{"id":4224,"date":"2023-03-29T09:50:53","date_gmt":"2023-03-29T07:50:53","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4224"},"modified":"2023-04-02T13:58:56","modified_gmt":"2023-04-02T11:58:56","slug":"decisional-issues-in-antibiotic-prescribing-in-french-nursing-homes-an-ethnographic-study","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1533\/","title":{"rendered":"Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study"},"content":{"rendered":"<div class=\"item doi\"><span class=\"type\">\u00a0<\/span><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2019.1533\">https:\/\/doi.org\/10.4081\/jphr.2019.1533<\/a><\/span><\/div>\n<p><span class=\"name\"><br \/>\n<strong>Taghrid Chaaban<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France; Faculty of Nursing Sciences, Montr\u00e9al University, Centre-Ville, Montr\u00e9al, Canada; Islamic University of Lebanon (IUL), Faculty of Public Health, Beirut, Lebanon.<\/span><\/p>\n<p><span class=\"name\"><strong>Mathieu Ahouah<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France.<\/span><\/p>\n<p><span class=\"name\"><strong>Pierre Lombrail<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France.<\/span><\/p>\n<p><span class=\"name\"><strong>H\u00e9lene Le Febvre<\/strong><br \/>\n<\/span><span class=\"affiliation\">Faculty of Nursing Sciences, Montr\u00e9al University, Centre-Ville, Montr\u00e9al, Canada.<\/span><\/p>\n<p><span class=\"name\"><strong>Adnan Mourad<\/strong><br \/>\n<\/span><span class=\"affiliation\">Islamic University of Lebanon (IUL), Faculty of Public Health, Beirut, Lebanon.<\/span><\/p>\n<p><span class=\"name\"><strong>Jean-Manuel Morvillers<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France.<\/span><\/p>\n<p><span class=\"name\"><strong>Monique Rothan-Tondeur<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France.<\/span><\/p>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background:<\/em>\u00a0Medication prescription is generally the responsibility of doctors. In nursing homes, the nursing staff is often the first to suspect an infection. Today, physicians are more confident with nursing assessment, relying primarily on nursing staff information. Very few studies have investigated the nurses\u2019 influence on decision of medical prescription. This study investigates the role of nurses in antibiotic prescribing for the treatment of suspected infections in nursing home residents.<\/p>\n<p><em>Design and methods:<\/em>\u00a0An ethnographic study based on semi-structured interviews and participant observations was conducted. Sixteen nurses and five doctors working in five nursing homes in Paris, France participated between October 2015 and January 2016.<\/p>\n<p><em>Results:<\/em>\u00a0Given their proximity to elderly residents, registered nurses at the nursing homes occasionally assisted doctors in their medical diagnostic. However, nurses who are theoretically incompetent have met difficulties in their ability to participate in their decisions to prescribe antibiotics when managing residents\u2019\u00a0<em>infections.<\/em><\/p>\n<p><em>Conclusion:<\/em> if proximity and nursing skills reinforce the relevance of the clinical judgment of nurses, the effective and collaborative communication between the nurse and the doctor may help the nurse to enhance their role in the antibiotic prescribing in nursing homes, which would enhance antimicrobial stewardship efficiency.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0https:\/\/doi.org\/10.4081\/jphr.2019.1533 Taghrid Chaaban Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France; Faculty of Nursing Sciences, Montr\u00e9al University, Centre-Ville, Montr\u00e9al, Canada; Islamic University of Lebanon (IUL), Faculty of Public Health, Beirut, Lebanon. Mathieu Ahouah Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France. Pierre Lombrail Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, &#8230; <a title=\"Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1533\/\" aria-label=\"More on Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4224","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1533\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"\u00a0https:\/\/doi.org\/10.4081\/jphr.2019.1533 Taghrid Chaaban Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France; Faculty of Nursing Sciences, Montr\u00e9al University, Centre-Ville, Montr\u00e9al, Canada; Islamic University of Lebanon (IUL), Faculty of Public Health, Beirut, Lebanon. Mathieu Ahouah Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France. Pierre Lombrail Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, ... 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Mathieu Ahouah Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, Paris, France. Pierre Lombrail Nursing Sciences Research, LEPS, University Paris 13, Sorbonne, ... 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