Nurses’ Knowledge on Paracetamol Dose Administration in Paediatrics: A Preliminary Single-centred Study

Abstract

Introduction:

Paracetamol (acetaminophen) is commonly used in the management of pain and fever in children. However, the administration of paracetamol above the recommended dose may result in paracetamol poisoning. In this study, we aimed to explore the knowledge of nurses working in paediatric wards on the therapeutic dose of paracetamol, correct dose calculation and administration.

Methods:

We conducted this cross-sectional study from December 2022 to January 2023 among nurses working in the paediatric wards at Miri Hospital. The self-administered questionnaire consisted of eight questions, which gathered information on the respondents’ knowledge on the therapeutic dose of paracetamol, correct dose calculation and administration. Results were then summarised using descriptive statistics.

Result:

A total of 66 respondents participated in the study. The mean age of respondents was 35.48 ± 4.84 years old. All the respondents understood that paracetamol dosage is weight-based. The majority of the respondents knew the maximum daily dose of paracetamol but were unable to provide correct responses to the questions on the minimum dosing interval and paracetamol dosing for overweight and obese children, and were unable to identify the implications of paracetamol toxicity.

Conclusion:

Our study showed that there are gaps in knowledge among nurses in paediatric wards. Refreshment courses and a quick dosing guide may be beneficial to improve their knowledge on paracetamol dose administration in paediatrics.