Knowledge and skills required for the use of adrenaline auto-injectors (AAI) are lacking in school settings, causing considerable uneasiness among teaching staff about administering AAI to students.
This study aimed to elucidate the factors behind the negative attitudes toward the administration of AAI in school settings.
After the lecture presentations on emergency treatment for food allergy organized by regional school boards in Hyogo Prefecture, we conducted a questionnaire survey among its participants. We then analyzed the answers received from 1,433 participants using a logistic regression model to investigate independent factors associated with the negative attitudes toward the administration of AAI.
The respondents were comprised of nurse teachers (44%), general education teachers (32%), nutrition teachers (5%), assistant principals (10%) and principals (10%). Those who were negative about administering AAI to students accounted for 10.8% of total. The percentage differed significantly between different specialties/positions; nutrition teachers had the highest percentage (16.7%), followed by general education teachers (15.9%), nurse teachers (10.6%), assistant principals (8.1%) and principals (2.7%). The most frequent factor behind the uneasiness about the use of AAI was “the timing of AAI administration” (69.4%). By teaching specialty/position, a greater number of nurse teachers were concerned about “collaborating within the school” and “collaborating with a hospital” than teachers in other specialties/positions. Comparing between the group with negative attitudes and the group with positive attitudes toward AAI administration, the former was significantly more worried about “how to use AAI” (odds ratio [OR]: 2.1), “the timing of AAI administration” (OR: 02.9), “collaborating with the parents” (OR: 01.6), “the act of injection itself” (OR: 3.1) and “violating the laws” (OR: 3.5).
Most of the factors behind the negative attitudes toward the administration of AAI in school settings were associated with technical concerns.