TY - JOUR
T1 - Non-Allergist healthcare workers views on delivering a penicillin allergy de-labelling inpatient pathway
T2 - Identifying the barriers and enablers
AU - Powell, Neil
AU - Upton, Mathew
AU - Kent, Bridie
AU - Sandoe, Jonathan
AU - Tonkin-Crine, Sarah
N1 - Publisher Copyright:
© 2024 The Author(s).
PY - 2024/2/1
Y1 - 2024/2/1
N2 - Background: Non-Allergist delivered PADL is supported by UK and World Health Organization guidelines but is not yet routine in UK hospitals. Understanding the views of healthcare workers (HCWs) on managing patients with penA records and exploring perspectives on delivering a PADL inpatient pathway are required to inform the development of non-Allergist delivered PADL pathways. Objective: To explore the perspectives of non-Allergist HCWs working in medical specialties on managing patients with penA records, and to explore the enablers and barriers to embedding PADL as a standard of care for inpatients. Methods: Semi-structured interviews with doctors, nurses, pharmacists and medicines optimization pharmacy technicians working in a district general hospital in the UK. Thematic analysis was used to analyse the data. Results: The PADL pathway was considered a shared responsibility of the multidisciplinary team, which needed to be structured and supported by a framework. PADL aligns with HCW roles but time to deliver PADL was a barrier. Training for HCWs on the benefits of PADL and delivering PADL for those patients where a penicillin might be beneficial during the current episode of care would both motivate HCWs to deliver PADL. Discussion and conclusion: The PADL pathway was acceptable to HCWs and aligned with their roles and current healthcare processes but their capacity to deliver PADL in a time pressured environment was a significant barrier.
AB - Background: Non-Allergist delivered PADL is supported by UK and World Health Organization guidelines but is not yet routine in UK hospitals. Understanding the views of healthcare workers (HCWs) on managing patients with penA records and exploring perspectives on delivering a PADL inpatient pathway are required to inform the development of non-Allergist delivered PADL pathways. Objective: To explore the perspectives of non-Allergist HCWs working in medical specialties on managing patients with penA records, and to explore the enablers and barriers to embedding PADL as a standard of care for inpatients. Methods: Semi-structured interviews with doctors, nurses, pharmacists and medicines optimization pharmacy technicians working in a district general hospital in the UK. Thematic analysis was used to analyse the data. Results: The PADL pathway was considered a shared responsibility of the multidisciplinary team, which needed to be structured and supported by a framework. PADL aligns with HCW roles but time to deliver PADL was a barrier. Training for HCWs on the benefits of PADL and delivering PADL for those patients where a penicillin might be beneficial during the current episode of care would both motivate HCWs to deliver PADL. Discussion and conclusion: The PADL pathway was acceptable to HCWs and aligned with their roles and current healthcare processes but their capacity to deliver PADL in a time pressured environment was a significant barrier.
UR - http://www.scopus.com/inward/record.url?scp=85184579612&partnerID=8YFLogxK
UR - https://pearl.plymouth.ac.uk/context/nm-research/article/1580/viewcontent/barriers_and_enablers_to_PADL_powell_et_al_WP2_100_.pdf
U2 - 10.1093/jacamr/dlae014
DO - 10.1093/jacamr/dlae014
M3 - Article
AN - SCOPUS:85184579612
SN - 2632-1823
VL - 6
JO - JAC-Antimicrobial Resistance
JF - JAC-Antimicrobial Resistance
IS - 1
M1 - dlae014
ER -