IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i5-6p892-905.html
   My bibliography  Save this article

A systematic review to explore influences on parental attitudes towards antibiotic prescribing in children

Author

Listed:
  • Helen Bosley
  • Catherine Henshall
  • Jane V Appleton
  • Debra Jackson

Abstract

Aims and objectives To understand the factors influencing parental attitudes towards antibiotic prescribing. Background Overuse of antibiotics and inappropriate prescribing has resulted in rapid development of antimicrobial resistance (AMR) and is a significant global threat to patient safety. In primary care settings, substantial numbers of antibiotics are prescribed for young children, despite viral nature of illness for which antibiotics are ineffective. Parents play a vital role in decision‐making regarding accessing healthcare services and requesting treatment for their children. Design A systematic review was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) statement (Moher et al., Systematic Reviews, 4, 2015, p. 1). Methods The CINAHL, MEDLINE, PsycINFO, The Cochrane Library, BRITISH NURSING INDEX, EMBASE and PUBMED databases were searched for primary research published between 2006–2016. All types of primary research were searched and screened against inclusion criteria. The Critical Appraisal Skills Programme tool was used to appraise identified publications. Quantitative data were summarised descriptively, and qualitative data were thematically analysed. Results A total of 515 publications were initially screened, and 55 full‐text articles were eligibility assessed. Twenty papers met inclusion criteria. Four main themes were identified: the quality of relationships with healthcare providers, dealing with conflicting messages, rationalising antibiotic use and parental practices informed by past experience. Conclusions Parents wanted reassurance and advice regarding children's illnesses, had poor antibiotic knowledge and were influenced by personal past experiences. More accessible education, including simple information leaflets, is required. Further research on the influence of culture, ethnicity and socio‐economic factors would be beneficial. Relevance to clinical practice Healthcare professionals must provide adequate time for reassurance and explanations of decision‐making. Easy‐to‐read information regarding appropriate antibiotic usage should be easily accessible for parents.

Suggested Citation

  • Helen Bosley & Catherine Henshall & Jane V Appleton & Debra Jackson, 2018. "A systematic review to explore influences on parental attitudes towards antibiotic prescribing in children," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 892-905, March.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:892-905
    DOI: 10.1111/jocn.14073
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14073
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14073?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Megan‐Jane Johnstone, 2016. "Editorial: The moral significance of antimicrobial resistance and the rise of ‘apocalyptic superbugs’," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2079-2082, August.
    2. Stivers, Tanya, 2002. "Participating in decisions about treatment: overt parent pressure for antibiotic medication in pediatric encounters," Social Science & Medicine, Elsevier, vol. 54(7), pages 1111-1130, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tate, Alexandra, 2020. "Invoking death: How oncologists discuss a deadly outcome," Social Science & Medicine, Elsevier, vol. 246(C).
    2. Pilnick, Alison & Dingwall, Robert, 2011. "On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review," Social Science & Medicine, Elsevier, vol. 72(8), pages 1374-1382, April.
    3. Bergen, Clara & McCabe, Rose, 2021. "Negative stance towards treatment in psychosocial assessments: The role of personalised recommendations in promoting acceptance," Social Science & Medicine, Elsevier, vol. 290(C).
    4. Collins, Sarah & Drew, Paul & Watt, Ian & Entwistle, Vikki, 2005. "'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment," Social Science & Medicine, Elsevier, vol. 61(12), pages 2611-2627, December.
    5. Wang, Nan Christine, 2020. "Understanding antibiotic overprescribing in China: A conversation analysis approach," Social Science & Medicine, Elsevier, vol. 262(C).
    6. Zhao, Chunjuan & Ma, Wen, 2020. "Patient resistance towards clinicians’ diagnostic test-taking advice and its management in Chinese outpatient clinic interaction," Social Science & Medicine, Elsevier, vol. 258(C).
    7. Toerien, Merran, 2021. "When do patients exercise their right to refuse treatment? A conversation analytic study of decision-making trajectories in UK neurology outpatient consultations," Social Science & Medicine, Elsevier, vol. 290(C).
    8. Turowetz, Jason, 2022. "Interaction order and the labeling of disorder: How parents mobilize personal knowledge in the clinic to resist medicalization of their children's behavior," Social Science & Medicine, Elsevier, vol. 294(C).
    9. Schwabe, Meike & Howell, Stephen J. & Reuber, Markus, 2007. "Differential diagnosis of seizure disorders: A conversation analytic approach," Social Science & Medicine, Elsevier, vol. 65(4), pages 712-724, August.
    10. Hudak, Pamela L. & Clark, Shannon J. & Raymond, Geoffrey, 2011. "How surgeons design treatment recommendations in orthopaedic surgery," Social Science & Medicine, Elsevier, vol. 73(7), pages 1028-1036.
    11. Del Mastro N., Irene, 2022. "Providing culturally competent and universal health care in the Peruvian Amazon: The role of medical authority," Social Science & Medicine, Elsevier, vol. 315(C).
    12. Stivers, Tanya & Timmermans, Stefan, 2021. "Arriving at no: Patient pressure to prescribe antibiotics and physicians’ responses," Social Science & Medicine, Elsevier, vol. 290(C).
    13. Tate, Alexandra, 2022. "Death and the treatment imperative: Decision-making in late-stage cancer," Social Science & Medicine, Elsevier, vol. 306(C).
    14. Wang, Nan Christine & Liu, Yuetong, 2021. "Going shopping or consulting in medical visits: Caregivers’ roles in pediatric antibiotic prescribing in China," Social Science & Medicine, Elsevier, vol. 290(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:892-905. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.