Exploration of interprofessional collaboration for the diagnosis of infections and antibiotic prescription in nursing homes using multiple case study observational research.

ABSTRACT:

Background

Antibiotic resistance in nursing homes (NHs) is inconsistently tackled by antimicrobial stewardship programmes. The literature on individual determinants of antibiotic prescriptions (APs) in NHs is extensive. However, less is known about the structural determinants of AP in NHs.

Objectives

To examine how different organizational contexts influenced interprofessional collaboration in the diagnosis and treatment of infections in NHs.

Methods

We conducted multiple case study observational research through field notes and sketches from pictures of NH layouts.

Results

We observed three NHs for 10 days (i.e. 82 h). We inductively identified four successive steps: (i) trigger by an assistant nurse, (ii) internal decision-making, (iii) calling on an external

SUBMITTER: Gonthier D 

PROVIDER: S-EPMC11725391 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature