An evaluation of the TARGET Antibiotics Toolkit (Treat Antibiotics Responsibly; Guidance, Education, Tools) to improve antimicrobial stewardship in primary care - is it fit for purpose?
An evaluation of the TARGET Antibiotics Toolkit (Treat Antibiotics Responsibly; Guidance, Education, Tools) to improve antimicrobial stewardship in primary care - is it fit for purpose?
BACKGROUND: The TARGET (Treat Antibiotics Responsibly; Guidance, Education, Tools) Antibiotics Toolkit aims to improve antimicrobial prescribing in primary care through guidance, interactive workshops with action planning, patient facing educational and audit materials. OBJECTIVE: To explore GPs', nurses' and other stakeholders' views of TARGET. DESIGN: Mixed methods. METHOD: In 2014, 40 UK GP staff and 13 stakeholders participated in interviews or focus groups. We analysed data using a thematic framework and normalization process theory (NPT). RESULTS: Two hundred and sixty-nine workshop participants completed evaluation forms, and 40 GP staff, 4 trainers and 9 relevant stakeholders participated in interviews (29) or focus groups (24). GP staffs were aware of the issues around antimicrobial resistance (AMR) and how it related to their prescribing. Most participants stated that TARGET as a whole was useful. Participants suggested the workshop needed less background on AMR, be centred around clinical cases and allow more action planning time. Participants particularly valued comparison of their practice antibiotic prescribing with others and the TARGET Treating Your Infection leaflet. The leaflet needed greater accessibility via GP computer systems. Due to time, cost, accessibility and competing priorities, many GP staff had not fully utilized all resources, especially the audit and educational materials. CONCLUSIONS: We found evidence that the workshop is likely to be more acceptable and engaging if based around clinical scenarios, with less on AMR and more time on action planning. Greater promotion of TARGET, through Clinical Commissioning Group's (CCG's) and professional bodies, may improve uptake. Patient facing resources should be made accessible through computer shortcuts built into general practice software.
461-467
Jones, Leah
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Hawking, Meredith
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Owens, Rebecca
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Lecky, Donna
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Francis, Nick
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Butler, Christopher
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Gal, Micaela
2d266726-f171-4a55-a381-29c5a2e42ec1
McNulty, Cliodna
212425d9-06ca-4ef8-9982-1acbd579c8ee
1 August 2018
Jones, Leah
72ab5964-52a6-416e-adee-34ef97cf2724
Hawking, Meredith
aa092ed4-6382-4a55-b969-45f470b5abe5
Owens, Rebecca
384bbfa3-c233-49cf-a755-e23d9df5850e
Lecky, Donna
dadf7543-2c9d-4adb-8644-46682f0871c1
Francis, Nick
9b610883-605c-4fee-871d-defaa86ccf8e
Butler, Christopher
8bf4cace-c34a-4b65-838f-29c2be91e434
Gal, Micaela
2d266726-f171-4a55-a381-29c5a2e42ec1
McNulty, Cliodna
212425d9-06ca-4ef8-9982-1acbd579c8ee
Jones, Leah, Hawking, Meredith, Owens, Rebecca, Lecky, Donna, Francis, Nick, Butler, Christopher, Gal, Micaela and McNulty, Cliodna
(2018)
An evaluation of the TARGET Antibiotics Toolkit (Treat Antibiotics Responsibly; Guidance, Education, Tools) to improve antimicrobial stewardship in primary care - is it fit for purpose?
Family Practice, 35 (4), .
(doi:10.1093/fampra/cmx131).
Abstract
BACKGROUND: The TARGET (Treat Antibiotics Responsibly; Guidance, Education, Tools) Antibiotics Toolkit aims to improve antimicrobial prescribing in primary care through guidance, interactive workshops with action planning, patient facing educational and audit materials. OBJECTIVE: To explore GPs', nurses' and other stakeholders' views of TARGET. DESIGN: Mixed methods. METHOD: In 2014, 40 UK GP staff and 13 stakeholders participated in interviews or focus groups. We analysed data using a thematic framework and normalization process theory (NPT). RESULTS: Two hundred and sixty-nine workshop participants completed evaluation forms, and 40 GP staff, 4 trainers and 9 relevant stakeholders participated in interviews (29) or focus groups (24). GP staffs were aware of the issues around antimicrobial resistance (AMR) and how it related to their prescribing. Most participants stated that TARGET as a whole was useful. Participants suggested the workshop needed less background on AMR, be centred around clinical cases and allow more action planning time. Participants particularly valued comparison of their practice antibiotic prescribing with others and the TARGET Treating Your Infection leaflet. The leaflet needed greater accessibility via GP computer systems. Due to time, cost, accessibility and competing priorities, many GP staff had not fully utilized all resources, especially the audit and educational materials. CONCLUSIONS: We found evidence that the workshop is likely to be more acceptable and engaging if based around clinical scenarios, with less on AMR and more time on action planning. Greater promotion of TARGET, through Clinical Commissioning Group's (CCG's) and professional bodies, may improve uptake. Patient facing resources should be made accessible through computer shortcuts built into general practice software.
Text
cmx131
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e-pub ahead of print date: 28 December 2017
Published date: 1 August 2018
Identifiers
Local EPrints ID: 435422
URI: http://eprints.soton.ac.uk/id/eprint/435422
ISSN: 0263-2136
PURE UUID: 05c2db40-7f5b-45d3-8a77-7944b560bd0c
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Date deposited: 06 Nov 2019 17:30
Last modified: 17 Mar 2024 03:58
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Contributors
Author:
Leah Jones
Author:
Meredith Hawking
Author:
Rebecca Owens
Author:
Donna Lecky
Author:
Christopher Butler
Author:
Micaela Gal
Author:
Cliodna McNulty
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