Perceptions of patient expectation for an antibiotic: a comparison of walk-in centre nurses and GPs

Family Practice
M C WeissC Salisbury

Abstract

Patient expectation for a prescription is a recognized influence on GPs' prescribing, particularly in relation to the prescribing of antibiotics. Nurses are now able to supply antibiotics under a Patient Group Direction (PGD) in NHS walk-in centres and may experience similar pressures in this new role. Our aim was to compare walk-in centre nurses' and GPs' perceptions of the influence of patient expectation on their supply of an antibiotic to patients with an acute respiratory tract infection presenting with a sore throat or cough. Between June and December 2001, all patients presenting with a sore throat or cough at six walk-in centres and six nearby general practices were eligible to participate in the study. After the health professional-patient consultation, the health professional and the patient each completed a questionnaire. There were 472 health professional (181 GPs and 291 walk-in centres) and 160 (34%, 160 out of 472) patient questionnaires returned. GPs were more likely to report that the patient expected an antibiotic than nurses (72% of 181 versus 13% of 291, P < 0.001). GPs were also less likely to report that an antibiotic was indicated than nurses (88% of 136 versus 97% of 194, P < 0.001). There was a trend fo...Continue Reading

Citations

Apr 5, 2014·The Journal of Antimicrobial Chemotherapy·Karen MattickCharlotte Rees
Nov 7, 2012·International Journal of Antimicrobial Agents·António Teixeira RodriguesMaria Teresa Herdeiro
Jan 10, 2016·BMC Infectious Diseases·António Teixeira RodriguesMaria Teresa Herdeiro
Jan 8, 2011·Journal of Evaluation in Clinical Practice·Paula Lopez-VazquezAdolfo Figueiras
Aug 13, 2011·Journal of Advanced Nursing·Jane DesboroughRhian Parker
Sep 11, 2012·Journal of Psychiatric and Mental Health Nursing·O Price, J A Baker
Nov 24, 2012·The European Journal of General Practice·Sophia Eilat-TsananiShlomit Cwikel-Hamzany
Dec 17, 2015·The International Journal of Pharmacy Practice·Atefeh MoienzadehEmily Black
May 3, 2018·Southern Medical Journal·Mahesh ManneMichael B Rothberg
Jan 14, 2012·British Journal of Nursing : BJN·Owen PriceThomas Barnes
Dec 30, 2014·British Journal of Nursing : BJN·Aikaterini Toska, Mary Geitona
Jul 4, 2008·Acta Microbiologica Et Immunologica Hungarica·Kálmán Vánky

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