TY - JOUR
T1 - Antibiotic stewardship knowledge and belief differences among healthcare professionals in hospitals
T2 - A survey study
AU - Herawati, Fauna
AU - Jaelani, Abdul Kadir
AU - Wijono, Heru
AU - Rahem, Abdul
AU - Setiasih,
AU - Yulia, Rika
AU - Andrajati, Retnosari
AU - Soemantri, Diantha
N1 - Funding Information:
This research was presented at the 5th International Conference and Exhibition on Indonesian Medical Education and Research Institute (5th ICE on IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta. We thank the 5th ICE on IMERI Committee for supporting the peer review and manuscript preparation before submission. We are grateful to the management and the hospital staff for allowing us to collect data and for their contributions to the evaluation process. We would like to thank Erik Christopher, Klinik Bahasa, Faculty Kedokteran, Universitas Gadjah Mada (Yogyakarta) for translating and editing the manuscript.
Publisher Copyright:
© 2021 The Author(s)
PY - 2021/6
Y1 - 2021/6
N2 - Background: Collaborative practice in healthcare has been recommended to improve the quality of antimicrobial stewardship interventions, a behavioral change in antimicrobial use. Insufficient knowledge regarding antibiotic resistance, the fear of complications from infections, and how providers perceive antibiotic use and resistance are likely to influence prescribing behavior. This study's objective was to identify the knowledge and belief healthcare professionals' differences about antibiotic stewardship. Methods: This cross-sectional survey study of three hospitals in the East Java province, Indonesia utilized a 43-item questionnaire to assess antimicrobial stewardship knowledge and belief. There were 12 knowledge questions (total possible score: 12) and 31 belief questions (total possible score: 155). The Kuder Richardson 20 (KR-20) and Cronbach alpha values of the questionnaire were 0.54 and 0.92, respectively. Results: Out of the 257 respondents, 19% (48/257) had a low scores of knowledge, and 39% (101/257) had low scores on belief about antibiotic stewardship (101/257). Most midwives had a low scores on knowledge (25/61) and low scores on belief (46/61). Respondents with high scores on belief were 17% (10/59) physicians, 15% (4/27) pharmacists, 8% (5/65) nurses, and 3% (2/61) midwives. Conclusion: Among healthcare professionals, knowledge and belief differences concerning antibiotic stewardship vary widely. These differences will affect their capability, behavior, and contribution to the healthcare team collaboration and performance. Further studies are needed to evaluate the correlation between the level of inter-professional collaboration and the quality of the antibiotic stewardship implementation.
AB - Background: Collaborative practice in healthcare has been recommended to improve the quality of antimicrobial stewardship interventions, a behavioral change in antimicrobial use. Insufficient knowledge regarding antibiotic resistance, the fear of complications from infections, and how providers perceive antibiotic use and resistance are likely to influence prescribing behavior. This study's objective was to identify the knowledge and belief healthcare professionals' differences about antibiotic stewardship. Methods: This cross-sectional survey study of three hospitals in the East Java province, Indonesia utilized a 43-item questionnaire to assess antimicrobial stewardship knowledge and belief. There were 12 knowledge questions (total possible score: 12) and 31 belief questions (total possible score: 155). The Kuder Richardson 20 (KR-20) and Cronbach alpha values of the questionnaire were 0.54 and 0.92, respectively. Results: Out of the 257 respondents, 19% (48/257) had a low scores of knowledge, and 39% (101/257) had low scores on belief about antibiotic stewardship (101/257). Most midwives had a low scores on knowledge (25/61) and low scores on belief (46/61). Respondents with high scores on belief were 17% (10/59) physicians, 15% (4/27) pharmacists, 8% (5/65) nurses, and 3% (2/61) midwives. Conclusion: Among healthcare professionals, knowledge and belief differences concerning antibiotic stewardship vary widely. These differences will affect their capability, behavior, and contribution to the healthcare team collaboration and performance. Further studies are needed to evaluate the correlation between the level of inter-professional collaboration and the quality of the antibiotic stewardship implementation.
KW - Antibiotic stewardship
KW - Belief
KW - Knowledge
UR - http://www.scopus.com/inward/record.url?scp=85109492428&partnerID=8YFLogxK
U2 - 10.1016/j.heliyon.2021.e07377
DO - 10.1016/j.heliyon.2021.e07377
M3 - Article
AN - SCOPUS:85109492428
SN - 2405-8440
VL - 7
JO - Heliyon
JF - Heliyon
IS - 6
M1 - e07377
ER -
