关键词: antibiotic attitude knowledge measurement medical education practice

来  源:   DOI:10.1111/jep.14029

Abstract:
OBJECTIVE: Medical students are demanders and future suppliers of antibiotic use. Understanding their knowledge, attitude and practice is important for appropriately using antibiotics and controlling antibiotic resistance. The objective of this study was to assess the measurement properties of existed instruments and summarize measurement items and results.
METHODS: Five English and Chinese databases were searched to comprehensively identify related studies between January 2000 and May 2023. Included instruments were assessed using consensus-based standards for the selection of health measurement instruments checklist. Descriptive tables and narrative texts were applied to summary the data.
RESULTS: Of 3524 studies identified, 25 were finally included, from which 22 measurement instruments were included. Of these, 14 instruments were found with adequate content validity, only one study reported structural validation process and two studies reported reliability test results. Similar items were divided into different dimensions in different studies. Gaps and misconceptions in knowledge and attitude were indicated in antibiotic use principles, including antibiotic use indications and selection.
CONCLUSIONS: Limitations existed in the current measurement instrument including lacking validation, inconsistent classification of item and lacking item regarding the perspective of suppliers. Scientific tools for objective and accurate measure are needed.
摘要:
目的:医学生是抗生素使用的需求者和未来供应商。了解他们的知识,态度和实践对于合理使用抗生素和控制抗生素耐药性很重要。这项研究的目的是评估现有仪器的测量特性,并总结测量项目和结果。
方法:检索了5个英汉数据库,以全面识别2000年1月至2023年5月的相关研究。使用基于共识的标准对包括的仪器进行评估,以选择健康测量仪器清单。描述性表格和叙述性文本被用来总结数据。
结果:在确定的3524项研究中,最后包括25个,其中包括22种测量仪器。其中,发现14种仪器具有足够的内容效度,只有1项研究报告了结构验证过程,2项研究报告了可靠性试验结果.在不同的研究中,类似的项目被分为不同的维度。抗生素使用原则中指出了知识和态度上的差距和误解,包括抗生素的使用适应症和选择。
结论:当前测量仪器存在局限性,包括缺乏验证,从供应商的角度来看,项目分类不一致,缺乏项目。需要客观和准确测量的科学工具。
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