Antimicrobial resistance is a public health priority with human, financial and social costs. One of the main contributors to this resistance is the inappropriate prescribing of antibiotics. In the United Kingdom, nurses can independently prescribe, yet most of the antibiotic prescribing literature has focussed on the role of medical prescribers. Findings from a previous PhD study explored the influences on the antibiotic prescribing behaviour of Nurse Independent Prescribers when a patient presented to them with an upper respiratory tract infection (URTI). Results found that key influences on whether they intended to manage the patient with or without an antibiotic were the social influence from other nonmedical prescribers and experience and confidence (facilitators) and pressure from patients/carers to prescribe an antibiotic (barrier). This PhD will focus on developing an intervention based on these findings to maximize appropriate antibiotic prescribing by nurses for patients who present with an URTI. The project will link these findings to the current evidence-base and develop, test, implement and evaluate an intervention using direction from the Medical Research Council’s guidance.
The successful applicant will hold the minimum of a first degree (2:1 or above) in a subject relevant to health sciences. Previous experience of intervention development/implementation science research methodology and preferably a Master’s degree is desirable. Candidates are requested to submit an outline research proposal (see Guidance on writing a research proposal) related to the project.