ArticleBMJ open2019
Examining influences on antibiotic prescribing by nurse and pharmacist prescribers: a qualitative study using the Theoretical Domains Framework and COM-B.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05437939 (Identifying Opportunities for Prevention of Adverse Outcomes Following Female Genital), which is not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Identifying Opportunities for Prevention of Adverse Outcomes Following Female Genital
Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- Pooled it
- How effective are social norms interventions in changing the clinical behaviours of healthcare workers? A systematic review and meta-analysis.Implementation science : IS · 2021Pooled it
- Prescribing for the patient and the planet: a pragmatic feasibility study of a behaviour change intervention to reduce liquid amoxicillin prescribing in primary care.Exploratory research in clinical and social pharmacy · 2026Article
- CACE-MM: using mixed methods to strengthen causal inference in medicine and public health.BMC medical research methodology · 2026Article
- Barriers to and facilitators of adherence to evidence-based standard antimicrobial treatment guidelines among physicians in Ethiopia: a formative qualitative study.Scientific reports · 2026Article
- Multidisciplinary perspectives on pediatric nurse prescribing: a mixed-methods analysis of attitudes and consensus.Frontiers in pediatrics · 2026Article
- Nurses' Attitudes and Clinical Judgment on Skin Disinfection Before Subcutaneous Injection: Impact of Setting, Experience, and Normative Beliefs.Nursing reports (Pavia, Italy) · 2025Article
- Behavioural theories, models and frameworks to underpin clinical pharmacy and pharmacy practice research: guidance from the European Society of Clinical Pharmacy.International journal of clinical pharmacy · 2025Article
- Parents' perspectives on childhood antibiotic treatment in Ireland-a qualitative study.JAC-antimicrobial resistance · 2025Article
- The impact of an electronic learning intervention to support appropriate antibiotic prescribing behaviour by non-medical prescribers for upper respiratory tract infections in the primary care setting: a feasibility study.BMC health services research · 2025Article
- Antibiotic prescribing practices, perceived constraints, and views on antimicrobial resistance among general and orthopedic surgeons in central India.Scientific reports · 2025Article
- Rationalizing antibiotic prescribing for bacterial pneumonia in patients with reported penicillin allergy-a qualitative study.JAC-antimicrobial resistance · 2025Article
- Healthcare Professionals' Responses to Complaints: A Qualitative Interview Study With Patients, Carers and Healthcare Professionals Using the Theoretical Domains Framework and COM-B Model.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Prescribing antibiotics prudently-A survey of policy implementation drivers among physicians and veterinarians.One health (Amsterdam, Netherlands) · 2024Article
- Drivers of district-level differences in outpatient antibiotic prescribing in Germany: a qualitative study with prescribers.BMC health services research · 2024Article
- "We have to change our mindsets": a qualitative study of barriers and facilitators in research collaboration across integrated care system organisations.BMC health services research · 2024Article
- Theoretical Domains Framework: A Bibliometric and Visualization Analysis from 2005-2023.Journal of multidisciplinary healthcare · 2024Review
- A mixed-methods needs assessment for an antimicrobial stewardship curriculum in pediatrics.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Uncovering doctors' perceived barriers and facilitators of antibiotic prescribing behaviours: a qualitative study using the theoretical domains framework.Acta bio-medica : Atenei Parmensis · 2023Article
Corrections and comments
- Erratum issuedCorrection:2019
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRespiratory tract infections are frequently managed by nurse and pharmacist prescribers, and these prescribers are responsible for 8% of all primary care antibiotic prescriptions. Few studies have explored antibiotic prescribing among these prescribers, and interventions to target their antibiotic prescribing behaviour do not exist. Research objectives were to: (1) use the Theoretical Domains Framework to identify the factors that influence nurse and pharmacist prescriber management of respiratory tract infections and (2) identify the behaviour change techniques (BCTs) that can be used as the basis for the development of a theoretically informed intervention to support appropriate prescribing behaviour.
designQualitative design comprising semistructured interviews, using the Theoretical Domains Framework and Capability, Opportunity and Motivation for Behaviour.
settingPrimary care.
participantsTwenty one prescribers (4 pharmacists and 17 nurses).
resultsA range of factors across 12 domains of the TDF were found to influence prescriber behaviour, and 40 BCTs were identified as supporting appropriate prescribing. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and information about health consequences) were identified as supporting prescribers in managing these expectations.
conclusionWith increasing numbers of nurse and pharmacist prescribers managing infections in primary care, these findings will inform theoretically grounded interventions to support appropriate prescribing behaviour by these groups.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.