对于儿科的抗菌药物管理课程,需要混合方法评估
Cora Constantinescu1, John Conly2,3,4,5, Joseph Vayalumkal1
1Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|February 28, 2024
概括
对儿科团队进行有效的抗微生物管理 (AS) 教育需要解决影响抗微生物处方 (AP) 的心理社会因素. 专注于协作和患者福祉的量身定制方法,同时缓解诸如培训不足等障碍,对于成功至关重要.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 传染病管理 传染病管理
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 抗微生物药物管理 (AS) 倡议对于打击抗微生物药物耐药性至关重要.
- 成功的AS教育必须考虑影响抗菌素处方 (AP) 行为在多学科团队内的心理社会动态.
- 量身定制的教育方法对于满足医疗保健团队的特定需求至关重要.
研究的目的:
- 评估影响AS实践的心理社会障碍和促进者在儿科住院病人的设置.
- 确定为儿科医疗保健团队开发有效的,基于社会心理的AS教育的可行的需求.
主要方法:
- 在第三级护理儿科医院进行了一项混合方法的需求评估.
- 在临床试验中收集了AS问题的定量审计数据.
- 使用理论领域框架 (TDF) 对23名医疗保健专业人员进行了定性半结构面试.
主要成果:
- 对AS的促进者包括协作,共享决策,可访问的指南和以患者为中心的道德观.
- 发现的障碍是不干涉的规范,专业比较,资源限制,不足的AS培训,情感处方和惩罚性的监控系统.
- 在儿科团队中,TDF被映射到抗菌素处方 (SDAP) 的社会决定因素模型中.
结论:
- 心理社会因素在儿童住院病人的情况下显著影响AS决策.
- 了解这些障碍和促进者是设计有针对性和有效的AS教育的关键.
- 通过量身定制的教育干预,获得了可操作的见解,以改善AS实践.
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