Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices

Sonali D. Advani; Ali Winters; Nicholas A. Turner; Becky A. Smith; Jessica Seidelman; Kenneth Schmader; Deverick J. Anderson; Staci S. Reynolds

doi:10.1017/ash.2023.142

Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2023)

Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices

Sonali D. Advani,
Ali Winters,
Nicholas A. Turner,
Becky A. Smith,
Jessica Seidelman,
Kenneth Schmader,
Deverick J. Anderson,
Staci S. Reynolds

Affiliations

Sonali D. Advani: ORCiD; Division of Infectious diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Ali Winters: Duke University School of Nursing, Durham, North Carolina
Nicholas A. Turner: ORCiD; Division of Infectious diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Becky A. Smith: Division of Infectious diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Jessica Seidelman: ORCiD; Division of Infectious diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Kenneth Schmader: ORCiD; Division of Geriatrics, Duke University School of Medicine, Durham, North Carolina Geriatric Research and Education Clinical Center, Durham Veterans Administration Medical Center, Durham, North Carolina
Deverick J. Anderson: ORCiD; Division of Infectious diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Staci S. Reynolds: ORCiD; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina Duke University School of Nursing, Durham, North Carolina

DOI: https://doi.org/10.1017/ash.2023.142
Journal volume & issue: Vol. 3

Abstract

Read online

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.

Published in Antimicrobial Stewardship & Healthcare Epidemiology

ISSN: 2732-494X (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

About the journal