Elda De Vita, Francesco Vladimiro Segala, Luisa Frallonardo, Giovanni Civile, Denise De Scisciolo, Roberta Novara, Andrea De Vito, Maria Giacobba De Girolamo, Angela Amendolara, Luigi Piccolomo, Giordano Madeddu, Antonio Terranova, Davide Mariani, Salvatore Altavilla, Nicola Veronese, Mario Barbagallo, Giancarlo Cicolini, Francesco Di Gennaro, Annalisa Saracino
{"title":"Knowledge, Attitudes, and Practices toward Antimicrobial Resistance among Young Italian Nurses and Students: A Multicenter, Cross-Sectional Study.","authors":"Elda De Vita, Francesco Vladimiro Segala, Luisa Frallonardo, Giovanni Civile, Denise De Scisciolo, Roberta Novara, Andrea De Vito, Maria Giacobba De Girolamo, Angela Amendolara, Luigi Piccolomo, Giordano Madeddu, Antonio Terranova, Davide Mariani, Salvatore Altavilla, Nicola Veronese, Mario Barbagallo, Giancarlo Cicolini, Francesco Di Gennaro, Annalisa Saracino","doi":"10.5334/aogh.4488","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background:</i> Nurses play a pivotal role in combating antimicrobial resistance (AMR). However, the success of local and national AMR containment efforts hinges on the knowledge, attitude, and practice (KAP) of nursing staff and undergraduate students. <i>Objectives:</i> This study aims to explore the determinants of nurses' KAP regarding AMR, offering insights to control the emergence and spread of drug-resistant pathogens. <i>Methods:</i> This cross-sectional, multicenter survey involving Italian nurses, nursing students, and healthcare professionals was conducted administering an anonymous online questionnaire focusing on AMR. The median score of 12 was taken as the cutoff for \"good KAP.\" The association between study variables and good KAP was assessed using chi-square or t-tests, followed by multivariable logistic regression analysis for statistically significant (<i>p</i> < 0.05) variables. <i>Findings:</i> Among 848 participants, 61.9% (<i>n</i> = 525) were students, and 39.6% (<i>n</i> = 336) scored as having \"low KAP.\" High KAP was associated with being female and studying AMR independently. Conversely, living in southern Italy and receiving AMR training from pharmaceutical companies were associated with low KAP. <i>Conclusions:</i> Among Italian nurses, AMR awareness relies on those who have studied AMR as self-taught and is affected by gender and region. Italian universities lack in lectures on AMR management, and much needs to be done to improve awareness of antimicrobial stewardship among nonmedical health workers.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11276540/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Global Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/aogh.4488","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nurses play a pivotal role in combating antimicrobial resistance (AMR). However, the success of local and national AMR containment efforts hinges on the knowledge, attitude, and practice (KAP) of nursing staff and undergraduate students. Objectives: This study aims to explore the determinants of nurses' KAP regarding AMR, offering insights to control the emergence and spread of drug-resistant pathogens. Methods: This cross-sectional, multicenter survey involving Italian nurses, nursing students, and healthcare professionals was conducted administering an anonymous online questionnaire focusing on AMR. The median score of 12 was taken as the cutoff for "good KAP." The association between study variables and good KAP was assessed using chi-square or t-tests, followed by multivariable logistic regression analysis for statistically significant (p < 0.05) variables. Findings: Among 848 participants, 61.9% (n = 525) were students, and 39.6% (n = 336) scored as having "low KAP." High KAP was associated with being female and studying AMR independently. Conversely, living in southern Italy and receiving AMR training from pharmaceutical companies were associated with low KAP. Conclusions: Among Italian nurses, AMR awareness relies on those who have studied AMR as self-taught and is affected by gender and region. Italian universities lack in lectures on AMR management, and much needs to be done to improve awareness of antimicrobial stewardship among nonmedical health workers.
背景：护士在抗击抗菌药物耐药性（AMR）方面发挥着举足轻重的作用。然而，地方和国家遏制 AMR 的努力能否取得成功，取决于护理人员和本科生的知识、态度和实践 (KAP)。研究目的本研究旨在探讨护士对 AMR 的 KAP 的决定因素，为控制耐药病原体的出现和传播提供见解。研究方法：这项横断面多中心调查涉及意大利护士、护理专业学生和医疗保健专业人员，采用匿名在线问卷调查的方式，重点关注 AMR。中位数 12 分被视为 "良好 KAP "的分界线。采用卡方检验或 t 检验评估研究变量与良好 KAP 之间的关联，然后对具有统计学意义（p < 0.05）的变量进行多变量逻辑回归分析。研究结果在 848 名参与者中，61.9%（n = 525）为学生，39.6%（n = 336）为 "低 KAP"。高 KAP 与女性和独立学习 AMR 相关。相反，居住在意大利南部和接受制药公司提供的 AMR 培训则与低 KAP 有关。结论：在意大利护士中，AMR 意识取决于那些自学 AMR 的人，并受性别和地区的影响。意大利大学缺乏有关 AMR 管理的讲座，要提高非医疗卫生工作者对抗菌药物管理的认识还有很多工作要做。
期刊介绍：
ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment.
The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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