Fostering Engagement From Nurses in Promoting IV to PO Antimicrobial Conversion: The FERN-IPO Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 853
- 试验地点
- 2
- 主要终点
- IV to PO antimicrobial conversion rate
研究概览
简要总结
This is a prospective, quasi-experimental, historically controlled study to evaluate if a behavioural change intervention informed by the COM-B model of behaviour change can improve nurses' self-perceived capability, opportunity, and motivation to engage in the assessment of patients who may be appropriate for IV to PO antimicrobial conversion. This study also seeks to determine if this translates into an increase in IV to PO antimicrobial conversion rates in the acute care setting.
详细描述
Current antimicrobial stewardship guidelines recommend appropriate and timely IV to PO antimicrobial conversion in hospitalized patients. Published rates of IV to PO antimicrobial conversion are consistently below 50% in eligible inpatients. Studies have suggested that nurses may be well positioned to provide a positive influence on prescriber behavior related to antimicrobial IV to PO conversion, however, no published research has evaluated the impact of nurses on antimicrobial IV to PO conversion rates. Published research has described the barriers and enablers to nurse participation in promoting antimicrobial IV to PO conversion using the COM-B model of behaviour change. This quasi-experimental study will evaluate whether determinants of nurse behaviour and their actual behaviour can be changed to increase antimicrobial IV to PO conversion rates in hospitalized patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Nineteen years of age or older
- •Employed as a RN or LPN at KGH in any capacity (full-time, part-time or casual employee)
- •Practicing on a medicine/thoracic surgery ward (4A) or medicine/oncology/respiratory ward (4B)
排除标准
- •RNs or LPNs on orientation shifts/training
- •RNs or LPNs not engaged in patient care
- •Student nurses/nurses in training
研究组 & 干预措施
Pre-Intervention Arm
The nurses will have not been exposed to the behavior change intervention.
Post-Intervention Arm
The nurses will have been exposed to the behavior change intervention.
干预措施: Professional Behavior Change Intervention (Behavioral)
结局指标
主要结局
IV to PO antimicrobial conversion rate
时间窗: Six months (three months pre-intervention, three months post-intervention)
Incidence of IV to PO antimicrobial conversion (defined as the initiation of a PO antimicrobial within 24 hours of discontinuation of an IV antimicrobial during a single treatment course in a specific patient) before and after behavior change intervention
次要结局
- Days of IV therapy prior to conversion to PO antimicrobial(Six months (three months pre-intervention, three months post-intervention))
- Nurse perceptions of capability, opportunity and motivation to promote IV to PO antimicrobial conversion(Six months (three months pre-intervention, three months post-intervention))
研究者
Sean Gorman
Pharmacy Coordinator, Clinical Quality & Research
Kelowna General Hospital