一项应用COM-B模型的定性采访研究,以探索医院培训人员如何在英国医院护理中实施抗菌管理教育和培训
Rebecca Turner1, Jo Hart2, Diane Ashiru-Oredope3
1Division of Psychology and Mental Health, Faculty of Biology, Medicine & Health, the University of Manchester, Manchester, UK. rebecca.turner@manchester.ac.uk.
BMC health services research
|July 19, 2023
概括
英国医院的抗菌管理教育和培训 (AMS E&T) 面临着由于组织障碍和缺乏感知需求的实施挑战. 优化AMS E&T对于有效的抗微生物耐药性 (AMR) 行为改变至关重要.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 传染病流行病学 传染病流行病学
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 抗微生物药物耐药性 (AMR) 是一个重要的全球健康威胁,由抗微生物药物的滥用驱动.
- 抗微生物药物管理 (AMS) 计划旨在优化抗微生物药物的使用并保持有效性.
- 教育和培训 (E&T) 是AMS的核心组成部分,但在各医院实施情况各不相同.
研究的目的:
- 探索影响英国医院实施AMS E&T的因素.
- 为了确定有效的AMS E&T交付的障碍和促进者.
- 了解如何优化AMS E&T以推动实践变革.
主要方法:
- 半结构面试与34名英国医院的AMS E&T培训师进行.
- 能力,机会,动机=行为 (COM-B) 模型指导面试时间表的制定.
- 使用COM-B框架进行了感应性主题分析,其次是使用COM-B框架进行演性分析.
主要成果:
- 关键主题包括组织背景 (竞争目标,流行病影响),医疗保健专业人员角色 (定义不佳的AMS角色) 和个人动机 (缺乏对抗药物威胁的信念).
- 系统层面的障碍和定义不良的角色阻碍了AMS E&T的有效实施.
- 在实施的AMS E&T与现实世界的挑战之间注意到了差异.
结论:
- 在英国医院实施AMS E&T受到组织,专业和个人因素的影响.
- 目前的AMS E&T需要优化以应对现实世界的挑战并推动实践变革.
- 建议包括更广泛的员工参与和AMS E&T的理论知情干预设计.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Antimicrobial Effectiveness
50
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
50
Models of Health Promotion and Illness Prevention I
2.1K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.1K
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.3K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.3K
Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K


