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dc.contributor.authorAlghamdi, Saleh
dc.contributor.authorShebl, Nada
dc.contributor.authorAslanpour, Zoe
dc.contributor.authorBerrou, Ilhem
dc.date.accessioned2019-03-21T15:09:15Z
dc.date.available2019-03-21T15:09:15Z
dc.date.issued2019-09-01
dc.identifier.citationAlghamdi , S , Shebl , N , Aslanpour , Z & Berrou , I 2019 , ' Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study ' , Journal of Global Antimicrobial Resistance , vol. 18 , pp. 284-290 . https://doi.org/10.1016/j.jgar.2019.01.031
dc.identifier.otherPURE: 16400849
dc.identifier.otherPURE UUID: fd869388-274a-428e-8206-2e9f0f52f990
dc.identifier.otherORCID: /0000-0002-2567-0540/work/62749002
dc.identifier.otherScopus: 85070954002
dc.identifier.urihttp://hdl.handle.net/2299/21211
dc.description© 2019 International Society for Chemotherapy of Infection and Cancer. Published by Elsevier Ltd. All rights reserved.
dc.description.abstractObjectives: This study explored antimicrobial stewardship programme (ASP) team members’ perspectives regarding factors influencing the adoption and implementation of these programmes in Saudi hospitals. Methods: This was a qualitative study based on face-to-face semistructured interviews with healthcare professionals involved in ASPs and activities across three Ministry of Health (MoH) hospitals in Saudi Arabia (n = 18). Interviews were also conducted with two representatives of a General Directorate of Health Affairs in a Saudi region and two representatives of the Saudi MoH (n = 4) between January–February 2017. Results: Despite the existence of a national strategy to implement ASPs in Saudi MoH hospitals, their adoption and implementation remains low. Hospitals have their own antimicrobial stewardship policies, but adherence to these is poor. ASP team members highlight that lack of enforcement of policies and guidelines from the MoH and hospital administration is a significant barrier to ASP adoption and implementation. Other barriers include disintegration of teams, poor communication, lack of recruitment/shortage of ASP team members, lack of education and training, and lack of health information technology (IT). Physicians’ fears and concerns in relation to liability are also a barrier to their adoption of ASPs. Conclusion: This is the first qualitative study exploring barriers to ASP adoption and implementation in Saudi hospitals from the perspective of ASP team members. Formal endorsement of ASPs from the MoH as well as hospital enforcement of policies and provision of human and health IT resources would improve the adoption and implementation of ASPs in Saudi hospitals.en
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofJournal of Global Antimicrobial Resistance
dc.rightsEmbargoed
dc.subjectAdoption
dc.subjectAntimicrobial stewardship programme
dc.subjectASP
dc.subjectBarriers
dc.subjectHospital
dc.subjectSaudi Arabia
dc.subjectMicrobiology
dc.subjectImmunology and Allergy
dc.subjectImmunology
dc.subjectMicrobiology (medical)
dc.titleBarriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative studyen
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Clinical and Pharmaceutical Sciences
dc.contributor.institutionPublic Health and Patient Safety Unit
dc.contributor.institutionCentre for Clinical Practice, Safe Medicines and Drug Misuse Research
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.date.embargoedUntil2020-02-20
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85070954002&partnerID=8YFLogxK
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2019-09-01
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.jgar.2019.01.031
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2020-02-20
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.date.embargo2020-02-20
herts.rights.accesstypeEmbargoed


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