Purpose
This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital.
Methods
This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components.
Results
No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010).
Conclusion
To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.

Citations

• Evaluation of the Rational Use of Broad-Spectrum Antibiotics According to Regulatory Guidelines in Hospitalized Patients: A Descriptive Study
  Alireza Kananinambani, Majid Shohrati, Mahdi Bagheri, Bita Najafian
  Iranian Journal of Pharmaceutical Research.2025;[Epub]     CrossRef

Purpose
To develop a fall risk assessment tool to predict fall risk in pediatric inpatients.
Methods
Three tools widely used in clinical practice (Humpty Dumpty Fall Scale, General Risk Assessment for Pediatric Inpatient Falls, and Seoul National University Hospital Pediatric Fall Risk Scale) were examined, and assessment items were extracted. Employing a case-control design, 29 children who experienced falls during hospital stays were selected as the "fall" group, and a control group (93 children) was selected based on age and sex matching. The sensitivity, specificity, and positive and negative predictive values of the newly developed tool ("Newfs-PI") were analyzed.
Results
The Newfs-PI consisted of seven items: age, activity, history of falls, length of hospital stay, and medication. The total score ranged from 0 to 15. Its sensitivity and specificity were 62.07% and 74.19%, respectively.
Conclusion
The Newfs-PI has high specificity and sensitivity, which are essential for a fall risk assessment tool that complements existing tools. These values are high relative to those of existing assessment tools and satisfy both sensitivity and specificity criteria. As the EMR enables monitoring of the components of the Newfs-PI, the tool can be used as a fall risk assessment and prevention scale for pediatric inpatients.

Citations

• Sarcopenia in children: Lecture
  A. N. Zavyalova, V. P. Novikova, M. N. Yakovleva
  Meditsinskiy sovet = Medical Council.2024; (1): 245.     CrossRef
• Fall prevention in a pediatric unit: a best practice implementation project
  Nydjia Lawrence, Robin Christian, Michelle Palokas, Linda Upchurch
  JBI Evidence Implementation.2024; 22(2): 149.     CrossRef
• Development of an evidence‐based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test
  Lixia Chen, Wenjing Liu, Hong Li
  Nursing Open.2023; 10(3): 1715.     CrossRef
• Escala Humpty Dumpty: adaptação transcultural e validação para cultura brasileira
  Elke Sandra Alves Rodrigues, Daniela Fernanda dos Santos Alves, Ana Márcia Chiaradia Mendes-Castillo, Thaís Moreira São-João, Giselli Cristina Villela Bueno, Deborah Hill-Rodriguez, Renata Cristina Gasparino
  Acta Paulista de Enfermagem.2023;[Epub]     CrossRef
• The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study
  Nadir YALÇIN, Mehmet Akif GÖKTAŞ, Ersin GÜMÜŞ
  Akademik Gastroenteroloji Dergisi.2023; 22(2): 103.     CrossRef
• The revised Humpty Dumpty Fall Scale: An update to improve tool performance and predictive validity
  Danielle Altares Sarik, Deborah Hill-Rodriguez, Karina A. Gattamorta, Jacqueline L. Gonzalez, Jenny Esteves, Katherine Zamora, Jennifer Cordo
  Journal of Pediatric Nursing.2022; 67: 34.     CrossRef