Development of consensus based national antimicrobial stewardship competencies for UK undergraduate healthcare professional education
File(s)JHI.pdf (374.62 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Background
Healthcare professionals are involved in an array of patient and medicine related stewardship activities, for which an understanding and engagement with antimicrobial stewardship (AMS) is important. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities.
Aim
To provide United Kingdom national consensus on a common set of antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education.
Methods
A modified Delphi approach comprising two on-line surveys delivered to a United Kingdom national panel of twenty-one individuals reflecting expertise in prescribing and medicines management with regards to the education and practice of nurses and midwives, pharmacists, physiotherapists and podiatrists; and antimicrobial prescribing and stewardship. Data collection took place between October and December 2017.
Findings
A total of 21 participants agreed to become members of the expert panel, of whom 19 (90%) completed round 1 questionnaire, and 17 (89%) completed round 2. Panelists reached a consensus, with consistent high levels of agreement reached, on 6 overarching competency statements (sub divided into 6 domains), and 55 individual descriptors essential for antimicrobial stewardship by healthcare professionals.
Conclusion
Given the consistently high levels of agreement reached on competency statements and their associated descriptors, this competency framework should be used to direct education for undergraduate healthcare professionals, and those working in new clinical roles to support healthcare delivery where an understanding of, and engagement with, AMS is important. Although the competencies target basic education, they can also be used for continuing education.
Healthcare professionals are involved in an array of patient and medicine related stewardship activities, for which an understanding and engagement with antimicrobial stewardship (AMS) is important. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities.
Aim
To provide United Kingdom national consensus on a common set of antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education.
Methods
A modified Delphi approach comprising two on-line surveys delivered to a United Kingdom national panel of twenty-one individuals reflecting expertise in prescribing and medicines management with regards to the education and practice of nurses and midwives, pharmacists, physiotherapists and podiatrists; and antimicrobial prescribing and stewardship. Data collection took place between October and December 2017.
Findings
A total of 21 participants agreed to become members of the expert panel, of whom 19 (90%) completed round 1 questionnaire, and 17 (89%) completed round 2. Panelists reached a consensus, with consistent high levels of agreement reached, on 6 overarching competency statements (sub divided into 6 domains), and 55 individual descriptors essential for antimicrobial stewardship by healthcare professionals.
Conclusion
Given the consistently high levels of agreement reached on competency statements and their associated descriptors, this competency framework should be used to direct education for undergraduate healthcare professionals, and those working in new clinical roles to support healthcare delivery where an understanding of, and engagement with, AMS is important. Although the competencies target basic education, they can also be used for continuing education.
Date Issued
2018-11-01
Date Acceptance
2018-06-11
Citation
Journal of Hospital Infection, 2018, 100 (3), pp.245-256
ISSN
0195-6701
Publisher
WB Saunders
Start Page
245
End Page
256
Journal / Book Title
Journal of Hospital Infection
Volume
100
Issue
3
Copyright Statement
© 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
Economic & Social Research Council (ESRC)
Grant Number
ES/M500562/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Infectious Diseases
Antimicrobial stewardship
Competencies
Undergraduate healthcare
professional education
Modified Delphi
Antimicrobial stewardship
Competencies
Modified Delphi
Undergraduate healthcare professional education
Antimicrobial Stewardship
Consensus
Delphi Technique
Education, Medical
Humans
Surveys and Questionnaires
United Kingdom
Humans
Consensus
Education, Medical
Delphi Technique
Surveys and Questionnaires
United Kingdom
Antimicrobial Stewardship
1103 Clinical Sciences
Epidemiology
Publication Status
Published
Date Publish Online
2018-06-30