在养老院管理尿路感染的共享方法改善了感知护理质量,工作量和协作-一项定性研究。

IF 1.8 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Sif Helene Arnold, Melissa M W Thomsen, Marius Brostrøm Kousgaard, Jette Nygaard Jensen
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引用次数: 0

摘要

背景:2019年,全球约有495万例死亡与细菌抗微生物药物耐药性(AMR)有关。在养老院管理尿路感染包括预防、诊断和治疗。这通常是复杂的,并导致过度使用抗生素,增加抗菌素耐药性。感染预防和抗菌素管理是减少抗菌素耐药性的互补战略。研究表明,养老院工作人员可以使用这些策略安全地减少对尿路感染的抗生素处方,并且与全科医生进行跨部门合作在尿路感染管理中很重要。然而,将感染预防与AMS和一般实践相结合的影响尚不清楚。目的:探讨预防与辅助医疗相结合的新型跨部门干预对养老院尿路感染管理的感知影响。方法:干预包括对全科医生和养老院工作人员进行为期3小时的研讨会,并使用反思表对居民进行评估。我们于2022年在丹麦首都地区举办了9场研讨会,并对参与者进行了15次半结构化的在线和电话采访。结果:我们的研究结果表明,干预明确了工作流程,鼓励护理人员遵守协议,增加了养老院和全科医生之间的信任和尊重。在将计划的变更与实际执行联系起来方面,一份反映单是必不可少的。该表格有助于重组尿路感染管理,从而改善了患者评估,减少了对全科医生的尿路相关询问。结论:我们的研究结果表明,干预对体验护理质量、工作量和跨部门合作有积极的影响。然而,实际出席研讨会限制了干预措施的大规模实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.

A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.

A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.

Background: In 2019, around 4.95 million global deaths were linked to bacterial antimicrobial resistance (AMR). Managing urinary tract infections (UTIs) in nursing homes involves prevention, diagnosis, and treatment. This is often complex and cause excessive antibiotic use, increasing AMR. Infection prevention and antimicrobial stewardship (AMS) are complementary strategies for reducing AMR. Studies show that nursing home staff can safely reduce antibiotic prescriptions for UTIs using these strategies and that cross-sectoral collaboration with general practice is important in UTI management. However, the impact of combining infection prevention with AMS and general practice is unknown.

Objective: To explore the perceived impact of a new cross-sectorial intervention combining prevention and AMS on UTI management in nursing homes.

Methods: The intervention included a 3-h seminar for general practice and nursing home staff, and a reflection sheet to assess residents. We held 9 seminars in the Capital Region of Denmark in 2022 and conducted 15 semi-structured online and phone interviews with participants.

Results: Our findings indicate that the intervention clarified workflows, encouraged nursing staff to adhere to agreements, and increased trust and respect between nursing homes and general practice. A reflection sheet was essential in linking planned changes to actual implementation. The sheet helped restructure UTI management, leading to perceived improved patient assessment and fewer UTI-related inquiries to general practice.

Conclusion: Our findings suggest that the intervention had a positive impact on experienced care quality, workload, and cross-sector collaboration. However, physical attendance at the seminar limits the large-scale implementation of the intervention.

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来源期刊
CiteScore
3.20
自引率
19.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.
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