医护人员对治疗尿路感染的抗生素处方的认识和态度:系统综述。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Angela Kabulo Mwape, Kelly Ann Schmidtke, Celia Brown
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引用次数: 0

摘要

目的:以往的模型确定了影响处方行为的知识和态度。本研究重点关注尿路感染(UTI)的抗生素处方,以描述医护人员在该领域的知识水平和态度因素,以及如何评估这些水平:我们进行了系统性检索,以确定截至 2022 年 9 月对影响医护人员开具尿路感染抗生素处方的知识或态度因素进行评估的研究。研究质量采用纽卡斯尔-渥太华量表进行评估。提取了有关所评估因素的类型、所显示的水平以及如何评估这些水平的数据。采用计数法对数据进行综合,并将水平分为 "差"、"中"、"高 "或 "非常高":结果:共发现七项研究,其中六项完全依赖于封闭式项目。知识因素的评估水平较低,例如,"对条件的了解 "和 "对任务环境的了解 "较低。所评估的态度因素的水平也不尽相同,例如,虽然医护人员对为患者提供最佳护理表示出了适度的信心,并对抗生素耐药性问题表现出了适当的恐惧态度,但他们却因屈服于患者的压力而开出抗生素处方,从而表现出了较差的自满态度:目前的证据表明,临床医生对UTI 抗生素处方的认识水平不高,态度也各不相同。然而,所发现的研究很少,而且评估主要局限于封闭式问题。今后的研究如果能评估更多因素并采用开放式问题类型,就能更好地为未来优化抗生素处方的干预措施提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Health care professionals' knowledge and attitudes towards antibiotic prescribing for the treatment of urinary tract infections: A systematic review

Health care professionals' knowledge and attitudes towards antibiotic prescribing for the treatment of urinary tract infections: A systematic review

Purpose

Previous models identify knowledge and attitudes that influence prescribing behaviour. The present study focuses on antibiotic prescribing for urinary tract infections (UTIs) to describe levels of health care professionals' knowledge and attitude factors in this area and how those levels are assessed.

Methods

A systematic search was conducted to identify studies assessing the identified knowledge or attitude factors influencing health care professionals' antibiotic prescribing for urinary tract infections up to September 2022. Study quality was assessed using the Newcastle–Ottawa scale. Data were extracted about the types of factors assessed, the levels indicated and how those levels were assessed. Data were synthesized using counts, and levels were categorized as ‘poor’, ‘moderate’, ‘high’ or ‘very high’.

Results

Seven studies were identified, six of which relied entirely on closed-ended items. Levels of knowledge factors assessed were poor, for example, their ‘knowledge of condition’ and ‘knowledge of task environment’ were poor. Levels of the attitude factors assessed varied, for example, while health care professionals expressed moderate confidence in providing optimal patient care and appropriate attitude of fear towards the problem of antibiotic resistance, they expressed a poor attitude of complacency by giving into patient pressure to prescribe an antibiotic.

Conclusions

Present evidence suggests that clinicians have poor levels of knowledge and varying levels of attitudes about antibiotic prescribing for UTIs. However, few studies were identified, and assessments were largely limited to closed-ended types of questions. Future studies that assess more factors and employ open-ended question types could better inform future interventions to optimize antibiotic prescribing.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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