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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Knowledge mobilization and assessment of implementation of an updated national antimicrobial prescribing and
Rachel Berry1, Tanya Miah1, Maria Nasim1
1UK Health Security Agency, AMR and HCAI Division, 10 South Colonnade Canary Wharf, London E14 4PU, UK.
Background:
An Antimicrobial Prescribing and Stewardship (APS) Competency Framework is an important resource for enhancing the practice of prescribers, in-line with national and global priorities for tackling antimicrobial resistance. Knowledge mobilization of such a framework is essential to maximize its utilization and impact.
Objectives:
To utilize a Knowledge to Action (KTA) Framework approach to mobilize knowledge of the national APS Competency Framework, assess current integration and collect feedback from course-leaders of non-medical prescribing (NMP) programs at Higher Education Institutions (HEIs) in the UK.
Methods:
UK HEIs accredited to provide NMP training to experienced nurses, pharmacists, and allied health professionals were identified through review of professional regulatory websites. A Microsoft Forms® survey with consent was developed and piloted; the final link and additional information were emailed to NMP course leads. The results were analysed using Microsoft Excel® and NVivo15®.
Results:
Of 84 HEIs surveyed, 38 responded (45%). Over half (55%) already integrate the national APS framework in courses, with others signposting to it. Most (63%) found it helpful, though its length and detail posed challenges and some felt it lacked relevance for all students. Participation in the survey increased awareness of the APS framework and other resources for antimicrobial stewardship teaching.
Conclusions:
This knowledge mobilization and evaluation demonstrated a high level of utilization of the framework within NMP programmes; feedback from users should be considered in future updates. It highlights the need for ongoing engagement with HEIs to embed AMS principles in all prescriber education to optimize antimicrobial use and reduce resistance.
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