Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study
Objective: This study aimed to investigate the level and influencing factors of nurses’ antimicrobial stewardship (AMS) engagement in China based on the capability, opportunity, motivation, and behavior (COM-B) theory, providing valuable insights for developing effective strategies to improve nursin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | International Journal of Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013223001448 |
| _version_ | 1827365335298211840 |
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| author | Huiyu Nie Liqing Yue Huan Peng Jinping Zhou Bingyu Li Ziwei Cao |
| author_facet | Huiyu Nie Liqing Yue Huan Peng Jinping Zhou Bingyu Li Ziwei Cao |
| author_sort | Huiyu Nie |
| collection | DOAJ |
| description | Objective: This study aimed to investigate the level and influencing factors of nurses’ antimicrobial stewardship (AMS) engagement in China based on the capability, opportunity, motivation, and behavior (COM-B) theory, providing valuable insights for developing effective strategies to improve nursing quality in AMS. Methods: This cross-sectional study was conducted in 17 tertiary hospitals in Hunan, China, from November 2021 to January 2022. A total of 4,514 nurses were selected. The Nurse AMS Engagement Questionnaire (NAEQ), developed using the COM-B theory, was used for evaluation. The questionnaire included capability (14 items), opportunity (7 items), motivation (6 items), and behavior (12 items) four dimensions, 39 items. Results: The total NAEQ score was 155.08 ± 27.12, indicating a moderate level. The score of the capability, opportunity, motivation, and behavior dimensions were 52.33 ± 13.48, 28.64 ± 5.76, 24.57 ± 4.57 and 49.53 ± 8.83, respectively. Significant differences in nurses’ AMS engagement were based on professional titles, whether working as a part-time infection control nurse, whether knowing the AMS teams and the defined daily doses of antibiotics, department type, the deployment of clinical pharmacists, and frequency of antimicrobial training and physician-nurse joint rounds (P < 0.05). Nurses with junior titles had higher scores on the NAEQ than nurses with intermediate titles (P < 0.05). Nurses who worked as part-time infection control nurses, knew the AMS team, and the defined daily doses of antibiotics had higher NAEQ scores than those who didn’t (P < 0.01). Nurses working in the ICU and infectious disease department had lower NAEQ scores than those in other departments, such as the ear, nose, and throat (ENT) department (P < 0.01). Nurses who had clinical pharmacists deployed in their department had higher NAEQ scores than those without or unclear deployment (P < 0.01). Furthermore, nurses who received more frequent antimicrobial training and participated in physician-nurse joint rounds had higher NAEQ scores (P < 0.01). Conclusion: Multiple strategies, including enhanced education and training and improved multidisciplinary communication and collaboration, are expected to improve nurse AMS engagement. It is important to give more attention to nurses with intermediate professional titles, less experience, and those working in specific departments. |
| first_indexed | 2024-03-08T08:26:50Z |
| format | Article |
| id | doaj.art-d5172d236c424e368849d8efde5e7ef1 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-03-08T08:26:50Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-d5172d236c424e368849d8efde5e7ef12024-02-02T04:39:23ZengElsevierInternational Journal of Nursing Sciences2352-01322024-01-011119198Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional studyHuiyu Nie0Liqing Yue1Huan Peng2Jinping Zhou3Bingyu Li4Ziwei Cao5Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, ChinaTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, ChinaTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, ChinaTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, China; Corresponding author.Xiangya School of Nursing, Central South University, Changsha, Hunan, ChinaTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, ChinaObjective: This study aimed to investigate the level and influencing factors of nurses’ antimicrobial stewardship (AMS) engagement in China based on the capability, opportunity, motivation, and behavior (COM-B) theory, providing valuable insights for developing effective strategies to improve nursing quality in AMS. Methods: This cross-sectional study was conducted in 17 tertiary hospitals in Hunan, China, from November 2021 to January 2022. A total of 4,514 nurses were selected. The Nurse AMS Engagement Questionnaire (NAEQ), developed using the COM-B theory, was used for evaluation. The questionnaire included capability (14 items), opportunity (7 items), motivation (6 items), and behavior (12 items) four dimensions, 39 items. Results: The total NAEQ score was 155.08 ± 27.12, indicating a moderate level. The score of the capability, opportunity, motivation, and behavior dimensions were 52.33 ± 13.48, 28.64 ± 5.76, 24.57 ± 4.57 and 49.53 ± 8.83, respectively. Significant differences in nurses’ AMS engagement were based on professional titles, whether working as a part-time infection control nurse, whether knowing the AMS teams and the defined daily doses of antibiotics, department type, the deployment of clinical pharmacists, and frequency of antimicrobial training and physician-nurse joint rounds (P < 0.05). Nurses with junior titles had higher scores on the NAEQ than nurses with intermediate titles (P < 0.05). Nurses who worked as part-time infection control nurses, knew the AMS team, and the defined daily doses of antibiotics had higher NAEQ scores than those who didn’t (P < 0.01). Nurses working in the ICU and infectious disease department had lower NAEQ scores than those in other departments, such as the ear, nose, and throat (ENT) department (P < 0.01). Nurses who had clinical pharmacists deployed in their department had higher NAEQ scores than those without or unclear deployment (P < 0.01). Furthermore, nurses who received more frequent antimicrobial training and participated in physician-nurse joint rounds had higher NAEQ scores (P < 0.01). Conclusion: Multiple strategies, including enhanced education and training and improved multidisciplinary communication and collaboration, are expected to improve nurse AMS engagement. It is important to give more attention to nurses with intermediate professional titles, less experience, and those working in specific departments.http://www.sciencedirect.com/science/article/pii/S2352013223001448Antimicrobial stewardshipBehaviorChinaHospitalsKnowledgeMotivation |
| spellingShingle | Huiyu Nie Liqing Yue Huan Peng Jinping Zhou Bingyu Li Ziwei Cao Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study International Journal of Nursing Sciences Antimicrobial stewardship Behavior China Hospitals Knowledge Motivation |
| title | Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study |
| title_full | Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study |
| title_fullStr | Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study |
| title_full_unstemmed | Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study |
| title_short | Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study |
| title_sort | nurses engagement in antimicrobial stewardship and its influencing factors a cross sectional study |
| topic | Antimicrobial stewardship Behavior China Hospitals Knowledge Motivation |
| url | http://www.sciencedirect.com/science/article/pii/S2352013223001448 |
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