全球范围内针对抗微生物药物耐药性和管理的医疗工作者教育培训机会图谱绘制。
Mapping educational opportunities for healthcare workers on antimicrobial resistance and stewardship around the world.
机构信息
Global Strategy Lab, Dahdaleh Institute for Global Health Research, Faculty of Health and Osgoode Hall Law School, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
出版信息
Hum Resour Health. 2018 Feb 5;16(1):9. doi: 10.1186/s12960-018-0270-3.
BACKGROUND
Antimicrobial resistance is an important global issue facing society. Healthcare workers need to be engaged in solving this problem, as advocates for rational antimicrobial use, stewards of sustainable effectiveness, and educators of their patients. To fulfill this role, healthcare workers need access to training and educational resources on antimicrobial resistance.
METHODS
To better understand the resources available to healthcare workers, we undertook a global environmental scan of educational programs and resources targeting healthcare workers on the topic of antimicrobial resistance and antimicrobial stewardship. Programs were identified through contact with key experts, web searching, and academic literature searching. We summarized programs in tabular form, including participating organizations, region, and intended audience. We developed a coding system to classify programs by program type and participating organization type, assigning multiple codes as necessary and creating summary charts for program types, organization types, and intended audience to illustrate the breadth of available resources.
RESULTS
We identified 94 educational initiatives related to antimicrobial resistance and antimicrobial stewardship, which represent a diverse array of programs including courses, workshops, conferences, guidelines, public outreach materials, and online-resource websites. These resources were developed by a combination of government bodies, professional societies, universities, non-profit and community organizations, hospitals and healthcare centers, and insurance companies and industry. Most programs either targeted healthcare workers collectively or specifically targeted physicians. A smaller number of programs were aimed at other healthcare worker groups including pharmacists, nurses, midwives, and healthcare students.
CONCLUSIONS
Our environmental scan shows that there are many organizations working to develop and share educational resources for healthcare workers on antimicrobial resistance and antimicrobial stewardship. Governments, hospitals, and professional societies appear to be driving action on this front, sometimes working with other types of organizations. A broad range of resources have been made freely available; however, we have noted several opportunities for action, including increased engagement with students, improvements to pre-service education, recognition of antimicrobial resistance courses as continuing medical education, and better platforms for resource-sharing online.
背景
抗菌药物耐药性是社会面临的一个重要全球性问题。医疗保健工作者需要参与解决这一问题，成为合理使用抗菌药物的倡导者、可持续效果的管理者以及患者的教育者。为了履行这一角色，医疗保健工作者需要获得有关抗菌药物耐药性和抗菌药物管理的培训和教育资源。
方法
为了更好地了解医疗保健工作者可获得的资源，我们对针对医疗保健工作者的抗菌药物耐药性和抗菌药物管理主题的教育计划和资源进行了全球环境扫描。通过与关键专家联系、网络搜索和学术文献搜索来确定计划。我们以表格形式总结了计划，包括参与组织、区域和目标受众。我们开发了一种编码系统，根据计划类型和参与组织类型对计划进行分类，必要时分配多个代码，并创建计划类型、组织类型和目标受众的摘要图表，以说明可用资源的广泛程度。
结果
我们确定了 94 项与抗菌药物耐药性和抗菌药物管理相关的教育举措，这些举措代表了各种计划，包括课程、研讨会、会议、指南、公众宣传材料和在线资源网站。这些资源由政府机构、专业协会、大学、非营利组织和社区组织、医院和医疗保健中心以及保险公司和行业联合开发。大多数计划要么针对医疗保健工作者集体，要么专门针对医生。少数计划针对其他医疗保健工作者群体，包括药剂师、护士、助产士和医学生。
结论
我们的环境扫描表明，许多组织正在努力开发和共享有关抗菌药物耐药性和抗菌药物管理的医疗保健工作者教育资源。政府、医院和专业协会似乎在这方面采取了行动，有时与其他类型的组织合作。已经免费提供了广泛的资源；然而，我们已经注意到一些行动机会，包括增加与学生的互动、改进岗前教育、将抗菌药物耐药性课程确认为继续医学教育，以及更好地在线共享资源平台。
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