PDF(Pubmed)
Abstract：
BACKGROUND: Antibiotics savelives and have been effectively and reliably used for decades to treat infections and improve health outcomes. This trust in antibiotics has contributed to over prescribing and the emergence of antimicrobial resistance. Significant amounts of antibiotics are still widely prescribed and taken, especially in young children. However, there is a paucity of existing literature relating to how mothers, who are the main carers of young children, may be influenced by their trust in antibiotics.
OBJECTIVE: To explore what factors influence mothers\' decisions to seek antibiotics for their young children.
METHODS: Qualitative case study using postcode boundaries.
METHODS: Thematic analysis of qualitative data from mothers of children under 5, recruited via community playgroups within the case. Data were collected between October 2018 and May 2019, from six focus groups (n = 19) and one-to-one interviews (n = 14). Thematic analysis of the data consisted of six phases: data familiarization; generating initial codes; searching for themes; reviewing themes; defining and naming themes; and producing the report.
RESULTS: Mothers were influenced by their belief and trust in antibiotics. Antibiotics were identified as symbolic of recovery, healing and of providing protection and safety.
CONCLUSIONS: By understanding the symbolic power of antibiotics on maternal decision making, all antibiotic prescribers may be able to offer and provide reassuring alternative and acceptable treatment options to mothers, rather than using antibiotics.
CONCLUSIONS: This paper introduces the concept of antibiotics as powerful symbols which influence antibiotic seeking behaviour. This in turn may result in inappropriate use of antibiotics which contributes to the risk of antimicrobial resistance developing. Although the majority of antibiotics are still prescribed by doctors, the number of nurse prescribers has been increasing. Therefore, an increased awareness of antibiotic symbolism, in all prescribing clinicians, is important to enable future local and national strategies to be developed, to support maternal decision making and reduce antibiotic seeking behaviour.
OBJECTIVE: To explore what factors influence mothers\' decisions to seek antibiotics for their young children.
METHODS: Qualitative case study using postcode boundaries.
METHODS: Thematic analysis of qualitative data from mothers of children under 5, recruited via community playgroups within the case. Data were collected between October 2018 and May 2019, from six focus groups (n = 19) and one-to-one interviews (n = 14). Thematic analysis of the data consisted of six phases: data familiarization; generating initial codes; searching for themes; reviewing themes; defining and naming themes; and producing the report.
RESULTS: Mothers were influenced by their belief and trust in antibiotics. Antibiotics were identified as symbolic of recovery, healing and of providing protection and safety.
CONCLUSIONS: By understanding the symbolic power of antibiotics on maternal decision making, all antibiotic prescribers may be able to offer and provide reassuring alternative and acceptable treatment options to mothers, rather than using antibiotics.
CONCLUSIONS: This paper introduces the concept of antibiotics as powerful symbols which influence antibiotic seeking behaviour. This in turn may result in inappropriate use of antibiotics which contributes to the risk of antimicrobial resistance developing. Although the majority of antibiotics are still prescribed by doctors, the number of nurse prescribers has been increasing. Therefore, an increased awareness of antibiotic symbolism, in all prescribing clinicians, is important to enable future local and national strategies to be developed, to support maternal decision making and reduce antibiotic seeking behaviour.
摘要：
背景：抗生素可用于治疗感染和改善健康结果，并且已经有效和可靠地使用了数十年。对抗生素的这种信任导致了过度处方和抗生素耐药性的出现。大量的抗生素仍被广泛处方和服用，尤其是在年幼的孩子。然而,关于母亲如何，他们是幼儿的主要照顾者，可能会受到他们对抗生素信任的影响。
目的：探讨哪些因素影响母亲为年幼的孩子寻求抗生素的决定。
方法：使用邮政编码边界的定性案例研究。
方法：对5岁以下儿童母亲的定性数据进行主题分析，通过社区游戏小组在案例中招募。数据收集于2018年10月至2019年5月，来自六个焦点小组(n=19)和一对一访谈(n=14)。对数据的专题分析包括六个阶段:数据熟悉；生成初始代码；搜索主题；审查主题；定义和命名主题；以及编写报告。
结果：母亲受到对抗生素的信念和信任的影响。抗生素被认为是复苏的象征，治疗和提供保护和安全。
结论：通过了解抗生素对产妇决策的象征性作用，所有抗生素处方者都可以为母亲提供和提供令人放心的替代和可接受的治疗选择，而不是使用抗生素。
结论：本文介绍了抗生素的概念，它是影响抗生素寻求行为的有力符号。这反过来可能导致抗生素的不适当使用，这导致了抗微生物耐药性发展的风险。尽管大多数抗生素仍由医生开处方，护士开处方的人数一直在增加。因此,对抗生素象征意义的认识提高，在所有开处方的临床医生中，对于制定未来的地方和国家战略非常重要，支持孕产妇决策并减少寻求抗生素的行为。
目的：探讨哪些因素影响母亲为年幼的孩子寻求抗生素的决定。
方法：使用邮政编码边界的定性案例研究。
方法：对5岁以下儿童母亲的定性数据进行主题分析，通过社区游戏小组在案例中招募。数据收集于2018年10月至2019年5月，来自六个焦点小组(n=19)和一对一访谈(n=14)。对数据的专题分析包括六个阶段:数据熟悉；生成初始代码；搜索主题；审查主题；定义和命名主题；以及编写报告。
结果：母亲受到对抗生素的信念和信任的影响。抗生素被认为是复苏的象征，治疗和提供保护和安全。
结论：通过了解抗生素对产妇决策的象征性作用，所有抗生素处方者都可以为母亲提供和提供令人放心的替代和可接受的治疗选择，而不是使用抗生素。
结论：本文介绍了抗生素的概念，它是影响抗生素寻求行为的有力符号。这反过来可能导致抗生素的不适当使用，这导致了抗微生物耐药性发展的风险。尽管大多数抗生素仍由医生开处方，护士开处方的人数一直在增加。因此,对抗生素象征意义的认识提高，在所有开处方的临床医生中，对于制定未来的地方和国家战略非常重要，支持孕产妇决策并减少寻求抗生素的行为。
