Factors influencing antibiotic prescribing by nurse practitioners: A quantitative pilot study using the theory of planned behavior.
| Autor: | Patel P; Telehealth & Urgent Care Service Line, Jefferson Health, Philadelphia, Pennsylvania., Hou C; Jefferson Health New Jersey, New Jersey., Manning ML; Jefferson Center for Infection Prevention and Antibiotic Stewardship, Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, Pennsylvania. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of the American Association of Nurse Practitioners [J Am Assoc Nurse Pract] 2023 Nov 01; Vol. 35 (11), pp. 684-690. Date of Electronic Publication: 2023 Nov 01. |
| DOI: | 10.1097/JXX.0000000000000915 |
| Abstrakt: | Background: The overuse of antibiotics contributes to the development of antibiotic resistance (AR) and exposes patients to potential antibiotic-related harm. Nurse practitioners (NPs) are well positioned to optimize antibiotic use; however, little is known about the factors influencing NP prescribing behaviors. Purpose: Describe the knowledge, attitude, subjective norms, and perceived behavioral control in prescribing antibiotics among NPs practicing at a large university-affiliated health care system in the northeast United States. Methodology: This was a cross-sectional online anonymous survey using the Theory of Planned Behavior. Descriptive statistics were used to describe the sample. Nonparametric tests were used to examine differences in the dependent variables by demographic characteristics. Results: One hundred seventy-four of 618 NPs (28%) completed the survey. Almost all considered AR a problem in the United States, but only half considered it a problem in their health care setting. More than half indicated they prescribed antibiotics less than 25% of the time in daily practice. Most were confident in making antibiotic prescribing decisions. There was a positive relationship between years of experience as NPs and their confidence in making antibiotic prescribing decisions ( p < .003) and an inverse relationship between years of experience as NPs and asking for advice from physicians or pharmacists when prescribing antibiotics ( p < .002). Conclusion/implications: With increasing numbers of NPs managing infectious diseases and prescribing antibiotics, these findings will inform interventions to support appropriate prescribing behaviors. Competing Interests: Competing interests: The authors report no conflicts of interest. (Copyright © 2023 American Association of Nurse Practitioners.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|