Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices.
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2023-01
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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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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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Sonali Advani
Dr. Advani is an Adjunct Associate Professor of Medicine at Duke University School of Medicine. In July 2024, she joined GSK/ViiV Healthcare as a scientific leadership physician with cross functional experience across global medical affairs as well as Research & Development in HIV therapeutics and vaccines.
Prior to this, she served as a physician investigator in the Duke Center for Antimicrobial Stewardship and Infection Prevention, a Fellow in Implementation Science at HIGH IRI (HIV, Infectious Disease and Global Health Implementation Research) Institute at Washington University, St Louis and Associate Medical Director of Infection Prevention at Yale New Haven Hospital. Her research focused 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 was 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.

Nicholas Turner
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