Evidence map›Paper›PMID 35864378›Full record

ArticleJournal of advanced nursing2022

Understanding antibiotic-seeking behaviour: A qualitative case study of mothers of children aged 5 and under.

Helen Bosley, Catherine Henshall, Jane V Appleton, Debra Jackson

Open access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Health and Psychological Predictors of Antibiotic Use in Infancy and Fathers' Role.European journal of investigation in health, psychology and education · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Helen BosleyOxford Institute of Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford, UK.ORCID https://orcid.org/0000-0003-0571-9965
Catherine HenshallOxford Institute of Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford, UK.ORCID https://orcid.org/0000-0001-5659-3296
Jane V AppletonOxford Institute of Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford, UK.ORCID https://orcid.org/0000-0002-1903-3975
Debra JacksonOxford Health NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0001-5252-5325
Oxford Brookes University · GBThe University of Sydney · AU

Funding

Biomedical Research CentreDepartment of HealthHealth ResearchNational Institute for Health ResearchOxford Health NHS Foundation Trust
6 · The paper itself

Abstract

backgroundAntibiotics savelives and have been effectively and reliably used for decades to treat infections and improve health outcomes. This trust in antibiotics has contributed to over prescribing and the emergence of antimicrobial resistance. Significant amounts of antibiotics are still widely prescribed and taken, especially in young children. However, there is a paucity of existing literature relating to how mothers, who are the main carers of young children, may be influenced by their trust in antibiotics.

aimsTo explore what factors influence mothers' decisions to seek antibiotics for their young children.

designQualitative case study using postcode boundaries.

methodsThematic analysis of qualitative data from mothers of children under 5, recruited via community playgroups within the case. Data were collected between October 2018 and May 2019, from six focus groups (n = 19) and one-to-one interviews (n = 14). Thematic analysis of the data consisted of six phases: data familiarization; generating initial codes; searching for themes; reviewing themes; defining and naming themes; and producing the report.

resultsMothers were influenced by their belief and trust in antibiotics. Antibiotics were identified as symbolic of recovery, healing and of providing protection and safety.

conclusionBy understanding the symbolic power of antibiotics on maternal decision making, all antibiotic prescribers may be able to offer and provide reassuring alternative and acceptable treatment options to mothers, rather than using antibiotics. IMPACT: This paper introduces the concept of antibiotics as powerful symbols which influence antibiotic seeking behaviour. This in turn may result in inappropriate use of antibiotics which contributes to the risk of antimicrobial resistance developing. Although the majority of antibiotics are still prescribed by doctors, the number of nurse prescribers has been increasing. Therefore, an increased awareness of antibiotic symbolism, in all prescribing clinicians, is important to enable future local and national strategies to be developed, to support maternal decision making and reduce antibiotic seeking behaviour.

Indexed as

Anti-Bacterial AgentsMothersChildChild, PreschoolFemaleFocus GroupsHumansInappropriate PrescribingQualitative ResearchAnti-Bacterial Agentsantibioticschildrenmotherhoodmothersnurse prescribersnursingsafetysymbolism

Identifiers

PMID35864378
PMCPMC9796455
OpenAlexW4286433673

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.