Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices.

Abstract

Our surveys of nurses modeled after the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) revealed that opportunity and motivation factors heavily influence urine-culture practices (behavior), in addition to knowledge (capability). Understanding these barriers is a critical step towards implementing targeted interventions to improving urine-culture practices.

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Citation

Published Version (Please cite this version)

10.1017/ash.2023.142

Publication Info

Advani, Sonali D, Ali Winters, Nicholas A Turner, Becky A Smith, Jessica Seidelman, Kenneth Schmader, Deverick J Anderson, Staci S Reynolds, et al. (2023). Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices. Antimicrobial stewardship & healthcare epidemiology : ASHE, 3(1). p. e62. 10.1017/ash.2023.142 Retrieved from https://hdl.handle.net/10161/28300.

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Scholars@Duke

Advani

Sonali Advani

Adjunct Associate Professor in the Department of Medicine

Dr. Advani is an Associate Professor of Medicine (Tenure Track) at Duke University School of Medicine. She is primarily a physician investigator in the Duke Center for Antimicrobial Stewardship and Infection Prevention. She is currently a Fellow in Implementation Science at HIGH IRI (HIV, Infectious Disease and Global Health Implementation Research) Institute at Washington University, St Louis.

Dr. Advani has over 10-years' experience in healthcare epidemiology research and operations. Her current research focuses on improving the diagnosis of UTIs in older adults, implementation of diagnostic stewardship interventions, and de-prescribing antibiotics for asymptomatic bacteriuria. She was awarded the K12 Urologic Career Development Award, Pepper Center Career Development Award, and SHEA Research Scholar Award to continue her UTI related research. In addition, she is one of the key investigators for CDC Prevention Epicenter Program and CDC SHEPheRD Contract for the Use of Race, Ethnicity, and Social Determinants of Health Data in NHSN Measures to Promote Health Equity.

Dr. Advani currently serves on the SHEA Program Planning Committee, SHEA Research Committee, SHEA Diagnostic Stewardship Task Force,  SHEA Steering Committee for the LEAP Fellowship, and IDSA Antimicrobial Stewardship Workgroup. She is contributing to the upcoming SHEA CAUTI Compendium, SHEA Nursing Home Infection Prevention Guidance, AUGS Bacteriuria Consensus Guidance, and SHEA HAI Research Agenda.

Turner

Nicholas Turner

Assistant Professor of Medicine
Seidelman

Jessica Seidelman

Associate Professor of Medicine
Anderson

Deverick John Anderson

Professor of Medicine

Hospital epidemiology, infection control, antibiotic stewardship, multidrug-resistant organisms, device-related infections, surgical site infections, catheter-associated bloodstream infections, cost of infections, infections in community hospitals

Reynolds

Staci Reynolds

Clinical Professor in the School of Nursing

Dr. Staci Reynolds joined Duke in January 2016.  At DUSON, Dr. Reynolds teaches in the ABSN Program (neuroscience nursing) and DNP program (healthcare quality improvement methods). Previously, she clinically served as a Clinical Nurse Specialist (CNS) at DUH within the neuroscience inpatient units and Infection Prevention and Hospital Epidemiology department. In January 2023, Dr. Reynolds was appointed the Editor-in-Chief of the Journal of Nursing Care Quality.  Before coming to DUSON, she was a neurocritical care nurse and a neuroscience CNS at Indiana University Health Methodist Hospital.

Dr. Reynolds received a baccalaureate degree in nursing science from Indiana University (IU) in Indianapolis, Indiana.  She earned a Master’s degree as a Clinical Nurse Specialist at IU in 2011, and completed her PhD at IU in May 2016.  Dr. Reynolds’ dissertation focused on implementation of clinical practice guidelines, and her current research interests includes evidence-based practice implementation and quality improvement.


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