Antibiotic Decision-Making Among Medical Residents, Medical Students, and Nurse Practitioners: A Single-Center Survey

Smoke, Steven; Centrella, Michelle; Grigoriu, A; Brust-Sisti, Lindsay A.

doi:10.1177/0897190018821265

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…The oldest study was conducted in 2012 and the latest in 2020. We also included 10 multidisciplinary studies (Table 2) that incorporated medical, pharmacy, dental, veterinary students, medical interns and physicians [29][30][31][32][33][34][35][36][37][38]. The majority of students self-medicated their own illnesses and had a stock of antibiotics, in most cases without medical prescription.…”

Section: Resultsmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

2020

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Antimicrobial Resistance (AMR) is an ongoing threat to modern medicine throughout the world. The World Health Organisation has emphasized the importance of adequate and effective training of medical students in wise prescribing of antibiotics Furthermore, Antimicrobial Stewardship (AMS) has been recognized as a rapidly growing field in medicine that sets a goal of rational use of antibiotics in terms of dosing, duration of therapy and route of administration. We undertook the current review to systematically summarize and present the published data on the knowledge, attitudes and perceptions of medical students on AMS. We reviewed all studies published in English from 2007 to 2020. We found that although medical students recognize the problem of AMR, they lack basic knowledge regarding AMR. Incorporating novel and effective training methods on all aspects of AMS and AMR in the Medical Curricula worldwide is of paramount importance.

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Section: Resultsmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

2020

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“…This is concerning for fundamental AS practices, including regular reassessment of the need for and appropriateness of therapy and provider prospective audit and feedback (Fishman et al, 2012). Smoke et al (2019) found NP's fear of offending and appearing as competent as a major reason for them not questioning senior clinician's antibiotic decisions.…”

Section: Discussionmentioning

confidence: 99%

“…Survey development was informed by the antibiotic prescribing peer-reviewed literature (Hamilton et al, 2020; Knobloch et al, 2021; Labricciosa et al, 2018; Parker & Mattick, 2016; Smoke et al, 2019), instructions for using the TPB in health care settings (Francis et al, 2004), and consultation with practicing NPs and infectious disease physicians. The 45-item survey included 10 demographic questions and eight knowledge questions.…”

Section: Methodsmentioning

confidence: 99%

Factors influencing antibiotic prescribing by nurse practitioners: A quantitative pilot study using the theory of planned behavior

Patel,

Hou,

Manning

2023

J Am Assoc Nurse Pract

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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.

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“…25 Another study found that "fear of offending senior clinician" is a commonly cited factor in antibiotic decision-making among NPs. 26 How have ASPs historically engaged with APPs?…”

Section: What We Know About App Antimicrobial Usagementioning

confidence: 99%

One size does not fit all: advanced practice provider considerations for the antimicrobial steward

Swords,

Weddle,

Herigon

et al. 2023

ASHE

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Antibiotic Decision-Making Among Medical Residents, Medical Students, and Nurse Practitioners: A Single-Center Survey

Cited by 3 publications

References 9 publications

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Factors influencing antibiotic prescribing by nurse practitioners: A quantitative pilot study using the theory of planned behavior

One size does not fit all: advanced practice provider considerations for the antimicrobial steward

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