Shared Decision-making and Antimicrobial Stewardship in Secondary Care

Royal Cornwall Hospitals Trust50 enrolled

Overview

To identify opportunities for antibiotic prescribing shared decision making between patients and prescribers in secondary care.

This is a qualitative study with patients and clinicians in secondary care. We will use semi-structured interviews with patients and clinicians to address the research question. Patients that have received antibiotics during a recent inpatient stay will be identified using the hospital electronic prescribing system and a letter inviting study participation will be included in their discharge medication pack. Senior prescribing decision makers will be recruited from participating hospitals. In total, we hope to carry out up to 50 interviews with patients and clinicians.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Antibiotic Prescribing is the Study Focus (no Condition)

Interventions

None - Interview OnlyOTHER

None - Interview Only

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: For clinicians: * Participant is willing and able to give informed consent for participation in the study. * Senior registrar or consultant medical or surgical doctor working at participating hospitals and caring for inpatients. * Fluent in English. For patients: * Participant is willing and able to give informed consent for participation in the study. * Male or Female, aged 16 years or above (no upper age limit). * Good standard of speaking English and able to read and understand study materials. * Received antibiotic for treatment of suspected or confirmed bacterial infection during inpatient stay. Exclusion Criteria: * For clinicians: * Prescribers not currently caring for inpatients For patients: • Patient who received prophylaxis antibiotics only

Locations (2)

Royal Cornwall Hospital

Truro, Cornwall, United Kingdom

RECRUITING

Chelsea and Westminster Hospital

Truro, United Kingdom

RECRUITING

Outcomes

Primary Outcomes

Patient and prescriber views and experiences with shared decision making (SDM) around antibiotic prescribing in secondary care and to identify further opportunities for SDM.

Data will be analysed using thematic analysis

Time frame: 1 year

Central Contacts

Verity Teague

CONTACT

44 01872256429 rcht.sponsor@nhs.net

Data from ClinicalTrials.gov

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