Lim Jihee, Bang Kyung-Sook
Doctoral Candidate, College of Nursing, Seoul National University, Seoul, Korea.
Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Child Health Nurs Res. 2024 Jan;30(1):54-66. doi: 10.4094/chnr.2023.055. Epub 2024 Jan 31.
This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital.
This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components.
No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010).
To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.
本研究调查了一家儿童医院护士对抗生素管理的参与情况和认知。
这项描述性研究纳入了一家三级儿童医院住院病房、重症监护室和急诊室的125名护士。该研究使用理论领域框架测量了影响抗生素管理行为的14个因素。通过将每个因素分类为能力、机会和动机等组成部分进行分析，这些组成部分被认为是行为的COM - B模型中的影响因素。采用单因素方差分析和Pearson相关系数来探讨抗生素管理行为及其影响因素在一般特征方面的差异，以及抗生素管理行为与COM - B组成部分之间的相关性。
基于抗生素管理教育经验或护理部门，未发现抗生素管理行为存在统计学上的显著差异。然而，根据抗生素管理教育经验，在技能（身体方面）（p = 0.042）、知识（p = 0.027）、意图（p = 0.028）和社会影响（p = 0.010）等与抗生素管理行为相关的因素认知水平上观察到显著差异。此外，根据COM - B模型的子组成部分，特别是身体能力（p = 0.042）、心理能力（p = 0.027）和社会机会（p = 0.010），在认知水平上也观察到显著差异。
为了扩大护士在抗生素管理中的参与度和作用，护士应认识到合理使用抗生素的重要性，旨在提高医疗质量并确保患者安全。为实现这一目标，根据护士的具体需求和实践量身定制教育至关重要。
