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Parents’ Knowledge of Medication Administration and
Side Effects When Treating Children at Home
I am a student at EMSc in Healthcare Administration, Asia e University – Malaysia. This questionnaire
is prepared and presented to you as a mandatory requirement of my Bachelor of Nursing Science
(Hons) programme.
The aim of this research is to study on parents’ knowledge of medication administration and side effects
when treating children at home in Balummahara Suburb, Sri Lanka. I kindly request your support for
succession of my research.
I certify you that this information is only used for my education purpose and the information collected
will not be shared with another third party.
* Required
1. Types of medication administered to a child? *
Check all that apply.
Antipyretics
Decongestants
Antibiotics
Expectorants
Cough medication
Antidiarrhetic
Other:
2. Which methods do you use to administer medication of your child? *
Check all that apply.
Dosing cups
Dosing bottle
Oral syringe
Cylindrical spoon
Household spoon
Other:
3. What are the main source of information which you used for medication administration of
your child? *
Check all that apply.
Instruction sheets
Guildlines from the Doctors
Instructions from the Pharmacists
Instructions from friends/ relatives /neighbors
Other:
https://docs.google.com/forms/d/1QBwpsWwQn4OlIvawkGir_uPTmB2xG68P347wyGhatFE/edit 1/5
4/29/2018 Parents’ Knowledge of Medication Administration and Side Effects When Treating Children at Home
4. Have you purchased overthecounter (OTC) medications from a pharmacy? *
Overthecounter (OTC) drugs are medicines sold directly to a consumer without a prescription from
a healthcare professional, as opposed to prescription drugs, which may be sold only to consumers
possessing a valid prescription.
Mark only one oval.
Yes
No Skip to question 9.
Parents' Attitudes towards Medication Administration
5. What are the medication which you purchased OTC from a pharmacy? *
Check all that apply.
Antipyretics
Cold medication
Antidiarrhetic
Cough medication
Non of the above; can't remeber
Other:
6. Have you ever reused the medication for a child? *
Mark only one oval.
Yes
No
7. Have you given same medication for siblings? *
Mark only one oval.
Yes
No
8. Level of your awareness on medication administration of children? *
Mark only one oval.
Very high (I know everything) Skip to question 12.
High (I have a greater understanding on medication administration of children) Skip to
question 12.
Neutral (I know only basic information on medication administration of children) Skip to
question 12.
Low (I have only general idea on medication administration of children) Skip to question
12.
Very low (I don’t know anything or very little information) Skip to question 12.
Parents' Attitudes towards Medication Administration
https://docs.google.com/forms/d/1QBwpsWwQn4OlIvawkGir_uPTmB2xG68P347wyGhatFE/edit 2/5
4/29/2018 Parents’ Knowledge of Medication Administration and Side Effects When Treating Children at Home
9. Have you ever reused the medication for a child? *
Mark only one oval.
Yes
No
10. Have you given same medication for siblings? *
Mark only one oval.
Yes
No
11. Level of your awareness on medication administration of children? *
Mark only one oval.
Very high (I know everything)
High (I have a greater understanding on medication administration of children)
Neutral (I know only basic information on medication administration of children)
Low (I have only general idea on medication administration of children)
Very low (I don’t know anything or very little information)
Parents' Behavior on Medication Administration
Indicate your level of agreement with the following statements
12. *
Mark only one oval per row.
Highly Highly
Satisfied Neutral Dissatisfied
Satisfied dissatisfied
Your confidnce level of dosage
of medication
Your confidence level of
medication method
Awareness of medication
administration of children
Are you satisfied with the time
that you allocated for your
children
13. Do you prefer for prescribe medication rather than nonprescribe medication? *
Mark only one oval.
Yes
No
14. How would you rate your awareness on the side effects of medication administration of
children?
Mark only one oval.
1 2 3 4 5
Very Poor Excellent
https://docs.google.com/forms/d/1QBwpsWwQn4OlIvawkGir_uPTmB2xG68P347wyGhatFE/edit 3/5
4/29/2018 Parents’ Knowledge of Medication Administration and Side Effects When Treating Children at Home
15. Do you required further awareness program for medication administration for children? *
Mark only one oval.
Yes
No
16. Please tell us your overall idea on Medication Administration and side effects when treating
children at home
Demographic Information
Finally, please tell us a little about yourself.
17. What is your gender? *
Mark only one oval.
Female
Male
18. Your age group *
Mark only one oval.
Below 20
21 30
31 40
41 50
51 60
Above 61
19. What is the highest level of education you have completed? *
Mark only one oval.
Graduate / undergraduate
Professional Qualifications
Advanced Level
Ordinary Level
Primary Education
Other:
https://docs.google.com/forms/d/1QBwpsWwQn4OlIvawkGir_uPTmB2xG68P347wyGhatFE/edit 4/5
4/29/2018 Parents’ Knowledge of Medication Administration and Side Effects When Treating Children at Home
20. Level of monthly family income *
Mark only one oval.
Less than LKR 20,000
LKR 20,000 40,000
LKR 40,000 60,000
LKR 60,000 80,000
LKR 80,000 100,000
Above 100,000
21. How many children (dependents) for your family? *
Mark only one oval.
Only one child
Two children
Three children
Other:
22. Are you employed? *
Mark only one oval.
Yes
No
23. Do you have enough time for medication administration of your child?
Mark only one oval.
Yes
No
Maybe
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