Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.
Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.
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DOI：
10.1038/s41372-023-01823-0
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发表时间：
2024-01
影响因子：
2.9
通讯作者：
Mendel, Peter
中科院分区：
文献类型：
--
作者：
Qureshi, Nabeel;Kroger, Jack;Zangwill, Kenneth M.;Joshi, Neha S.;Payton, Kurlen;Mendel, Peter
评估临床医生对新生儿重症监护病房 (NICU) 抗生素管理 (AS) 的价值和实施的看法。我们在多中心合作（优化加州 NICU 抗生素使用 [OASCN]）前后对 30 个加州 NICU 进行了调查和访谈，对 AS 认知（处方适当性、重要性、活动、能力）进行了混合方法研究。在 OASCN 之前，24% 的受访者认为存在“很多”或“一些”不适当的处方，通常是由于担心不良结果或不愿改变现有做法。临床医生报告称，OASCN 后 AS 重要性（71% 对 79%）、感知的 AS 活动（67% 对 87%）以及对改变更加开放的态度（59% 对 70%）有统计显着增加。我们发现了其他会减少 AS 工作量的问题。 OASCN 提高了新生儿重症监护病房 (NICU) 处方医生对 AS 活动的感知以及对 AS 实践变化的开放态度。更多地关注主观问题应该会增强 AS 的改善。
To assess clinician perceptions towards the value and implementation of antibiotic stewardship (AS) in neonatal intensive care units (NICU). We performed a mixed-methods study of AS perceptions (prescribing appropriateness, importance, activity, capacity) using surveys and interviews in 30 California NICUs before and after a multicenter collaborative (Optimizing Antibiotic Use in California NICUs [OASCN]). Pre-OASCN, 24% of respondents felt there was “a lot of” or “some” inappropriate prescribing, often driven by fear of a bad outcome or reluctance to change existing practice. Clinicians reported statistically significant increases in AS importance (71 v 79%), perceived AS activity (67 v 87%), and more openness to change after OASCN (59 v 70%). We identified other concerns that lessen AS effort. OASCN increased perceived AS activity and openness to change in AS practices among NICU prescribers. Greater attention to subjective concerns should augment AS improvement.
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DOI：
10.5863/1551-6776-26.7.659
发表时间：
2021-01-01
期刊：
The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
影响因子：
--
作者：
Branstetter, Joshua W;Barker, Leanna;Stultz, Jeremy S
通讯作者：
Stultz, Jeremy S
影响因子：
4.2
作者：
Fleming-Dutra, Katherine E.;Bartoces, Monina;Hicks, Lauri A.
通讯作者：
Hicks, Lauri A.
影响因子：
2
作者：
Kalu, Ibukunoluwa C.;Mukhopadhyay, Sagori;Guzman-Cottrill, Judith A.
通讯作者：
Guzman-Cottrill, Judith A.
影响因子：
--
作者：
Payton, Kurlen S E;Wirtschafter, David;Sharek, Paul J
通讯作者：
Sharek, Paul J
DOI：
10.1016/j.jpeds.2021.07.016
发表时间：
2022-01
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Frost HM;Lou Y;Keith A;Byars A;Jenkins TC
通讯作者：
Jenkins TC