Sykepleie til pasienter med multiresistente bakterier

Lunde, Lene

doi:10.4220/sykepleienf.2014.0144

Cited by 2 publications

(2 citation statements)

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“…This lack of fundamental knowledge of basic IPC principles is not a unique finding (Cox & Simpson, 2016). For example, a 2014 Norwegian study found that nurses lack important knowledge in their work with patients colonised or infected with MDRB (Lunde & Moen, 2014). Nasiri et al (2019) found poor knowledge to be one of the most prominent causes of the high prevalence of healthcare‐associated infections worldwide.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes and self‐efficacy towards infection prevention and control and antibiotic stewardship among nurses: A mixed‐methods study

Hansen

Storm

Syre

et al. 2023

Journal of Clinical Nursing

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AimsTo gain a comprehensive understanding of nurses' infection control practices, antibiotics stewardship attitudes and self‐efficacy when caring for patients with multidrug‐resistant bacterial infections in a hospital setting.BackgroundMultidrug‐resistant bacteria cause a substantial health burden by complicating infections and prolonging hospital stays. Attitudes and self‐efficacy can inform professional behaviour. Nurses' attitudes and self‐efficacy concerning multidrug‐resistant bacteria, infection prevention and control and antibiotic stewardship are vital in keeping patients safe.DesignA descriptive and convergent mixed‐methods design involving quantitative and qualitative approaches was used.MethodsTwo hundred and seventeen nurses working in clinical practice at seven different hospital wards (i.e., general medicine, surgical, haematological and oncology) at a Norwegian university hospital were invited to participate. Data were collected in February and March 2020 via two questionnaires: the Multidrug‐Resistant Bacteria Attitude Questionnaire and the General Perceived Self‐Efficacy Scale (n = 131) and four focus group interviews (n = 22). The data were analysed using descriptive statistics and systematic text condensation.ResultsMost nurses showed moderate knowledge, adequate behavioural intentions towards infection prevention and antibiotic stewardship, and high self‐efficacy. However, they reported negative emotions towards their knowledge level and negative emotions towards nursing care. The nurses appeared uncertain about their professional influence and role in antibiotic stewardship practices. Organisational and relational challenges and ambivalent perceptions of nurses' role were potential explanations.ConclusionNurses report moderate attitudes and high self‐efficacy when caring for patients with multidrug‐resistant bacterial infections. This study suggests that nurses experience organisational and relational factors in their work environment that challenge their attitudes towards infection prevention and control and antibiotic stewardship practices. Measures that strengthen their knowledge and emotional response underpin correct infection prevention and control behaviour. A role clarification is needed for antibiotic stewardship.No Patient or Public Contribution.Relevance to clinical practiceMeasures to increase attitudes towards infection prevention and control, antibiotic stewardship and multidrug resistance is recommended. Measures should be taken to overcome organisational challenges. A clarification of the nurses' role in antibiotic stewardship is needed.

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Section: Discussionmentioning

confidence: 99%

“…The questionnaire explores nurses' attitudes when caring for patients with MDRB infections. The Norwegian version has been used in two previous studies (Hansen, 2018; Lunde & Moen, 2014).…”

Section: Methodsmentioning

confidence: 99%