A qualitative study of factors influencing antimicrobial prescribing by non-consultant hospital doctors
A qualitative study of factors influencing antimicrobial prescribing by non-consultant hospital doctors
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DOI：
10.1093/jac/dkl323
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发表时间：
2006-10-01
影响因子：
5.2
通讯作者：
Cormican, Martin
中科院分区：
文献类型：
--
作者：
De Souza, Valerie;MacFarlane, Anne;Cormican, Martin
目的：为了确定影响非顾问医院医生（NCHDs）在他们的决定，以处方antimicrobial agents.Methods的因素：定性研究使用半结构化的采访为中心的生活网格跟踪医疗职业生涯的22 NCHDs受雇于一所大学教学医院在西部的爱尔兰。正式的本科教学和医院指南的回忆是一个非常小的影响。随着他们职业生涯的发展，他们行使更大的自主权，个人经验成为处方决策的主要影响因素。医院的指导方针是一个小的影响。与会者认为，本科教学需要更实际，教的方式，更容易适用于病房的情况，医院处方指南需要提出一个“用户友好”的格式和遵守的准则需要promotion.Conclusions：NCHDs抗菌药物处方的关键影响是非正式的。需要新的方法，以确保正规培训和抗菌药物处方的医院指南更有影响力的抗菌药物处方实践的形成。
Objectives: To determine the factors that influence non-consultant hospital doctors (NCHDs) in their decision to prescribe antimicrobial agents.Methods: A qualitative study using semi-structured interviews centred on a life grid tracking the medical career of 22 NCHDs employed by a university teaching hospital in the west of Ireland.Results: Early in their careers NCHD prescribing is based primarily on the immediate influence of more senior colleagues. Recollection of formalized undergraduate teaching and hospital guidelines are a very minor influence. As their career progressed and they exercise greater autonomy, personal experience becomes the major influence on prescribing decisions. Hospital guidelines are a minor influence. Participants consider that undergraduate teaching needs to be more practical and taught in a way that is easier to apply to on-ward situations and that hospital prescribing guidelines need to be presented in a 'user-friendly' format and adherence to the guidelines needs to be promoted.Conclusions: The key influences on antimicrobial prescribing by NCHDs are informal. New approaches are required to ensure that formal training and hospital guidelines on antimicrobial prescribing are more influential in shaping antimicrobial prescribing practice.