护理人员的焦虑对住院养老机构中临床不确定性耐受性与抗生素启动决策之间的关系具有调节作用。

IF 3.1 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Medical Decision Making Pub Date : 2024-05-01 Epub Date: 2024-03-27 DOI:10.1177/0272989X241239871

Saniya Singh, Chris Degeling, Peta Drury, Amy Montgomery, Peter Caputi, Frank P Deane

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引用次数: 0

摘要

亮点：非临床因素（如住院患者和家属的偏好）对处方的影响已得到公认。研究发现，护士的焦虑、临床对不确定性的耐受性以及对抗生素的感知需求和评估之间存在显著关系。因此，有必要扩大护理管理的范围，不仅仅局限于教育，还应采取干预措施，帮助护士管理不确定性和焦虑，并让其他利益相关者（如家庭成员）参与到养老院的临床决策中来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nurses' Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities.

Highlights: The impact of non-clinical factors (e.g., resident and family preferences) on prescribing is well-established. There is a gap in the literature regarding the mechanisms through which these preferences are experienced as pressure by prescribers within the unique context of residential aged-care facilities (RACFs).A significant relationship was found between nurses' anxiety, clinical tolerance of uncertainty, and the perceived need for antibiotics and assessment.As such, there is a need to expand stewardship beyond education alone to include interventions that help nurses manage uncertainty and anxiety and include other stakeholders (e.g., family members) when making clinical decisions in the RACF setting.

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来源期刊

Medical Decision Making 医学-卫生保健

CiteScore

6.50

自引率

5.60%

发文量

146

审稿时长

6-12 weeks

期刊介绍： Medical Decision Making offers rigorous and systematic approaches to decision making that are designed to improve the health and clinical care of individuals and to assist with health care policy development. Using the fundamentals of decision analysis and theory, economic evaluation, and evidence based quality assessment, Medical Decision Making presents both theoretical and practical statistical and modeling techniques and methods from a variety of disciplines.