drug Events in Children. https://www.cdc.gov/medicationsafety/parents_childrenadversedrugevents.html. 2023.
Conselho Federal de Farmácia. Guia multiprofissional de educação em saúde na pediatria. Maldonado JLM, editor. Brasília; 2022.
Agência Nacional de Vigilância Sanitária. Vocabulário controlado de formas farmacêuticas, Vias de administração e embalagens de medicamentos. 1st ed. 2011.
Instituto Nacional De Saúde Da Mulher DCEDAFF. Orientação sobreo uso de medicamentos. Fiocruz; 2021.
Paediatric Formulary Committee. BNF for Children (online). Paediatric Formulary Committee. BNF for Children (online) London: BMJ Group, Pharmaceutical Press, and RCPCH Publications . 2022.
Sociedade Brasileira. Uso de medicamentos na creche e na escola. Nota Especial. 2023.
Niederberger M, Köberich S. Coming to consensus: the Delphi technique. European Journal of Cardiovascular Nursing. 2021 Oct 27;20(7):692–5.
Teixeira E, Mota VMS de S. Educação em saúde: Tecnologias Educacionais em Foco. 1st ed. Vol. 2. São Caetano do Sul: Difusão Editora; 2011.
Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal. 2019;11(2).
Silva KN da, Alves SAA, Lopes M do SV, Pinto AGA, Pereira MLD, Cavalcante EGR. Desenvolvimento e validação de um folder educativo para coleta de escarro da tuberculose pulmonar. Rev Bras Enferm. 2023;76(1).
Gonçales MB, Barbieri M, Gabrielloni MC. Teste de Papanicolau: construção e validação de material educativo para usuárias de serviços de saúde. Saúde Coletiva. 2008;5(20):39–44.
Galdino YLS, Moreira TMM, Marques ADB, Silva FAA da. Validação de cartilha sobre autocuidado com pés de pessoas com Diabetes Mellitus. Rev Bras Enferm. 2019;72(3).
Ximenes MAM, Fontenele NÂO, Bastos IB, Macêdo TS, Galindo Neto NM, Caetano JÁ, et al. Construção e validação de conteúdo de cartilha educativa para prevenção de quedas no hospital. Acta Paulista de Enfermagem. 2019;32(4).
Roquini GR, Avelar NRN, Santos TR, Oliveira MRA de C, Galindo Neto NM, Sousa MRMGC de, et al. Construção e validação de cartilha educativa para promoção da adesão a antidiabéticos orais. Cogitare Enfermagem. 2021;26.
Lima KF, Gomes ALA, Melo ESJ, Vasconcelos FX, Sousa JL de, Martins MC, et al. Validação de conteúdo de cartilha educative para controle e manejo da asma em crianças. Rev Bras Enferm. 2021;74.
Ferreira NC, Gesteira ECR, Romano MCC, Café ACC, Silva GN da. Construção e validação de cartilha educativa para promoção da alimentação de adolescentes com transtornos mentais. Research, Society and Development. 2022;11(9).
Instituto Brasileiro de Geografia e Estatística. Educação 2022.
Azevedo MFM, Francelino E V., Oliveira NMSF, Carvalho MM, Vasconcelos AS, Oliveira NF, et al. Perfil do conhecimento de cuidadores de pacientes pediátricos sobre medicamentos prescritos. Revista de Ciencias Farmaceuticas Basica e Aplicada. 2011;32(2).
Yin HS, Gupta RS, Mendelsohn AL, Dreyer B, van Schaick L, Brown CR, et al. Use of a low-literacy written action plan to improve parent understanding of pediatric asthma management: A randomized controlled study. Journal of Asthma. 2017;54(9).
Yin HS, Dreyer BP, Moreira HA, Van Schaick L, Rodriguez L, Boettger S, et al. Liquid medication dosing errors in children: Role of provider counseling strategies. Acad Pediatr. 2014;14(3).
Chan HK, Hassali MA, Lim CJ, Saleem F, Tan WL. Using pictograms to assist caregivers in liquid medication administration: A systematic review. Vol. 40, Journal of Clinical Pharmacy and Therapeutics. 2015.
Monnerat CP, Silva LF da, Souza DK, Aguiar RCB, Cursino EG, Pacheco ST de A. Estratégia de educação em saúde com familiars de crianças em uso contínuo de medicamentos. Rev enferm UFPE on line. 2016;10(11).
Melo A da S, Querido DL, Magesti BN. Construção e validação de tecnologia educativa para manejo não farmacológico da dor neonatal. BrJP. 2022;5.
Aquino SK, Camargo Barbosa AJ, Gonçalves CA, Munhak da Silva RM, Silva Sobrinho RA, Zilly A. Tecnologias em saúde desenvolvidas para a população no Brasil: revisão integrativa da literatura. Arquivos do Mudi. 2022;26(3).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Authors
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors hereby transfer, assign, or otherwise convey to RBFHSS: (1) the right to grant permission to republish or reprint the stated material, in whole or in part, without a fee; (2) the right to print republish copies for free distribution or sale; and (3) the right to republish the stated material in any format (electronic or printed). In addition, the undersigned affirms that the article described above has not previously been published, in whole or part, is not subject to copyright or other rights except by the author(s), and has not been submitted for publication elsewhere, except as communicated in writing to RHFHSS with this document.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Serlf-archiving policy
This journal permits and encourages authors to post and archive the final pdf of the articles submitted to the journal on personal websites or institutional repositories after publication, while providing bibliographic details that credit its publication in this journal.