The influences of the long-term care facility (LTCF) context and social factors have an important impact on antibiotic prescribing in this setting. |
According to the findings of this review, future antimicrobial stewardship strategies must emphasize the importance of knowledge of guidelines and antimicrobial resistance, and the strategies must be specifically designed for implementation in the LTCF setting. |
1 Introduction
2 Methods
2.1 Search Strategy
2.2 Study Inclusion Criteria
2.3 Quality Appraisal
2.4 Analysis
3 Results
3.1 Study Selection Process
3.2 Study Characteristics
References | Geographical location | Participants | Data collection | Analysis | Aim |
---|---|---|---|---|---|
Carusone et al., part I [16] | Ontario, Canada | 24 Nurses | 7 Focus groups, 1 interview | Thematic analysis (template 5 phase)a
| To determine nurses’ perspectives on the utility and sustainability of an RTI pathway |
Carusone et al., part II [14] | Ontario, Canada | 6 Administrators, 2 medical directors | Interviews | Thematic analysis (template 5 phase) | To determine administrators’ views of an RTI pathway and compare them with nurses’ views (from Carusone et al., part I [16]) |
Helton et al. [21] | Netherlands; North Carolina, USA | Physicians (Netherlands: 12; North Carolina: 12) | Semi-structured interviews | Editing analysisb
| To explore the factors influencing treatment decisions when nursing home patients with dementia become acutely ill with pneumonia |
Lim et al. [15] | Victoria, Australia | 40 Nurses, 15 GPs, 6 pharmacists | Focus groups, semi-structured interviews | Framework analysis | To explore perceptions and attitudes of key health care providers towards antibiotic prescribing |
Lohfield et al. [17] | Ontario, Canada; Iowa, USA | 52 Nurses, 19 administrators | 19 Interviews, 10 focus groups | Editing style of analysis | To examine the views of nurses and administrators regarding a clinical pathway for managing UTIs |
Russell and Gallen [22] | England | 8 Nurses, 5 doctors | 2 Focus groups | Thematic analysis | To determine the factors influencing antibiotic prescribing in nursing homes |
Schweizer et al. [18] | Belfast, Northern Ireland | 10 GPs, 10 nurses | Semi-structured interviews | Thematic analysis | To establish the decision making process for UTIs by qualitative means to identify steps in the process |
Walker et al. [20] | Ontario, Canada | 8 Nurses, 8 doctors | Focus group | Thematic analysis | To explore perceptions, attitudes and opinions of doctors and nurses about asymptomatic bacteriuria |