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What influences antibiotic initiation? Developing a scale to measure nursing behaviour in residential aged-care facilities.

Saniya SinghChris DegelingPeta DruryAmy MontgomeryPeter CaputiFrank P Deane
Published in: Nursing open (2024)
The results focus on the 16 items in the second vignette which resulted in the extraction of three factors. The derived factors were labelled as follows: (i) Noting and Calling GP, (ii) Consult a Colleague and (iii) Immediate Assessment and Antibiotics. Reliability analysis revealed excellent to satisfactory reliability. All three scales were significantly correlated with measures of clinical tolerance of uncertainty, and the 'noting and calling GP' scale was also negatively correlated with measures of anxiety and general tolerance of uncertainty. The measure showed satisfactory reliability and validity for capturing nursing behaviours that have the potential to influence decisions regarding antibiotics. As such, the current study provides a first step towards addressing the lack of ecologically valid measures that capture the complex and nuanced context of nurses' behaviours in RACF that have the potential to inform future stewardship interventions.
Keyphrases
  • healthcare
  • mental health
  • quality improvement
  • physical activity
  • air pollution
  • single cell
  • pain management
  • risk assessment
  • sleep quality
  • chronic pain