ICU护士参与抗菌药物科学化管理现状及影响因素的质性研究  

A qualitative study on the current status and influencing factors of ICU nurses' participation in the antimicrobial stewardship

作　　者：刘岩 卢才菊[2] 曾凌 汤金华 邹胜炜 LIU Yan;LU Caiju;ZENG Ling;TANG Jinhua;ZOU Shengwei(School of Nursing,Nanchang University,Nanchang,330036,China)

机构地区：[1]南昌大学护理学院,南昌市330036 [2]南昌大学第一附属医院护理部 [3]南昌大学第一附属医院感染控制处

出　　处：《中华急危重症护理杂志》2024年第11期991-996,共6页Chinese Journal of Emergency and Critical Care Nursing

基　　金：江西省科技厅基金资助项目(20202BBGL73076)。

摘　　要：目的为探讨ICU护士参与抗菌药物科学化管理的现状及影响因素,提高护士在抗菌药物科学化管理中的参与度。方法选取2023年5月一6月江西省南昌市某三级甲等医院两院区的ICU护士进行半结构式访谈,分析归纳访谈结果,了解护士参与抗菌药物管理现状及影响因素。结果共总结出3个主题:护士参与抗菌药物科学化管理现状(角色多样性、低职业价值认同感);护士参与抗菌药物科学化管理的阻碍因素(专业知识不足、医疗等级制度和医疗客观条件限制);护士参与抗菌药物科学化管理的促进因素(积极参与的开放心态、团队正面反馈和科技创新)。结论提高护士对于抗菌药物科学化管理的贡献度,应尝试克服本研究确定的阻碍因素,并加强促进因素,以应对全球抗菌药物耐药挑战。Objective To explore the current status and influencing factors of ICU nurses' participation in the antimicrobial stewardship to improve nurses'participation in the antimicrobial stewardship.Methods A semi-structured interview was conducted among ICU nurses in two districts of a tertiary class A hospital in Nanchang,Jiangxi Province from May to June 2023.The interview results were analyzed and summarized to understand the current situation and influencing factors of nurses'participation in the antimicrobial stewardship.Results a total of three themes were summarized:the current situation of nurses'participation in the antimicrobial stewardship(role diversity,low professional value identity),the obstacles of nurses'participation in the antimicrobial stewardship(lack of professional knowledge,medical hierarchy and objective medical conditions limitations),the promoting factors of nurses'participation in antimicrobial stewardship(open mind of active participation,positive feedback from the team and d scientific and technological innovation).Conclusion Inorder toimprove nursescontribution tothe antimicrobial stewardship,we should try to overcome the obstacles identified in this study,and strengthen the promotion factors,so as to meet the challenge of global antibiotic resistance.

关 键 词：ICU护士 抗菌药物科学化管理 抗菌药物耐药 多学科合作 护理管理研究 

分 类 号：R47[医药卫生—护理学]