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Antibiotic information application offers nurses quick support
- Source :
- American journal of infection control, 44(6), 677-684. Mosby Inc., American journal of infection control, 44(6), 677-684. MOSBY-ELSEVIER
- Publication Year :
- 2015
-
Abstract
- Background: Nurses can be crucial contributors to antibiotic stewardship programs (ASPs), interventions aimed at improving antibiotic use, but nurse empowerment in ASPs adds to their job complexity. Nurses work in complex settings with high cognitive loads, which ask for easily accessible information. An information application (app) was developed to support nurses in ASPs. The efficiency, effectiveness, and user satisfaction regarding this antibiotic app were tested in a pilot study.Methods: The app was introduced into 2 lung wards of a local teaching hospital. During the 8-month pilot study, the 62 nurses of the wards had access to the app. Changes in user satisfaction regarding information support, safety attitudes, and ASP behavior were assessed with a questionnaire. At baseline, 28 nurses completed the (e-mail) questionnaire; after the study, 18 nurses participated. Scenario-based tests were done to assess app efficiency and effectiveness at baseline (n = 16) and in a randomized control (without the app, n = 17) and intervention condition (with the app, n = 17).Results: Significant improvements were found regarding task support (P = .041), reliability (P = .004), unobtrusiveness (P = .000), relevance (P = .002), user friendliness (P = .000), speed, and hyperlinks (P = .001). An improvement in communication was observed regarding nurse-physician understanding (P = .034). With the app, nurses solved the scenarios faster than without it.Conclusions: The human-centered design approach and persuasive strategy of task supportwere effective in reducing time needed to find information. Stewardship-related behaviors need active education strategies. (C) 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
- Subjects :
- 0301 basic medicine
Male
Health Knowledge, Attitudes, Practice
INFECTIOUS-DISEASES SOCIETY
ANTIMICROBIAL STEWARDSHIP
Epidemiology
Psychological intervention
Nurses
Pilot Projects
GUIDELINES
HEALTH-CARE EPIDEMIOLOGY
0302 clinical medicine
PROGRAMS
Surveys and Questionnaires
Antimicrobial stewardship
Medicine
030212 general & internal medicine
Empowerment
media_common
Antibiotic stewardship
Health Policy
Task support
Cognition
Organizational Policy
Anti-Bacterial Agents
Infectious Diseases
Female
Adult
Attitude of Health Personnel
media_common.quotation_subject
030106 microbiology
QUESTIONNAIRE
Resistance (psychoanalysis)
Communicable Diseases
Decision Support Techniques
03 medical and health sciences
Nursing
Intervention (counseling)
eHealth
Humans
Relevance (information retrieval)
AMERICA
Hospitals, Teaching
Nurse
business.industry
Public Health, Environmental and Occupational Health
PREVENTION
Drug Utilization
HOSPITALS
business
RESISTANCE
Software
Subjects
Details
- ISSN :
- 15273296 and 01966553
- Volume :
- 44
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- American journal of infection control
- Accession number :
- edsair.doi.dedup.....3c8ab8ac3d8c20ec5f4f38aa9ab9db69