{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:20:11Z","timestamp":1792030811355,"version":"4.4.0"},"reference-count":45,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T00:00:00Z","timestamp":1677369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To gain a comprehensive understanding of nurses' infection control practices, antibiotics stewardship attitudes and self\u2010efficacy when caring for patients with multidrug\u2010resistant bacterial infections in a hospital setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multidrug\u2010resistant bacteria cause a substantial health burden by complicating infections and prolonging hospital stays. Attitudes and self\u2010efficacy can inform professional behaviour. Nurses' attitudes and self\u2010efficacy concerning multidrug\u2010resistant bacteria, infection prevention and control and antibiotic stewardship are vital in keeping patients safe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive and convergent mixed\u2010methods design involving quantitative and qualitative approaches was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two hundred and seventeen nurses working in clinical practice at seven different hospital wards (i.e., general medicine, surgical, haematological and oncology) at a Norwegian university hospital were invited to participate. Data were collected in February and March 2020 via two questionnaires: the Multidrug\u2010Resistant Bacteria Attitude Questionnaire and the General Perceived Self\u2010Efficacy Scale (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0131) and four focus group interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022). The data were analysed using descriptive statistics and systematic text condensation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most nurses showed moderate knowledge, adequate behavioural intentions towards infection prevention and antibiotic stewardship, and high self\u2010efficacy. However, they reported negative emotions towards their knowledge level and negative emotions towards nursing care. The nurses appeared uncertain about their professional influence and role in antibiotic stewardship practices. Organisational and relational challenges and ambivalent perceptions of nurses' role were potential explanations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses report moderate attitudes and high self\u2010efficacy when caring for patients with multidrug\u2010resistant bacterial infections. This study suggests that nurses experience organisational and relational factors in their work environment that challenge their attitudes towards infection prevention and control and antibiotic stewardship practices. Measures that strengthen their knowledge and emotional response underpin correct infection prevention and control behaviour. A role clarification is needed for antibiotic stewardship.<\/jats:p>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Measures to increase attitudes towards infection prevention and control, antibiotic stewardship and multidrug resistance is recommended. Measures should be taken to overcome organisational challenges. A clarification of the nurses' role in antibiotic stewardship is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.16657","type":"journal-article","created":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T04:10:25Z","timestamp":1677384625000},"page":"6268-6286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Attitudes and self\u2010efficacy towards infection prevention and control and antibiotic stewardship among nurses: A mixed\u2010methods study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-5132","authenticated-orcid":false,"given":"Marte Johanne","family":"Tangeraas\u00a0Hansen","sequence":"first","affiliation":[{"name":"Research Group of Nursing and Health Sciences, Research Department Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1139-5947","authenticated-orcid":false,"given":"Marianne","family":"Storm","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Sciences University of Stavanger  Stavanger Norway"},{"name":"Faculty of Health Sciences and Social Care Molde University College  Molde Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Syre","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8160-3211","authenticated-orcid":false,"given":"Ingvild","family":"Dalen","sequence":"additional","affiliation":[{"name":"Section of Biostatistics, Research Department Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7476-851X","authenticated-orcid":false,"given":"Anne Marie Lunde","family":"Huseb\u00f8","sequence":"additional","affiliation":[{"name":"Research Group of Nursing and Health Sciences, Research Department Stavanger University Hospital  Stavanger Norway"},{"name":"Department of Public Health, Faculty of Health Sciences University of Stavanger  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2011.613995"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbe2.195"},{"key":"e_1_2_10_4_1","first-page":"173","volume-title":"The handbook of attitudes","author":"Ajzen I.","year":"2005"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15940"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295X.84.2.191"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2013.10.006"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.47.6.1191"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12721"},{"key":"e_1_2_10_10_1","volume-title":"IBM SPSS statistics for windows, version 25.0","author":"Corp I. 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