Zhao Wenting, Xu Yufei, Liu Ru, Zhao Tingting, Ning Yan, Feng Yaoqing, Kang Hongyun, Li Shuhua, Han Xiaojuan, Shang Linping
Nursing College, Shanxi Medical University, Taiyuan 030001, China.
Department of Nursing, First Hospital of Shanxi Medical University, Taiyuan 030001, China.
J Nurs Manag. 2023 Nov 22;2023:9059920. doi: 10.1155/2023/9059920. eCollection 2023.
To evaluate the knowledge, attitudes, and practices of Chinese bedside nurses regarding antimicrobial stewardship, as well as to identify factors that influence nurses' engagement in antimicrobial stewardship.
Antimicrobial resistance is a pressing global health threat. Antimicrobial stewardship is crucial in combating this issue. Nurses play a key role in implementing antimicrobial stewardship. However, little is known about the involvement of Chinese nurses in antimicrobial stewardship.
An explanatory sequential mixed-methods design was employed. A self-developed questionnaire was administered between March and August 2021 ( = 463), followed by semi-structured interviews with 17 nurses between March and July 2022. Descriptive statistics and qualitative content analysis were used to analyze the data.
The study found that nurses scored 75% in knowledge, 82.8% in attitude, and 84.1% in practice domains. There was a moderate correlation between nurses' knowledge, attitudes, and practices. It revealed that knowing local antimicrobial stewardship programmes information and the frequency of receiving antimicrobial stewardship training had a significant impact on nurses' knowledge scores. The willingness to participate in related training influenced nurses' attitude scores. Being a clinical teacher and the frequency of receiving related training influenced nurses' practice scores. The qualitative phase identified three themes: insufficient knowledge of nurses' engagement, diverse attitudes towards engagement, and limited scopes and absence of standards in nurses' participation.
Our findings emphasize the importance of enhancing nurses' perception and involvement in antimicrobial stewardship. While nurses exhibit positive attitudes and practices, addressing the existing knowledge gap is crucial. To achieve this, it is necessary to clarify the role and responsibilities of nurses in antimicrobial stewardship, provide regular training and innovative methods, strengthen communication and collaboration, and foster a positive work environment. Additionally, actively promoting the development of guidelines and evaluation criteria will enable nurses to more effectively participate. . Regular training of nurses in antimicrobial stewardship needs to be enhanced. Nursing managers should strive to create positive, empowering, and supportive work environments, participate in policy formulation and implementation, and provide clear expectations for nurses' engagement in antimicrobial stewardship.
评估中国床边护士在抗菌药物管理方面的知识、态度和实践情况，并确定影响护士参与抗菌药物管理的因素。
抗菌药物耐药性是全球紧迫的健康威胁。抗菌药物管理对于应对这一问题至关重要。护士在实施抗菌药物管理中发挥着关键作用。然而，对于中国护士参与抗菌药物管理的情况知之甚少。
采用解释性序列混合方法设计。2021年3月至8月间发放了一份自行编制的问卷（n = 463），随后在2022年3月至7月间对17名护士进行了半结构式访谈。使用描述性统计和定性内容分析来分析数据。
研究发现护士在知识领域的得分是75%，态度领域为82.8%，实践领域为84.1%。护士的知识、态度和实践之间存在中等程度的相关性。结果显示，了解当地抗菌药物管理计划信息以及接受抗菌药物管理培训的频率对护士的知识得分有显著影响。参与相关培训的意愿影响护士的态度得分。担任临床教师以及接受相关培训的频率影响护士的实践得分。定性阶段确定了三个主题：护士参与度的知识不足、对参与度的态度多样、护士参与的范围有限且缺乏标准。
我们的研究结果强调了提高护士对抗菌药物管理的认识和参与度的重要性。虽然护士表现出积极的态度和实践，但解决现有的知识差距至关重要。要做到这一点，有必要明确护士在抗菌药物管理中的角色和责任，提供定期培训和创新方法，加强沟通与协作，营造积极的工作环境。此外，积极推动指南和评估标准的制定将使护士能够更有效地参与。需要加强对护士进行抗菌药物管理方面的定期培训。护理管理者应努力营造积极、赋权和支持性的工作环境，参与政策制定和实施，并为护士参与抗菌药物管理提供明确期望。
