Molly Courtenay
Antibiotics for acute respiratory tract infections: a mixed-methods study of patient experiences of non-medical prescriber management.
Courtenay, Molly; Rowbotham, Samantha; Lim, Rosemary; Deslandes, Rhian; Hodson, Karen; MacLure, Katie; Peters, Sarah; Stewart, Derek
Authors
Samantha Rowbotham
Rosemary Lim
Rhian Deslandes
Karen Hodson
Katie MacLure
Sarah Peters
Derek Stewart
Abstract
Objective: To (1) explore patients' expectations and experiences of nurse and pharmacist non-medical prescriber-led management of respiratory tract infections (RTIs), (2) examine whether patient expectations for antibiotics affect the likelihood of receiving them and (3) understand factors influencing patient satisfaction with RTI consultations. Design: Mixed methods. Setting: Primary care. Participants: Questionnaires from 120 patients and follow-up interviews with 22 patients and 16 nurse and pharmacist non-medical prescribers (NMPs). Results: Patients had multiple expectations of their consultation with 43% expecting to be prescribed an antibiotic. There was alignment between self-reported patient expectations and those perceived by NMPs. Patient expectations for non-antibiotic strategies, such as education to promote self-management, were associated with receipt of those strategies, whereas patient expectations for an antibiotic were not associated with receipt of these medications. 'Patient-centred' management strategies (including reassurance and providing information) were received by 86.7% of patients. Regardless of patients' expectations or the management strategy employed, high levels of satisfaction were reported for all aspects of the consultation. Taking concerns seriously, conducting a physical examination, communicating the treatment plan, explaining treatment decisions and lack of time restrictions were each reported to contribute to patient satisfaction. Conclusions: NMPs demonstrate an understanding of patient expectations of RTI consultations and use a range of non-antibiotic management strategies, particularly those resembling a patient-centred approach. Overall, patients' expectations were met and prescribers were not unduly influenced by patient expectations for an antibiotic. Patients were satisfied with the consultation, indicating that strategies used by NMPs were acceptable. However, the lower levels of satisfaction among patients who expected but did not receive an antibiotic indicates that although NMPs appear to have strategies for managing RTI consultations, there is still scope for improvement and these prescribers are therefore an important group to involve in antimicrobial stewardship.
Citation
COURTENAY, M., ROWBOTHAM, S., LIM, R., DESLANDES, R., HODSON, K., MACLURE, K., PETERS, S. and STEWART, D. 2017. Antibiotics for acute respiratory tract infections: a mixed-methods study of patient experiences of non-medical prescriber management. BMJ open [online], 7(3), e013515. Available from: https://doi.org/10.1136/bmjopen-2016-013515
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 2, 2017 |
Online Publication Date | Mar 15, 2017 |
Publication Date | Mar 31, 2017 |
Deposit Date | Mar 21, 2017 |
Publicly Available Date | Mar 21, 2017 |
Journal | BMJ open |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 7 |
Issue | 3 |
Article Number | e013515 |
DOI | https://doi.org/10.1136/bmjopen-2016-013515 |
Keywords | Nonmedical prescriber led management; Respiratory tract infections; Patient satisfaction; Primary care; Antibiotic |
Public URL | http://hdl.handle.net/10059/2232 |
Files
COURTENAY 2017 Antibiotics for acute respiratory
(1.4 Mb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
You might also like
Health-related stakeholders' perceptions of clinical pharmacy services in Qatar.
(2020)
Journal Article
Downloadable Citations
About OpenAIR@RGU
Administrator e-mail: publications@rgu.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search