Development of consensus-based national antimicrobial stewardship competencies for UK undergraduate healthcare professional education

被引：39

作者：

Courtenay, M. ^{[1
]}

Lim, R. ^{[2
]}

Castro-Sanchez, E. ^{[3
]}

Deslandes, R. ^{[4
]}

Hodson, K. ^{[4
]}

Morris, G. ^{[1
,5
]}

Reeves, S. ^{[6
,7
]}

Weiss, M. ^{[4
]}

Ashiru-Oredope, D. ^{[8
]}

Bain, H. ^{[9
]}

Black, A. ^{[10
]}

Bosanquet, J. ^{[8
]}

Cockburn, A. ^{[11
]}

Duggan, C. ^{[12
]}

Fitzpatrick, M. ^{[13
]}

Gallagher, R. ^{[14
]}

Grant, D. ^{[2
]}

McEwen, J. ^{[15
]}

Reid, N. ^{[16
]}

Sneddon, J. ^{[17
]}

Stewart, D. ^{[18
]}

Tonna, A. ^{[18
]}

White, P. ^{[19
]}

机构：

[1] Cardiff Univ, Sch Hlth Sci, Cardiff CF24 OAB, S Glam, Wales

[2] Univ Reading, Reading Sch Pharm, Reading, Berks, England

[3] Imperial Coll London, NIHR Hlth Protect Unit Healthcare Associated Infe, London, England

[4] Cardiff Univ, Sch Pharm & Pharmaceut Sci, Cardiff, S Glam, Wales

[5] Hywel Dda Univ, Hlth Board, Carmarthen, Dyfed, Wales

[6] Kingston Univ London, Fac Hlth Social Care & Educ, London, England

[7] St Georges Univ London, London, England

[8] Antimicrobial Resistance Programme Publ Hlth Engl, London, England

[9] Robert Gordon Univ, Sch Nursing & Midwifery, Aberdeen, Scotland

[10] Kings Coll London, Fac Nursing Midwifery & Palliat Care, London, England

[11] Western Gen Hosp, Reg Infect Dis Unit, Edinburgh, Midlothian, Scotland

[12] Royal Pharmaceut Soc, London, England

[13] Coll Podiatry, London, England

[14] Royal Coll Nursing UK, London, England

[15] NHS Tayside, Dundee, Scotland

[16] Publ Hlth Wales, Cardiff, S Glam, Wales

[17] Healthcare Improvement Scotland, Glasgow, Lanark, Scotland

[18] Robert Gordon Univ, Sch Pharm & Life Sci, Aberdeen, Scotland

[19] Chartered Soc Physiotherapy, London, England

来源：

JOURNAL OF HOSPITAL INFECTION | 2018年 / 100卷 / 03期

关键词：

Antimicrobial stewardship; Competencies; Undergraduate healthcare; professional education; Modified Delphi;

D O I：

10.1016/j.jhin.2018.06.022

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Healthcare professionals are involved in an array of patient- and medicine-related stewardship activities, for which an understanding and engagement with antimicrobial stewardship (AMS) is important. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities. Aim: To provide UK national consensus on a common set of antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education. Methods: A modified Delphi approach comprising two online surveys delivered to a UK national panel of 21 individuals reflecting expertise in prescribing and medicines management with regards to the education and practice of nurses and midwives, pharmacists, physiotherapists, and podiatrists; and antimicrobial prescribing and stewardship. Data collection took place between October and December 2017. Findings: A total of 21 participants agreed to become members of the expert panel, of whom 19 (90%) completed round 1 questionnaire, and 17 (89%) completed round 2. Pan-elists reached a consensus, with consistently high levels of agreement reached, on six overarching competency statements (subdivided into six domains), and 55 individual descriptors essential for antimicrobial stewardship by healthcare professionals. Conclusion: Due to the consistently high levels of agreement reached on competency statements and their associated descriptors, this competency framework should be used to direct education for undergraduate healthcare professionals, and those working in new clinical roles to support healthcare delivery where an understanding of, and engagement with, AMS is important. Although the competencies target basic education, they can also be used for continuing education. (C) 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：245 / 256

页数：12

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