Structured Summary
Introduction and objectives
The disruption of antimicrobial stewardship programmes (ASP) caused by Coronavirus disease 2019 (COVID-19) has been recognised but not explored in-depth. This study used a theoretical, qualitative approach to understand the impact of COVID-19 on ASP implementation in hospitals.
Methods
Semi-structured online interviews, informed by the Consolidated Framework for Implementation Research (CFIR) were conducted with ASP team members and non-members in hospitals. Participants were recruited via purposeful and snowball sampling with interviews video recorded, transcribed and independently analysed by two researchers based on mapping against CFIR constructs.
Results
Thirty-one interviews were conducted across 11 hospitals. The following themes were identified; (1) increased complexity of ASP implementation and changes in prescribing behaviour influenced by COVID-19, (2) adaptations, networking and cosmopolitanism to enhance integration of COVID-19 management into ASP services and (3) adaptations and networking to support continuity of the ASP implementation process. A disruption to pre-pandemic ASP activities was reported with complexity of COVID-19 overwhelming the healthcare system. ASP team members and services showed an ability to adapt and repurpose roles to respond to the pandemic. Interventions included developing national guidelines for treatment of COVID-19 patients and contributing to guideline management and monitoring. A gradual restoration of ASP activities was perceived. Technological adaptations and enhancements in networking were reported as positive impacts of the pandemic.
Conclusion
Despite the initial disruption of ASP implementation caused by the pandemic, successful adaptation and evolvement of ASP services reflects the high value and adaptability of ASP implementation in UAE hospitals.
【저자키워드】 COVID-19, implementation, Qualitative, Antimicrobial stewardship, CFIR, 【초록키워드】 Treatment, Coronavirus disease 2019, pandemic, hospitals, activity, management, Impact, framework, COVID-19 patient, Healthcare system, Support, ASP, participant, positive, researcher, approach, ENhance, initial, Result, caused, recruited, reported, conducted, analysed, changes in, transcribed, contributing to, respond, reflect, recorded, national guideline, 【제목키워드】 hospital, framework,