2020
DOI: 10.1017/ice.2020.1217
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“There is no one to pick up the pieces”: Sustainability of antibiotic stewardship programs in nursing homes

Abstract: Objective: To describe nursing home staff experiences and perceptions of the factors that impact the sustainability of an antibiotic stewardship program (ASP). Methods: Using a qualitative descriptive design, semistructured interviews with staff at 9 not-for-profit nursing homes with an established ASP were conducted and audio recorded. De-identified transcriptions of the interviews were coded using a sustainability framework and were analyzed to identify themes. Results: … Show more

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Cited by 12 publications
(13 citation statements)
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“…External influences and competing demands stretched NH staff to their limits, making it difficult to successfully rollout the UTI toolkit within NHs. This is consistent with the literature which suggest that addressing daily clinical needs (i.e., “fires”) impacts implementation and hinders sustainability [ 47 ].…”
Section: Discussionsupporting
confidence: 91%
See 1 more Smart Citation
“…External influences and competing demands stretched NH staff to their limits, making it difficult to successfully rollout the UTI toolkit within NHs. This is consistent with the literature which suggest that addressing daily clinical needs (i.e., “fires”) impacts implementation and hinders sustainability [ 47 ].…”
Section: Discussionsupporting
confidence: 91%
“…Ongoing and consistent education on the UTI toolkit is a critical component to sustain antibiotic stewardship programs [ 47 , 48 ]. NH champions in our study addressed ongoing educational efforts by incorporating the trainings related to the UTI toolkit into new staff orientation meetings and by continuously allowing opportunities in monthly staffing meetings to discuss the UTI toolkit and the associated implementation efforts.…”
Section: Discussionmentioning
confidence: 99%
“…47 Active participation of a champion and stakeholder team was consistently mentioned as essential to successful implementation and sustainability. 46,48,49 Care initiatives that are perceived as beneficial to staff and residents are also more likely to be sustained by staff providing the care. 50e52 The use of technology was repeatedly encouraged to facilitate scalability of interventions and approaches.…”
Section: Successful Pragmatic Trials and Approaches Used For Sustaina...mentioning
confidence: 99%
“…47 Active participation of a champion and stakeholder team was consistently mentioned as essential to successful implementation and sustainability. 46,48,49 Care initiatives that are perceived as beneficial to staff and residents are also more likely to be sustained by staff providing the care. [50][51][52] The use of technology was repeatedly encouraged to facilitate scalability of interventions and approaches.…”
Section: Successful Pragmatic Trials and Approaches Used For Sustaina...mentioning
confidence: 99%
“…Feasible interventions are those that are integrated into the care plan or part of ongoing care processes, 7,46 aligned with policy, or important to the setting based on relevant organizational, patient‐centered, and/or regional/national goals 47 . Active participation of a champion and stakeholder team was consistently mentioned as essential to successful implementation and sustainability 46,48,49 . Care initiatives that are perceived as beneficial to staff and residents are also more likely to be sustained by staff providing the care 50–52 …”
Section: Successful Pragmatic Trials and Approaches Used For Sustaina...mentioning
confidence: 99%