School of Health Sciences, Cardiff University, Cardiff, UK.
Reading School of Pharmacy, Reading University, Reading, UK.
J Hosp Infect. 2018 Nov;100(3):245-256. doi: 10.1016/j.jhin.2018.06.022. Epub 2018 Jun 30.
Healthcare professionals are involved in an array of patient- and medicine-related stewardship activities, for which an understanding and engagement with antimicrobial stewardship (AMS) is important. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities.
To provide UK national consensus on a common set of antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education.
A modified Delphi approach comprising two online surveys delivered to a UK national panel of 21 individuals reflecting expertise in prescribing and medicines management with regards to the education and practice of nurses and midwives, pharmacists, physiotherapists, and podiatrists; and antimicrobial prescribing and stewardship. Data collection took place between October and December 2017.
A total of 21 participants agreed to become members of the expert panel, of whom 19 (90%) completed round 1 questionnaire, and 17 (89%) completed round 2. Panelists reached a consensus, with consistently high levels of agreement reached, on six overarching competency statements (subdivided into six domains), and 55 individual descriptors essential for antimicrobial stewardship by healthcare professionals.
Due to the consistently high levels of agreement reached on competency statements and their associated descriptors, this competency framework should be used to direct education for undergraduate healthcare professionals, and those working in new clinical roles to support healthcare delivery where an understanding of, and engagement with, AMS is important. Although the competencies target basic education, they can also be used for continuing education.
医疗保健专业人员参与了一系列与患者和药物相关的管理活动，因此了解并参与抗菌药物管理（AMS）非常重要。本科教育为医疗保健专业人员做好这些角色和活动的准备提供了理想的机会。
为本科医疗保健专业教育提供一套共同的抗菌药物管理能力，以达成英国国家共识。
采用改良 Delphi 方法，对反映护士和助产士、药剂师、物理治疗师和足病医生教育和实践方面的处方和药物管理专业知识以及抗菌药物处方和管理方面专长的 21 名英国国家专家小组成员进行了两次在线调查。数据收集于 2017 年 10 月至 12 月进行。
共有 21 名参与者同意成为专家小组的成员，其中 19 名（90%）完成了第一轮问卷，17 名（89%）完成了第二轮问卷。小组成员达成了共识，对六项总体能力陈述（分为六个领域）和 55 项医疗保健专业人员进行抗菌药物管理的基本描述词达成了始终如一的高度共识。
由于对能力陈述及其相关描述词达成了始终如一的高度共识，因此应使用该能力框架来指导本科医疗保健专业人员的教育，并指导那些在新的临床角色中工作的人员，以支持需要了解和参与 AMS 的医疗保健服务。虽然这些能力针对的是基础教育，但也可以用于继续教育。
