Literature DB >> 29113637

Nurses' Knowledge, Perception, and Self-Confidence Regarding Evidence-Based Antibiotic Use in the Long-Term Care Setting.

LaDonna S Hale, Lindsey L Votaw, Janell E Mayer, Kristen F Sobota.   

Abstract

OBJECTIVE: Describe knowledge, perceptions, and self-confidence of nurses in the long-term care setting before and after online antibiotic stewardship education, and assess effectiveness and satisfaction with the education.
DESIGN: Pre-/postsurvey.
SETTING: Three long-term care facilities, Topeka, Kansas. PARTICIPANTS: Convenience sample of 140 licensed practical and registered nurses.
INTERVENTIONS: Nurses viewed a 12-minute online module developed by long-term care consultant pharmacists. The module discussed risks of antibiotic use and the Loeb minimum criteria for initiation of antibiotics in long-term care residents for urinary and respiratory tract infections and explored other conditions contributing to suspicion of these infections. MAIN OUTCOME MEASURES: Knowledge, perceptions, and self-confidence were measured using a 5-point Likert-scale survey modified from the Minnesota Department of Health taken before and after the module.
RESULTS: Response rate was 45% (63/140) pre-education and 41% (57/140) post-education. Nurses had high baseline self-confidence (mean 4.2 to 4.5/5.0) and pre/post scores did not change significantly. Statistically significant improvements in knowledge and perceptions were seen in 15 of the 33 indices related to assumptions regarding antibiotic use, risks, and indicators of urinary and respiratory bacterial infections. Nurses rated the education as high quality (95%), applicable to practice (95%), and felt very likely to change practice (91%).
CONCLUSIONS: Although baseline self-confidence was high, key misperceptions were identified, indicating that nurses may not be aware of their knowledge deficits or misperceptions. This low-cost, 12-minute, online education was highly valued and effectively improved nurses' knowledge and perceptions.

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Year:  2017        PMID: 29113637     DOI: 10.4140/TCP.n.2017.700

Source DB:  PubMed          Journal:  Consult Pharm        ISSN: 0888-5109


  5 in total

1.  [Is the discipline associated with self-confidence in handling rational antibiotic prescription? : Results from the MR2 study in German hospitals].

Authors:  F Schneider; C M Schulz; M May; G Schneider; M Jacob; H Mutlak; M Pawlik; M Zoller; M Kretzschmar; C Koch; M G Kees; M Burger; S Lebentrau; A Novotny; M Hübler; T Koch; M Heim
Journal:  Anaesthesist       Date:  2020-02-13       Impact factor: 1.041

Review 2.  How do aged-care staff feel about antimicrobial stewardship? A systematic review of staff attitudes in long-term residential aged-care.

Authors:  Saniya Singh; Chris Degeling; Dominic Fernandez; Amy Montgomery; Peter Caputi; Frank P Deane
Journal:  Antimicrob Resist Infect Control       Date:  2022-06-28       Impact factor: 6.454

3.  Instruments used to measure knowledge and attitudes of healthcare professionals towards antibiotic use for the treatment of urinary tract infections: A systematic review.

Authors:  Angela Kabulo Mwape; Kelly Ann Schmidtke; Celia Brown
Journal:  PLoS One       Date:  2022-05-24       Impact factor: 3.752

4.  Differential antibiotic dosing in critical care: survey on nurses' knowledge, perceptions and experience.

Authors:  Sarah Fawaz; Stephen Barton; Laura Whitney; Shereen Nabhani-Gebara
Journal:  JAC Antimicrob Resist       Date:  2020-11-10

5.  The association of the anesthesiologist's academic and educational status with self-confidence, self-rated knowledge and objective knowledge in rational antibiotic application.

Authors:  Frederick Schneider; Christian M Schulz; Matthias May; Gerhard Schneider; Christian Ernst; Matthias Jacob; Kai Zacharowski; Thomas Hachenberg; Maren Schmidt; Moritz Kretzschmar; Bernhard Graf; Martin G Kees; Michael Pawlik; Michael Sander; Christian Koch; Michael Zoller; Markus Heim
Journal:  BMC Res Notes       Date:  2020-03-18
  5 in total

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