Academic Journal
Influences on nurses’ engagement in antimicrobial stewardship behaviours: a multi-country survey using the Theoretical Domains Framework
| العنوان: | Influences on nurses’ engagement in antimicrobial stewardship behaviours: a multi-country survey using the Theoretical Domains Framework |
|---|---|
| المؤلفون: | Marie Chater, Angel, Family, Hannah, Maria Abraao, Ligia, Burnett, Emma, Castro-Sánchez, Enrique, Du Toit, Briëtte, Gallagher, Rose, Gotterson, Fiona, Manias, Elizabeth, Mcewen, Jo, Moralez de Figueiredo, Rosely, Nathan, Martina, Ness, Val, Olans, Rita, Clara Padoveze, Maria, Courtenay, Molly |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2022 |
| المجموعة: | University of West London: UWL Repository |
| مصطلحات موضوعية: | Infection prevention, Nursing |
| الوصف: | Background: Antimicrobial resistance (AMR) is significantly affected by inappropriate antibiotic use, and is one of the greatest threats to human health. Antimicrobial stewardship (AMS) is a programme of actions promoting responsible antimicrobial use, and is essential for limiting AMR. Nurses have an important role to play in this context. Aim: This study investigated the determinants of nurse AMS behaviours and the impact of past training. Method: A cross-sectional multi-country survey design with mixed methods was employed. Participants were 262 nurses (223 female; mean age = 44.45; SD = 10.77) from ten nationalities, with individual survey links sent via professional networks in 5 countries. Nine AMS behaviours and 14 behavioural determinants were quantitatively assessed using the Theoretical Domains Framework (TDF), and mapped to the COM-B (Capability, Opportunity, Motivation – Behaviour) model. Analysis identified differences between nurses with and without AMS training. The influence of COVID-19 on AMS behaviour was qualitatively investigated using free text data. Findings: Nurses performed all nine AMS behaviours, which were significantly higher (t(238) = -4.14, p < .001), by those who had training (M = 53.15; SD = 7.40) compared to those who had not (M = 48.30; SD = 10.75). Those with AMS training scored significantly higher in all of the TDF domains, with ‘Skills’ and ‘Behavioural Regulation’ (e.g. ability to self-monitor and plan), being the most predictive of AMS behaviour (R2 = .27). Both of these domains are situated in the Capability construct of COM-B, which can be enhanced with the intervention strategies of education and training. An increase in AMS behaviours was reported since COVID-19, regardless of previous training. Six core themes were linked to AMS: 1) Infection prevention and control, 2) Antimicrobials and antimicrobial resistance, 3) The diagnosis of infection and the use of antibiotics, 4) Antimicrobial prescribing practice, 5) Person-centred care, and 6) Interprofessional ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://repository.uwl.ac.uk/id/eprint/9213/1/j.jhin._2022._Influences_on_nurses%E2%80%99_engagement_in_antimicrobial_stewardship_behaviours-_a_multi-country_survey_using_the_Theoretical_Domains_Framework.pdf; Marie Chater, Angel, Family, Hannah, Maria Abraao, Ligia, Burnett, Emma, Castro-Sánchez, Enrique orcid:0000-0002-3351-9496 , Du Toit, Briëtte, Gallagher, Rose, Gotterson, Fiona, Manias, Elizabeth, Mcewen, Jo, Moralez de Figueiredo, Rosely, Nathan, Martina, Ness, Val, Olans, Rita, Clara Padoveze, Maria and Courtenay, Molly (2022) Influences on nurses’ engagement in antimicrobial stewardship behaviours: a multi-country survey using the Theoretical Domains Framework. Journal of Hospital Infection. ISSN 0195-6701 |
| DOI: | 10.1016/j.jhin.2022.07.010 |
| الاتاحة: | https://repository.uwl.ac.uk/id/eprint/9213/ https://doi.org/10.1016/j.jhin.2022.07.010 |
| Rights: | cc_by_nc_nd_4 |
| رقم الانضمام: | edsbas.1C2B74D2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jhin.2022.07.010 |
|---|