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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Health Care Providers' Perceptions of Antimicrobial Use and Stewardship at Acute Care Hospitals in Nova Scotia
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Health Care Providers' Perceptions of Antimicrobial Use and Stewardship at Acute Care Hospitals in Nova Scotia

机译：医疗保健提供者对新斯科舍省急性护理医院的抗菌药物使用和管道的看法

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Background: Antimicrobial use is the major factor in the development of antimicrobial resistance. Antimicrobial stewardship has been recommended as a strategy to improve antimicrobial use. Objective: To learn about health care providers' perceptions of current antimicrobial use and stewardship, including barriers and facilitators to improving antimicrobial use at acute care hospitals in Nova Scotia. Methods: This qualitative research study was conducted at acute care hospitals in Nova Scotia using focus groups and semistructured interviews. Health care providers (nurses, nurse practitioners, pharmacists, pharmacy students, and physicians) were invited to participate. Focus groups and interviews were conducted at each participant's place of employment. Interviews and focus groups were facilitated with an interview guide, audio-recorded, and transcribed verbatim. Transcripts were independently coded by 2 investigators and analyzed using thematic analysis. Results: A total of 9 focus groups and 3 individual interviews were conducted between June and August 2017. Fifty-four health care professionals and trainees (24 pharmacists and pharmacy students, 14 physicians, and 16 nurses and nurse practitioners) from 5 hospitals participated. The following themes were identified: current practices, prescribing influences, access to information, collaboration and communication, resources, and antimicrobial stewardship. Within each theme, barriers and facilitators to improving antimicrobial use were identified as subthemes. Conclusion: Participants identified current barriers to appropriate use of antimicrobials and suggested facilitators that might improve the use of these drugs. The results of this study could be used by antimicrobial stewardship teams and decision-makers to improve antimicrobial use and stewardship initiatives throughout Nova Scotia, and may be applicable to hospitals outside the province.
机译：背景：抗菌用途是抗微生物抗性发展的主要因素。建议抗微生物管道作为改善抗微生物使用的策略。目的：了解医疗保健提供者对当前抗菌药物和管理的看法，包括障碍和促进者，以改善新斯科舍省急性护理医院的抗菌药物。方法：使用焦点小组和半系统采访，在新斯科舍省的急性护理医院进行了这个定性研究研究。邀请医疗保健提供者（护士，护士，药剂师，药房学生和医师）参加。每个参与者的就业地点都进行了焦点小组和访谈。采访和焦点小组与面试指南，音频记录和翻译逐字进行了促进。转录物由2例研究人员独立编码，并使用主题分析分析。结果：2017年6月至8月之间共有9个重点小组和3个个别访谈.5家医院的54名医疗专业人员和学员（24名药剂师和药学学生，14名医师和16名护士和护士从业人员）。确定了以下主题：当前做法，处方，获取信息，协作和通信，资源和抗微生物管理。在每个主题中，将障碍物和促进剂识别为副体。结论：参与者确定了适当使用抗微生物和可能改善这些药物使用的抗菌药物和建议的促进者的目前的障碍。本研究的结果可以由抗微生物管理团队和决策者使用，以改善整个新斯科舍省的抗微生物使用和管理举措，并可适用于该省以外的医院。

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