Perceived roles and barriers to nurses’ engagement in antimicrobial stewardship: A Thai qualitative case study

What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review

“…The specific characteristics of each study that met the inclusion criteria are presented in Table 1 . Publications were mainly authored in the USA (n = 4, 25.0%; Missouri, Pennsylvania [multiple regions of the States], Utah, Wisconsin) [ 21 – 24 ], Australia and New Zealand (n = 4, 25.0%; Auckland, New South Wales, Victoria [two studies]) [ 25 – 28 ], and Asia (n = 4, 25.0%; Indonesia, Saudi Arabia, Singapore, Thailand) [ 29 – 32 ], followed by Europe (n = 2, 12.5%; Italy, UK [multiple European countries] [ 33 , 34 ] and Africa (n = 2, 12.5%; Malawi, South Africa) [ 35 , 36 ]. With regard to the research method, ten studies (62.5%) were quantitative in design, using surveys in all cases [ 21 – 23 , 25 , 26 , 29 – 31 , 33 , 34 ].…”

“…With regard to the research method, ten studies (62.5%) were quantitative in design, using surveys in all cases [ 21 – 23 , 25 , 26 , 29 – 31 , 33 , 34 ]. Qualitative research included interviews (n = 3, 18.8%) [ 27 , 28 , 35 ] and focus groups (n = 1, 6.2%) [ 32 ]. The remaining two studies (12.5%) were mixed-methods in design, including multiple data sources (e.g., interviews, direct observations) [ 24 , 36 ].…”

“…The microbiologist was representative of one of the private laboratories that served the study hospital and the pharmacist was a representative from the hospital pharmacy. The clinicians were specialists who had admission rights in the ICU Barriers of AMS role of nurses in intensive care Semi-structured individual interviews with all participants The nursing role within antimicrobial stewardship was negatively affected by both staffing and collaborative difficulties, which impacted on the implementation of antimicrobial stewardship within the unit van Gulik et al [ 32 ] Thailand (Asia) Qualitative descriptive study A 1000-bed university hospital in Bangkok, Thailand Explore how organizational multidisciplinary leaders and clinical nurses perceive nurses’ roles in AMS RNs. A sample of 33 participants made up of organizational leaders and nurses.…”

“… Is there coherence between qualitative data sources, collection, analysis and interpretation? Dowson et al [ 27 ] Interview Y Y Y Y Y Kirby et al [ 28 ] Interview Y Y Y Y Y Rout et al [ 35 ] Interview Y Y Y Y Y Van Gulik et al [ 32 ] Focus group Y Y Y Y Y Mixed-methods studies Approach MMAT criteria for mixed-methods studies Is there an adequate rationale for using a mixed methods design to address the research question? Are the different components of the study effectively integrated to answer the research question?…”

Knowledge, Attitudes, and Practices Regarding Antibiotic Use and Resistance among Health Science and Non-Health Science University Students in Thailand

“…A lack of public knowledge about antibiotic use, attitudes toward antibiotic use and resistance, easy access to antibiotics in many places, and a lack of awareness of the policies regarding rational antibiotic use are all factors that can in uence irrational antibiotic use (11,12). Antibiotic knowledge, attitudes, and practice were studied in a wide range of population sectors, including community members, pharmacists, nurse and students (13)(14)(15)(16)(17)(18)(19)(20)(21)(22). Previous studies have shown that university students are one of the few populations that can play a signi cant role in the prevention of antibiotic resistance (19,23,24).…”