新生儿重症监护病房提供者在学习协作过程中对抗生素管理的看法变化:前性,多站点,混合方法评估
Nabeel Qureshi1,2, Jack Kroger3,4, Kenneth M Zangwill5
1RAND Corporation, Santa Monica, CA, USA. nqureshi@rand.org.
概括
新生儿重症监护室 (NICU) 的抗生素管理 (AS) 改善了临床医生对AS活动的看法和对变化的开放性. 解决临床医生的担忧是进一步加强NICUAS努力的关键.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在新生儿重症监护室 (NICU) 中,抗生素管理 (AS) 对于打击抗菌素耐药性至关重要.
- 临床医生的看法显著影响AS计划的成功实施.
研究的目的:
- 评估临床医生对AS价值和在NICU中的实施的看法.
- 评估多中心合作对这些感知的影响.
主要方法:
- 一项涉及调查和采访的混合方法研究在加利福尼亚州30个NICU中进行.
- 数据是在加利福尼亚州NICU (OASCN) 协作优化抗生素使用之前和之后收集的.
主要成果:
- 在OASCN合作之前,24%的临床医生认为抗生素处方不适当.
- 在OASCN后,人们对AS的重要性 (71%至79%),AS活动 (67%至87%) 和对变化的开放性 (59%至70%) 显著增加.
- 诸如对不良结果的恐惧和对实践变革的抵抗等因素被确定为障碍.
结论:
- 该OASCN协作增强了NICU处方者之间感知到的AS活动和对变化的开放性.
- 解决主观临床医生的担忧对于进一步改善NICU的AS至关重要.
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