Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study
Background: Medication prescription is generally the responsibility of doctors. In nursing homes, the nursing staff is often the first to suspect an infection. Today, physicians are more confident with nursing assessment, relying primarily on nursing staff information. Very few studies have investig...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-11-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | https://www.jphres.org/index.php/jphres/article/view/1533 |
| _version_ | 1797968224175783936 |
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| author | Taghrid Chaaban Mathieu Ahouah Pierre Lombrail Hélene Le Febvre Adnan Mourad Jean-Manuel Morvillers Monique Rothan-Tondeur |
| author_facet | Taghrid Chaaban Mathieu Ahouah Pierre Lombrail Hélene Le Febvre Adnan Mourad Jean-Manuel Morvillers Monique Rothan-Tondeur |
| author_sort | Taghrid Chaaban |
| collection | DOAJ |
| description | Background: Medication prescription is generally the responsibility of doctors. In nursing homes, the nursing staff is often the first to suspect an infection. Today, physicians are more confident with nursing assessment, relying primarily on nursing staff information. Very few studies have investigated the nurses’ influence on decision of medical prescription. This study investigates the role of nurses in antibiotic prescribing for the treatment of suspected infections in nursing home residents.
Design and methods: An ethnographic study based on semi-structured interviews and participant observations was conducted. Sixteen nurses and five doctors working in five nursing homes in Paris, France participated between October 2015 and January 2016.
Results: Given their proximity to elderly residents, registered nurses at the nursing homes occasionally assisted doctors in their medical diagnostic. However, nurses who are theoretically incompetent have met difficulties in their ability to participate in their decisions to prescribe antibiotics when managing residents’ infections.
Conclusion: if proximity and nursing skills reinforce the relevance of the clinical judgment of nurses, the effective and collaborative communication between the nurse and the doctor may help the nurse to enhance their role in the antibiotic prescribing in nursing homes, which would enhance antimicrobial stewardship efficiency. |
| first_indexed | 2024-04-11T02:42:28Z |
| format | Article |
| id | doaj.art-a2f393d12eeb4794bdf57a0e434c5f09 |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T02:42:28Z |
| publishDate | 2019-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-a2f393d12eeb4794bdf57a0e434c5f092023-01-02T18:46:12ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362019-11-018210.4081/jphr.2019.1533Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic studyTaghrid Chaaban0Mathieu Ahouah1Pierre Lombrail2Hélene Le Febvre3Adnan Mourad4Jean-Manuel Morvillers5Monique Rothan-Tondeur6Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France; Faculty of Nursing Sciences, Montréal University, Centre-Ville, Montréal, Canada; Islamic University of Lebanon (IUL), Faculty of Public Health, BeirutNursing Sciences Research, LEPS, University Paris 13, Sorbonne, ParisNursing Sciences Research, LEPS, University Paris 13, Sorbonne, ParisFaculty of Nursing Sciences, Montréal University, Centre-Ville, MontréalIslamic University of Lebanon (IUL), Faculty of Public Health, BeirutNursing Sciences Research, LEPS, University Paris 13, Sorbonne, ParisNursing Sciences Research, LEPS, University Paris 13, Sorbonne, ParisBackground: Medication prescription is generally the responsibility of doctors. In nursing homes, the nursing staff is often the first to suspect an infection. Today, physicians are more confident with nursing assessment, relying primarily on nursing staff information. Very few studies have investigated the nurses’ influence on decision of medical prescription. This study investigates the role of nurses in antibiotic prescribing for the treatment of suspected infections in nursing home residents. Design and methods: An ethnographic study based on semi-structured interviews and participant observations was conducted. Sixteen nurses and five doctors working in five nursing homes in Paris, France participated between October 2015 and January 2016. Results: Given their proximity to elderly residents, registered nurses at the nursing homes occasionally assisted doctors in their medical diagnostic. However, nurses who are theoretically incompetent have met difficulties in their ability to participate in their decisions to prescribe antibiotics when managing residents’ infections. Conclusion: if proximity and nursing skills reinforce the relevance of the clinical judgment of nurses, the effective and collaborative communication between the nurse and the doctor may help the nurse to enhance their role in the antibiotic prescribing in nursing homes, which would enhance antimicrobial stewardship efficiency.https://www.jphres.org/index.php/jphres/article/view/1533Antibioticdecision makingelderlyethnographic |
| spellingShingle | Taghrid Chaaban Mathieu Ahouah Pierre Lombrail Hélene Le Febvre Adnan Mourad Jean-Manuel Morvillers Monique Rothan-Tondeur Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study Journal of Public Health Research Antibiotic decision making elderly ethnographic |
| title | Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study |
| title_full | Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study |
| title_fullStr | Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study |
| title_full_unstemmed | Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study |
| title_short | Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study |
| title_sort | decisional issues in antibiotic prescribing in french nursing homes an ethnographic study |
| topic | Antibiotic decision making elderly ethnographic |
| url | https://www.jphres.org/index.php/jphres/article/view/1533 |
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