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首页> 外文期刊>Southern African Journal of Critical Care >Perceived barriers to the development of the antimicrobial stewardship role of the nurse in intensive care: Views of healthcare professionals
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Perceived barriers to the development of the antimicrobial stewardship role of the nurse in intensive care: Views of healthcare professionals

机译：在重症监护权中的抗微生物管道作用的发展的感知障碍：医疗保健专业人员的观点

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BACKGROUND: Antimicrobial stewardship has become an important initiative within intensive care units in the global fight against antimicrobial resistance. Support for nurses to participate in and actively direct antimicrobial stewardship interventions is growing however, there may be barriers that impede the development of this nursing roleOBJECTIVES: To explore the views of healthcare professionals regarding barriers to the antimicrobial stewardship role of the nurse in intensive care in a private hospital in KwaZulu-Natal, South AfricaMETHODS: Using a qualitative research approach, purposive sampling was used to identify fifteen participants from the disciplines of nursing, surgery, anaesthetics, internal medicine, microbiology, and pharmacy in a general intensive care unit. Content analysis was used to code data obtained from each individual interviewRESULTS: The following categories and subcategories were derived: regarding barriers to the role of the nurse in antimicrobial stewardship: (i) lack of collaboration (subcategories: not participating in the antimicrobial stewardship programme, no feedback about antimicrobial resistance in the unit, and not part of decision-making); (ii) inadequate knowledge (subcategories: not understanding infection prevention and control, missing the link between laboratory results and start of treatment, and poor knowledge of antibiotics and their administration); and (iii) inexperienced nurses (subcategories: shortage of intensive care nurses, lack of experienced nurses, and inadequate nursing staff to provide in-service trainingCONCLUSION: The nursing role within antimicrobial stewardship was negatively affected by both staffing and collaborative difficulties, which impacted on the implementation of antimicrobial stewardship within the unit.
机译：背景：抗菌管道在全球抗菌抗菌性抗性的重症监护单位内成为一项重要倡议。不得不支持护士和积极直接的直接抗菌管制干预措施正在增长，可能存在阻碍这种护理中的发展：探讨医疗保健专业人员对护士在重症监护中的抗微生物管理作用的障碍的看法南非南非民族北非民族门徒的私立医院：使用定性研究方法，用途采样，从一般密集护理单位中识别来自护理，手术，麻醉剂，内科，微生物学和药房的学科的十五名参与者。内容分析用于代码从每个受访者获得的数据：提供以下类别和子类别：关于护士在抗微生物管理中作用的障碍：（i）缺乏合作（子类别：不参加抗微生物管理计划，没有反馈对单位的抗微生物抗性，而不是决策的一部分）; （ii）知识不足（子类别：不理解预防和控制，缺少实验室结果与治疗开始之间的联系，以及抗生素及其管理的知识差; （iii）缺乏经验的护士（子类别：重症监护护士短缺，缺乏经验丰富的护士，并且护理人员提供服务中的职业培训：抗菌管理中的护理角色受到人员配置和合作困难的负面影响，这影响了单位内抗菌管道的实施。

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