Nampoothiri, Vrinda, Bonaconsa, Candice, Surendran, Surya, Mbamalu, Oluchi, Nambatya, Winnie, Babigumira, Peter Ahabwe, Ahmad, Raheelah, Castro-Sanchez, Enrique, Broom, Alex, Szymczak, Julia et al (show 7 more authors)
(2021)
What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course.
JAC-ANTIMICROBIAL RESISTANCE, 4 (1).
dlab186-.
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Abstract
<h4>Background</h4>Whilst antimicrobial stewardship (AMS) is being implemented globally, contextual differences exist. We describe how the use of a massive open online course (MOOC) platform provided an opportunity to gather diverse narratives on AMS from around the world.<h4>Methods</h4>A free 3 week MOOC titled 'Tackling antimicrobial resistance: a social science approach' was launched in November 2019. Learners were asked specific questions about their experiences of AMS via 38 optional free-text prompts dispersed throughout the modules. Content analysis was used to identify key emerging themes from the learners' responses in the first three runs of the MOOC.<h4>Results</h4>Between November 2019 and July 2020, 1464 learners enrolled from 114 countries. Overall, 199 individual learners provided a total of 1097 responses to the prompts. The diverse perspectives describe unique challenges present in different contexts including ill-defined roles for pharmacists and nurses in AMS; inadequate governance and policy inconsistencies in surveillance for antibiotic consumption and antimicrobial resistance (AMR) in some countries; lack of ownership of antibiotic decision-making and buy-in from different clinical specialties; and human resource and technological constraints. Patients' knowledge, experiences and perspectives were recognized as a valuable source of information that should be incorporated in AMS initiatives to overcome cultural barriers to the judicious use of antibiotics.<h4>Conclusions</h4>Analysis of learner comments and reflections identified a range of enablers and barriers to AMS implementation across different healthcare economies. Common challenges to AMS implementation included the role of non-physician healthcare workers, resource limitations, gaps in knowledge of AMR, and patient engagement and involvement in AMS.
| Item Type: | Article |
|---|---|
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 17 Aug 2022 14:42 |
| Last Modified: | 18 Jan 2023 20:47 |
| DOI: | 10.1093/jacamr/dlab186 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3161478 |
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