Evidence map›Paper›PMID 39934988›Full record

ArticleScandinavian journal of primary health care2025

A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.

Sif Helene Arnold, Melissa M W Thomsen, Marius Brostrøm Kousgaard, Jette Nygaard Jensen

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sif Helene ArnoldThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark.ORCID 0000-0003-4805-4684
Melissa M W ThomsenDepartment of Clinical Microbiology, Copenhagen University Hospital, Herlev and Gentofte, Copenhagen, Denmark.
Marius Brostrøm KousgaardThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark.ORCID 0000-0001-8501-9453
Jette Nygaard JensenDepartment of Clinical Microbiology, Copenhagen University Hospital, Herlev and Gentofte, Copenhagen, Denmark.ORCID 0000-0001-5061-9766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2019, around 4.95 million global deaths were linked to bacterial antimicrobial resistance (AMR). Managing urinary tract infections (UTIs) in nursing homes involves prevention, diagnosis, and treatment. This is often complex and cause excessive antibiotic use, increasing AMR. Infection prevention and antimicrobial stewardship (AMS) are complementary strategies for reducing AMR. Studies show that nursing home staff can safely reduce antibiotic prescriptions for UTIs using these strategies and that cross-sectoral collaboration with general practice is important in UTI management. However, the impact of combining infection prevention with AMS and general practice is unknown.

objectiveTo explore the perceived impact of a new cross-sectorial intervention combining prevention and AMS on UTI management in nursing homes.

methodsThe intervention included a 3-h seminar for general practice and nursing home staff, and a reflection sheet to assess residents. We held 9 seminars in the Capital Region of Denmark in 2022 and conducted 15 semi-structured online and phone interviews with participants.

resultsOur findings indicate that the intervention clarified workflows, encouraged nursing staff to adhere to agreements, and increased trust and respect between nursing homes and general practice. A reflection sheet was essential in linking planned changes to actual implementation. The sheet helped restructure UTI management, leading to perceived improved patient assessment and fewer UTI-related inquiries to general practice.

conclusionOur findings suggest that the intervention had a positive impact on experienced care quality, workload, and cross-sector collaboration. However, physical attendance at the seminar limits the large-scale implementation of the intervention.

Indexed as

Antimicrobial StewardshipNursing HomesQuality of Health CareUrinary Tract InfectionsWorkloadAgedAnti-Bacterial AgentsDenmarkFemaleGeneral PracticeHumansMaleNursing StaffQualitative ResearchAnti-Bacterial AgentsAntibioticsantibiotic stewardshipcross-sector collaborationinfection preventionnursing homesprimary careurinary tract infections

Identifiers

PMID39934988
PMCPMC12090265

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.