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

Singh, S; Degeling, C; Drury, P; Montgomery, A; Caputi, P; Deane, FP

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

Singh, S Degeling, C Drury, P Montgomery, A

Caputi, P Deane, FP

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Nurs Open, 2024, 11, (5), pp. e2184
Issue Date:: 2024-05

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Field	Value	Language
dc.contributor.author	Singh, S
dc.contributor.author	Degeling, C
dc.contributor.author	Drury, P
dc.contributor.author	Montgomery, A https://orcid.org/0000-0001-7720-9513
dc.contributor.author	Caputi, P
dc.contributor.author	Deane, FP
dc.date.accessioned	2025-02-27T03:10:30Z
dc.date.available	2024-04-25
dc.date.available	2025-02-27T03:10:30Z
dc.date.issued	2024-05
dc.identifier.citation	Nurs Open, 2024, 11, (5), pp. e2184
dc.identifier.issn	2054-1058
dc.identifier.issn	2054-1058
dc.identifier.uri	http://hdl.handle.net/10453/185367
dc.description.abstract	AIM: The purpose of the current study was to develop and assess the psychometric properties of a measure that captures nursing behaviours that have the potential to influence the initiation of antibiotics in residential aged-care facilities. DESIGN: Cross-sectional online survey. METHOD: One hundred and fifty-seven nurses completed an online survey. The survey consisted of two clinical vignettes and measures of tolerance of uncertainty and anxiety. The vignettes consisted of the most common presentations (urinary tract infections and upper respiratory tract infections) of two hypothetical residents in aged-care facilities. The vignettes provided participants with incremental information with varying levels of symptoms, input from other people and availability of test results. Both vignettes were subjected to exploratory factor analysis. RESULTS: 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.
dc.format	Print
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Nurs Open
dc.relation.isbasedon	10.1002/nop2.2184
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	4204 Midwifery
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Psychometrics
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Aged
dc.subject.mesh	Nursing Homes
dc.subject.mesh	Humans
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Psychometrics
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Nursing Homes
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Psychometrics
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Aged
dc.subject.mesh	Nursing Homes
dc.title	What influences antibiotic initiation? Developing a scale to measure nursing behaviour in residential aged-care facilities.
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2025-02-27T03:10:28Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	5

Abstract:

AIM: The purpose of the current study was to develop and assess the psychometric properties of a measure that captures nursing behaviours that have the potential to influence the initiation of antibiotics in residential aged-care facilities. DESIGN: Cross-sectional online survey. METHOD: One hundred and fifty-seven nurses completed an online survey. The survey consisted of two clinical vignettes and measures of tolerance of uncertainty and anxiety. The vignettes consisted of the most common presentations (urinary tract infections and upper respiratory tract infections) of two hypothetical residents in aged-care facilities. The vignettes provided participants with incremental information with varying levels of symptoms, input from other people and availability of test results. Both vignettes were subjected to exploratory factor analysis. RESULTS: 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.

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http://hdl.handle.net/10453/185367