使用理论领域框架探索抗菌素处方行为的决定因素
Hend Talkhan1, Derek Stewart2, Trudi McIntosh1
1School of Pharmacy and Life Sciences, Robert Gordon University, UK.
了解影响医院抗菌素处方的因素是改善抗生素使用的关键. 这项研究确定了诸如指导方针问题和知识差距等障碍,以及诸如合规性等促进因素,以告知更好的抗生素管理计划.
科学领域:
- 医学研究 医学研究
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 有限的基于理论的定性研究存在于医院的抗菌素处方行为决定因素.
- 了解这些决定因素对于开发有效的行为改变干预措施 (BCI) 至关重要.
研究的目的:
- 使用理论领域框架 (TDF) 探索临床医生抗菌素处方行为的决定因素.
- 确定在医院环境中适当的抗微生物实践的障碍和促进因素.
主要方法:
- 与卡塔尔的医生和药剂师进行了半结构化采访.
- 使用TDF分析了采访,以确定处方决定因素.
主要成果:
- 八名医生和八名药剂师接受了采访,直到数据和.
- 障碍包括指南缺陷,知识差距,角色限制,决策挑战和团队合作不佳.
- 辅导员涉及遵守指导方针和意识到处方后果.
结论:
- 抗菌剂的处方是复杂的,受到各种障碍和促进者的影响.
- 这项研究提供了深入的理解,以支持有效的BCI对抗微生物药物管理.
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