Nurses' Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities.

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

Nurses' Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities.

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

Caputi, P Deane, FP

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Publisher:: SAGE PUBLICATIONS INC
Publication Type:: Journal Article
Citation:: Med Decis Making, 2024, 44, (4), pp. 415-425
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	2025-02-27T03:21:09Z
dc.date.available	2025-02-27T03:21:09Z
dc.date.issued	2024-05
dc.identifier.citation	Med Decis Making, 2024, 44, (4), pp. 415-425
dc.identifier.issn	0272-989X
dc.identifier.issn	1552-681X
dc.identifier.uri	http://hdl.handle.net/10453/185377
dc.description.abstract	The impact of non-clinical factors (e.g., resident and family preferences) on prescribing is well-established. There is a gap in the literature regarding the mechanisms through which these preferences are experienced as pressure by prescribers within the unique context of residential aged-care facilities (RACFs).A significant relationship was found between nurses' anxiety, clinical tolerance of uncertainty, and the perceived need for antibiotics and assessment.As such, there is a need to expand stewardship beyond education alone to include interventions that help nurses manage uncertainty and anxiety and include other stakeholders (e.g., family members) when making clinical decisions in the RACF setting.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS INC
dc.relation.ispartof	Med Decis Making
dc.relation.isbasedon	10.1177/0272989X241239871
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1402 Applied Economics
dc.subject.classification	Health Policy & Services
dc.subject.classification	3801 Applied economics
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Uncertainty
dc.subject.mesh	Anxiety
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Aged
dc.subject.mesh	Nurses
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adult
dc.subject.mesh	Nursing Homes
dc.subject.mesh	Decision Making
dc.subject.mesh	Humans
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Uncertainty
dc.subject.mesh	Anxiety
dc.subject.mesh	Decision Making
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Nurses
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Nursing Homes
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Humans
dc.subject.mesh	Uncertainty
dc.subject.mesh	Anxiety
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Homes for the Aged
dc.subject.mesh	Aged
dc.subject.mesh	Nurses
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adult
dc.subject.mesh	Nursing Homes
dc.subject.mesh	Decision Making
dc.title	Nurses' Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities.
dc.type	Journal Article
utslib.citation.volume	44
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1402 Applied Economics
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 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2025-02-27T03:21:07Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	44
utslib.citation.issue	4

Abstract:

The impact of non-clinical factors (e.g., resident and family preferences) on prescribing is well-established. There is a gap in the literature regarding the mechanisms through which these preferences are experienced as pressure by prescribers within the unique context of residential aged-care facilities (RACFs).A significant relationship was found between nurses' anxiety, clinical tolerance of uncertainty, and the perceived need for antibiotics and assessment.As such, there is a need to expand stewardship beyond education alone to include interventions that help nurses manage uncertainty and anxiety and include other stakeholders (e.g., family members) when making clinical decisions in the RACF setting.

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http://hdl.handle.net/10453/185377