Changes in medications administered in schools

Ann Marie McCarthy; Michael W Kelly; Sheila Johnson; Jaclyn Roman; M Bridget Zimmerman

doi:10.1177/105984050602200207

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Changes in medications administered in schools

Journal article

Peer reviewed

Changes in medications administered in schools

Ann Marie McCarthy, Michael W Kelly, Sheila Johnson, Jaclyn Roman and M Bridget Zimmerman

The Journal of school nursing, Vol.22(2), pp.102-107

04/01/2006

DOI: 10.1177/105984050602200207

PMID: 16563033

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Abstract

<p>The purpose of this descriptive, cross-sectional study was to determine if there have been changes in the type and number of attention deficit/hyperactivity disorder (AD/HD) medications administered in schools since the introduction of long-acting stimulants. A survey was sent to 1,000 school nurses randomly selected from the National Association of School Nurses membership, with 339 returned (34%). Between 2000 and 2003 the proportion of students receiving any prescription medication (2.9/100 vs. 1.0/100), methylphenidate (1.2 vs. 0.2), or amphetamine/dextroamphetamine (0.3/100 vs. 0.1/100) was significantly reduced ( p < .0001). High school students took fewer prescription ( p < .0001) and AD/HD medications ( p < .0001), but more nonprescription medications than other students. A total of 163 different prescription medications and 28 nonprescription medications were administered during the typical school day. This study suggests that the use of long-acting stimulants has significantly reduced the number of prescription medications administered in schools. This reduction has been accompanied by a dramatic increase in the range of medications administered, making the medication administration process in schools more complex, not less.</p>

Nursing

Adolescent

Adult

Amphetamines/therapeutic use

Attention Deficit Disorder with Hyperactivity/drug therapy/nursing

Central Nervous System Stimulants/therapeutic use

Child

Cross-Sectional Studies

Dextroamphetamine/therapeutic use

Drug Administration Schedule

Drug Prescriptions/statistics & numerical data

Drug Therapy/nursing/statistics & numerical data

Drug Therapy

Combination

Drug Utilization Review

Female

Humans

Male

Methylphenidate/therapeutic use

Nonprescription Drugs/therapeutic use

Nurse's Role

Nursing Evaluation Research

Physician's Practice Patterns/statistics & numerical data

Questionnaires

Safety Management

School Nursing/organization & administration

Workload

Details

Title: Subtitle: Changes in medications administered in schools
Creators: Ann Marie McCarthy - University of Iowa
Michael W Kelly
Sheila Johnson
Jaclyn Roman
M Bridget Zimmerman
Resource Type: Journal article
Publication Details: The Journal of school nursing, Vol.22(2), pp.102-107
DOI: 10.1177/105984050602200207
PMID: 16563033
NLM abbreviation: J Sch Nurs
ISSN: 1059-8405
Language: English
Date published: 04/01/2006
Academic Unit: Stead Family Department of Pediatrics; Biostatistics; Nursing; College of Pharmacy; Community and Behavioral Health
Record Identifier: 9983557613802771

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