- •Residents of nursing homes (NH) described unmet antibiotic informational needs.
- •A subset of residents described seeking antibiotics from prescribers in the NH.
- •Residents may influence antibiotic treatment decisions in the NH setting.
- •Residents should be engaged in efforts to improve antibiotic prescribing in NHs.
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- Antibiotic Resistance Threats in the United States.Centers for Disease Control, 2013
- Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents.JAMA Intern Med. 2015; 175: 1331-1339
Centers for Medicare & Medicaid Services. Medicare and medicaid programs; reform of requirements for longterm care facilities. 2016. https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities. Accessed July 12, 2022.
- Characteristics of nursing homes with comprehensive antibiotic stewardship programs: results of a national survey.Am J Infect Control. 2020; 48: 13-18
Centers for Disease Control and Prevention. Fact sheets for residents and families on antibiotic stewardship. Core elements of antibiotic stewardship for nursing homes web site. https://www.cdc.gov/longtermcare/prevention/antibiotic-stewardship.html#anchor_1591381225. Accessed August 2, 2021.
Agency for Healthcare Research and Quality. Improving teamwork and communication. agency for healthcare research and quality. https://www.ahrq.gov/antibiotic-use/long-term-care/safety/teamwork.html. Published 2021. Accessed August 2, 2021.
- Person-centered care for nursing home residents: the culture-change movement.Health Aff (Millwood). 2010; 29: 312-317
- Transforming nursing home culture: evidence for practice and policy.Gerontologist. 2014; 54: S1-S5
- Nurse and medical provider perspectives on antibiotic stewardship in nursing homes.J Am Geriatr Soc. 2017; 65: 165-171
- Employing a qualitative description approach in health care research.Glob Qual Nurs Res. 2017; 42333393617742282
- Whatever happened to qualitative description?.Res Nurs Health. 2000; 23: 334-340
- Interviews: Learning the craft of qualitative research interviewing.Sage Publications, 2009
- Three approaches to qualitative content analysis.Qualitat Health Res. 2005; 15: 1277-1288
- Codebook development for team-based qualitative analysis.CAM Journal. 1998; 10: 31-36
- Criteria for assessing the trustworthiness of naturalistic inquiries.ECTJ. 1981; 29: 75-91
- Saturation in qualitative research: exploring its conceptualization and operationalization.Qual Quant. 2018; 52: 1893-1907
- Stability of preferences for treatment among nursing home residents.Gerontologist. 1998; 38: 217-223
- Perceptions of antibiotic therapy among nursing home residents: perspectives of caregivers and residents in a mixed exploratory study.Antibiotics (Basel). 2019; 8: 66
- Effectiveness of interventions targeting antibiotic use in long-term aged care facilities: a systematic review and meta-analysis.BMJ Open. 2020; 10e028494
- Resident and family engagement in medication management in aged care facilities: a systematic review.Expert Opinion Drug Safety. 2021; 20: 1391-1409
Funding/Support: This study was funded by the National Institute of Nursing Research (PIs: Stone, Shang; 5P20NR018072).
Conflicts of Interest: The authors report no conflicts of interest.
Author contributions: All authors meet the criteria for authorship stated in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals. Author contributions are as follows: study concept and design (E.C., P.S., J.S., M.G.) acquisition of subjects and/or data (E.C., G.M.), analysis and interpretation of data (E.C., P.S., J.S., M.G., G.M., C.D.), and preparation of manuscript (E.C., P.S., J.S., M.G., G.M., C.D.).
Disclosures: Study findings were presented at IDWeek 2020 (virtual conference) and appear as an abstract in the Journal of Pain and Symptom Managementand Open Forum Infectious Diseases. Sponsor's Role: The sponsor had no role in the design, methods, subject recruitment, data collections, analysis, and preparation of this paper.