Nurse practitioners as antibiotic stewards: Examining prescribing patterns and perceptions.
• Little is known about what influences NP antibiotic prescribing for upper respiratory illness. • We asked NPs and Veteran patients about barriers and facilitators to antibiotic prescribing. • NPs balance patient education and patient-centered care with work system challenges. Advanced practice pro...
| Publicado en: | American Journal of Infection Control Vol. 49; no. 8; pp. 1052 - 1058 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151467432&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151467432 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Aug2021 vid: 49 iid: 8 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 151467432 151467432 151467432 10.1016/j.ajic.2021.01.018 151467432 ppf: 1052 ppct: 6 formats: tig: atl: Nurse practitioners as antibiotic stewards: Examining prescribing patterns and perceptions. aug: au: Knobloch, Mary Jo Musuuza, Jackson Baubie, Kelsey Saban, Karen L. Suda, Katie J. Safdar, Nasia affil: William S. Middleton Memorial Veterans Hospital, Madison, WI sug: subj: Respiratory Tract Infections Drug Therapy Antibiotics Therapeutic Use Prescribing Patterns Evaluation Nurse Practitioners Veterans Patient Attitudes Attitude of Health Personnel Human Multimethod Studies Interviews Focus Groups Patient Safety Thematic Analysis Health Services Accessibility Trust Confidence Nurse Prescribing ab: • Little is known about what influences NP antibiotic prescribing for upper respiratory illness. • We asked NPs and Veteran patients about barriers and facilitators to antibiotic prescribing. • NPs balance patient education and patient-centered care with work system challenges. Advanced practice providers in the outpatient setting play a key role in antibiotic stewardship, yet little is known about how to engage these providers in stewardship activities and what factors influence their antibiotic prescribing practices. We used mixed methods to obtain data on practices and perceptions related to antibiotic prescribing by nurse practitioners (NP) and Veteran patients. We interviewed NPs working in the outpatient setting at one Veterans Affairs facility and conducted focus groups with Veterans. Emerging themes were mapped to the Systems Engineering Initiative for Patient Safety framework. We examined NP antibiotic prescribing data from 2017 to 2019. We interviewed NPs and conducted Veteran focus groups. Nurse practitioners reported satisfaction with resources, including ready access to pharmacists and infectious disease specialists. Building patient trust was reported as essential to prescribing confidence level. Veterans indicated the need to better understand differences between viral and bacterial infections. NP prescribing patterns revealed a decline in antibiotics prescribed for upper respiratory illnesses over a 3-year period. Outpatient NPs focus on educating the patient while balancing organizational access challenges. Further research is needed to determine how to include both NPs and patients when implementing outpatient antibiotic stewardship strategies. Further research is also needed to understand factors associated with the decline in nurse practitioner antibiotic prescribing observed in this study. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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