了解环境来规划抗微生物药物管理:在巴西城市初级保健中进行的一项混合方法研究
Letícia Fernandes de Britto-Costa1, Vítor Falcão de Oliveira2, Maria Tereza Pepe Razzolini3
1Department of Collective Health Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil.
American journal of infection control
|February 16, 2025
概括
在巴西实施抗微生物药物管理需要解决培训缺口,并利用医疗保健工作者的学习热情. 这改善了抗微生物药物的使用和患者的治疗结果.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健政策 医疗保健政策
背景情况:
- 巴西的抗微生物优化中心网络正在一个市镇实施抗微生物管理计划.
- 了解当地的环境和对抗微生物药物使用的信仰对于计划的成功至关重要.
研究的目的:
- 探索实施抗微生物管理计划的障碍和推动因素.
- 了解巴西初级医疗保健中抗微生物药物使用的背景和信仰.
主要方法:
- 在12个初级医疗保健单位进行混合方法研究.
- 对208名医疗保健工作者进行调查,使用理论领域框架.
- 采访了16名患者和12名医护人员,通过批判性话语分析进行分析.
主要成果:
- 高等教育专业人员对抗微生物药物管理表现出更大的乐观,知识和更强烈的意图.
- 发现的障碍包括培训差异,以医生为中心的决策和患者知识差距.
- 推动因素包括医疗保健工作者的学习意愿和护理人员对患者状况的理解.
结论:
- 成功实施取决于解决培训方面的差异.
- 利用医疗保健工作者学习意愿是计划成功的关键.
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