目的 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—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 scientific and technological innovation）. Conclusion In order to improve nurses‘ contribution to the 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.
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