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推进抗生素管理护理实践的标准化教育:一项试点研究。

Advancing Antibiotic Stewardship Nursing Practice Through Standardized Education: A Pilot Study.

出版信息

J Contin Educ Nurs. 2022 Sep;53(9):417-423. doi: 10.3928/00220124-20220805-08. Epub 2022 Sep 1.

Abstract

Background Antibiotic resistance is a leading global public health threat. Nurses are well positioned to optimize antibiotic use via targeted antibiotic stewardship (AS) nursing practices. However, standardized AS education for nurses is lacking. The objective of this study was to evaluate the effect of an online AS for nurses continuing education program on nurses' antibiotic resistance, antibiotic, and AS knowledge and their intent to integrate AS into their clinical practice. Method A quasi-experiential pretest-posttest design was used with a convenience sample of nurses at a U.S. academic medical center. Focus groups were conducted with those completing the program. Results Forty-seven of 100 eligible nurses completed the program and the pre- and posttest surveys. Participation resulted in statistically significant increases ( < .05) in antibiotic resistance, antibiotic, and AS knowledge, confidence, and perceptions related to the role of nursing in AS. Focus group participants had multiple recommendations for ways to integrate AS in daily nursing practice. Conclusion Completing a comprehensive AS nursing continuing education program could prove instrumental to motivating nurses to adopt AS nursing practices. .

摘要

背景

抗生素耐药性是一个主要的全球公共卫生威胁。护士通过有针对性的抗生素管理(AS)护理实践,在优化抗生素使用方面具有得天独厚的优势。然而,针对护士的标准化 AS 教育却很匮乏。本研究旨在评估针对护士的在线 AS 继续教育计划对护士对抗生素耐药性、抗生素和 AS 知识的影响,以及他们将 AS 融入临床实践的意愿。

方法

采用美国学术医疗中心的便利样本,采用准实验前测后测设计,对护士进行了研究。对完成该计划的护士进行了焦点小组讨论。

结果

在 100 名符合条件的护士中,有 47 名完成了该计划和预测试及后测试调查。参与研究后,护士对抗生素耐药性、抗生素和 AS 知识、信心以及对护理在 AS 中作用的看法均有统计学意义上的显著提高(<.05)。焦点小组参与者对将 AS 融入日常护理实践的多种方式提出了建议。

结论

完成全面的 AS 护理继续教育计划可能对激励护士采用 AS 护理实践具有重要作用。

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