Department of Communication Arts and Sciences, The Pennsylvania State University.
Health Commun. 2020 Jun;35(7):861-871. doi: 10.1080/10410236.2019.1598615. Epub 2019 Apr 22.
Although watchful watching has been recommended as a means of reducing unnecessary use of antibiotics, nonadherence has frequently been observed. Drawing from appraisal theories of emotion, this study ( = 579) examined (a) the factors that shape pediatric caregivers' emotional experiences in the medical contexts and (b) the influence of emotions on (non)adherence behavioral intentions. Caregivers reported more intense negative emotions and less intense positive emotions following watchful waiting advice versus receiving an antibiotic prescription. The differences were mostly driven by false beliefs about antibiotics' effectiveness. Emotional responses predicted intentions to adhere to watchful waiting advice (e.g., counterargue and seek another healthcare provider), with anger being the most consistent determinant of these outcomes. Improving antibiotic stewardship can be achieved by educational efforts to correct false beliefs and by training healthcare providers to manage caregiver emotions.
尽管建议谨慎观察作为减少不必要使用抗生素的手段，但经常观察到不遵守医嘱的情况。本研究（= 579）借鉴情绪评价理论，考察了（a）在医疗环境中塑造儿科护理人员情绪体验的因素，以及（b）情绪对（不）遵守行为意向的影响。与接受抗生素处方相比，护理人员在接受谨慎观察建议后报告了更强烈的负面情绪和较弱的积极情绪。这些差异主要归因于对抗生素有效性的错误信念。情绪反应预测了遵守谨慎观察建议的意愿（例如，反驳并寻求其他医疗保健提供者），其中愤怒是这些结果的最一致决定因素。通过纠正错误信念的教育努力和培训医疗保健提供者管理护理人员情绪，可以实现抗生素管理的改善。
