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Antibiotic Prescribing in Long-Term Care Facilities: A Meta-synthesis of Qualitative Research

Overview of attention for article published in Drugs & Aging, April 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

Mentioned by

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2 policy sources
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14 X users

Citations

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42 Dimensions

Readers on

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120 Mendeley
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Title
Antibiotic Prescribing in Long-Term Care Facilities: A Meta-synthesis of Qualitative Research
Published in
Drugs & Aging, April 2015
DOI 10.1007/s40266-015-0252-2
Pubmed ID
Authors

Aoife Fleming, Colin Bradley, Shane Cullinan, Stephen Byrne

Abstract

The objective of this review was to synthesize the findings of qualitative studies investigating the factors influencing antibiotic prescribing in long-term care facilities (LTCFs). These findings will inform the development of future antimicrobial stewardship strategies (AMS) in this setting. We searched Embase, PubMed, PsycInfo, Social Science Citations Index and Google Scholar for all qualitative studies investigating health care professionals' views on antibiotic prescribing in LTCFs. The quality of the papers was assessed using the Critical Appraisal Skills Programme (CASP) assessment tool for qualitative research. Thematic synthesis was used to integrate the emergent themes into an overall analytical theme. The synthesis of eight qualitative studies indicated that health care professionals and administrators have identified factors that influence antibiotic prescribing in LTCFs. These factors include variations in knowledge and practice among health care professionals, and the LTCF context, which is unique given the complex patient population and restricted access to doctors and diagnostic tests. The social factors underpinning the interaction between nurses, residents' families and doctors also influence decision making around antibiotic prescribing. The study also found that there is an acknowledged need for collaborative, evidence-based AMS specific to LTCFs, as antibiotic prescribing is heavily influenced by factors unique to this setting. This review highlighted the key contextual challenges for AMS in LTCFs. The findings provide an in-depth insight into the factors-such as the LTCF context, social factors, variability in knowledge and prescribing practices, and antimicrobial resistance-that impact on antibiotic prescribing and AMS strategies. These factors must be considered in order to ensure the feasibility and applicability of future AMS interventions.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 120 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 119 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 18%
Student > Ph. D. Student 17 14%
Researcher 14 12%
Other 9 8%
Student > Bachelor 9 8%
Other 22 18%
Unknown 27 23%
Readers by discipline Count As %
Medicine and Dentistry 34 28%
Pharmacology, Toxicology and Pharmaceutical Science 14 12%
Nursing and Health Professions 13 11%
Social Sciences 8 7%
Immunology and Microbiology 4 3%
Other 13 11%
Unknown 34 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 June 2022.
All research outputs
#2,781,292
of 25,522,520 outputs
Outputs from Drugs & Aging
#167
of 1,297 outputs
Outputs of similar age
#34,828
of 278,920 outputs
Outputs of similar age from Drugs & Aging
#5
of 20 outputs
Altmetric has tracked 25,522,520 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,297 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one has done well, scoring higher than 86% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 278,920 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.