Implementation of educational technology on antimicrobial resistance for health professionals in a teaching hospital - Study protocol

Authors

DOI:

https://doi.org/10.33448/rsd-v14i7.49120

Keywords:

Microbial Drug Resistance, Hospitals, Continuing Education, Patient Care Team, Health Professionals, Health Teaching.

Abstract

Antimicrobial resistance (AMR) has become a priority issue in the World Health Organization's global action plan and has been increasing worldwide, resulting in higher costs and negative clinical outcomes, especially in low- and middle-income countries. It is understood that preventive actions against AMR should have a multidisciplinary approach, identifying aspects related to patient safety culture. Educational actions promote understanding of how resistance develops and spreads, helping to understand the specificities of health services. Thus, this protocol proposes the development of an educational strategy to combat AMR. It is a quasi-experimental study protocol with the development of educational technology in e-health format, aimed at health professionals. The study will be conducted at a hospital located in Diamantina, Minas Gerais. The target audience will comprise a sample of professionals involved in direct and indirect care of patients admitted to the institution under study. The research will be conducted in the following phases: 1. Pre-development of the technology: characterization of the study population in terms of socio-demographic aspects and identification of educational needs related to the prevention of AMR; 2. Development and validation by judges: Phase of development and validation of content and phase of proposal of the technology. 3. Technology implementation phase: The aim is to provide an educational tool adapted to the linguistic and cultural level of the subgroups of health professionals and contribute to the fight against AMR; 4. Evaluation of the contributions of technology to changing the behavior of professionals.

References

Agência Nacional de Vigilância Sanitária. (2022). Resistência antimicrobiana é ameaça global, diz OMS: Considerada um dos dez maiores problemas de saúde pública global, a resistência antimicrobiana é alvo de campanha de alerta mundial. https://www.gov.br/anvisa/pt-br/assuntos/noticias-anvisa/2019/resistencia-antimicrobiana-e-ameaca-global-diz-oms

Ajuebor, O., Shetty, N., Mah, K., & Cometto, G. (2019, dezembro). Health workers' education and training to prevent antimicrobial resistance. Bulletin of the World Health Organization, 97(12), 791–791A. https://doi.org/10.2471/BLT.19.241802

Anwar, M., Raziq, A., Shoaib, M., Baloch, N. S., Raza, S., Sajjad, B., Sadaf, N., Iqbal, Z., Ishaq, R., Haider, S., Iqbal, Q., Ahmad, N., Haque, N., & Saleem, F. (2021). Exploring Nurses' Perception of Antibiotic Use and Resistance: A Qualitative Inquiry. Journal of multidisciplinary healthcare, 14, 1599–1608. https://doi.org/10.2147/JMDH.S309020

Aquino, L. S., Sousa, I. C., Santos, B. M., Sousa, M. O. A., Morais, M. S. G., Oliveira, R. P., Silva, S., & Alencar, P. H. R. (2025, 15 de maio). A Enfermagem na Prevencao e Controle de Infeccoes Hospitalares em Unidades de Terapia Intensiva. Revista ft, 29(146). https://doi.org/10.69849/revistaft/cs10202505150337

Baggio, M. A., & Erdmann, A. L. (2010). (In)visibilidade do cuidado e da profissão de enfermagem no espaço de relações. Acta Paulista De Enfermagem, 23(6), 745–750. https://doi.org/10.1590/S0103-21002010000600005

Bardin, L. (2008). Análise de Conteúdo. (Reimpressão 2024). Lisboa: Edições 70.

Cadastro Nacional de Estabelecimentos de Saúde. (2025, 05 de junho). Identificação. CNES. https://cnes2.datasus.gov.br/cabecalho_reduzido.asp?VCod_Unidade=3121602761203

Carvalho, K. S., Mamizuka, E. M., & Filho, P. P. G. (2010, fevereiro). Methicillin/Oxacillin-resistant Staphylococcus aureus as a hospital and public health threat in Brazil. Brazilian Journal of Infectious Diseases, 14(1), 71–76. https://doi.org/10.1590/S1413-86702010000100014

Chavada, J., Muneshwar, K. N., Ghulaxe, Y., Wani, M., Sarda, P. P., & Huse, S. (2023). Antibiotic Resistance: Challenges and Strategies in Combating Infections. Cureus Journal of Medical Science, 15(9), e46013. https://doi.org/10.7759/cureus.46013

Dhingra, S., Rahman, N. A. A., Peile, E., Rahman, M., Sartelli, M., Hassali, M. A., Islam, T., Islam, S., & Haque, M. (2020). Microbial Resistance Movements: An Overview of Global Public Health Threats Posed by Antimicrobial Resistance, and How Best to Counter. Frontiers in public health, 8. https://doi.org/10.3389/fpubh.2020.535668

Forsetlund L., O’Brien, M. A., Forsén L., Reinar, L. M., Okwen, M. P., Horsley, T., & Rose, C. J. (2021). Continuing education meetings and workshops: Effects on professional practice and healthcare outcomes. The Cochrane database of systematic reviews, 9(9), CD003030. https://doi.org/10.1002/14651858.CD003030.pub3

Fortini, R. M., Teixeira, E. C., Silveira, S. F. R., & Moreira, V. S. (2019). Mensuração da Pobreza Multidimensional Rural nas Mesorregiões Norte e Jequitinhonha de Minas Gerais. Revista De Economia E Sociologia Rural, 57(1), 161–180. https://doi.org/10.1590/1234-56781806-94790570110

Garcia, P. G., Silva, V. L., & Diniz, C. G. (2011). Occurrence and antimicrobial drug susceptibility patterns of commensal and diarrheagenic Escherichia coli in fecal microbiota from children with and without acute diarrhea. Journal of microbiology (Seoul, Korea), 49(1), 46–52. https://doi.org/10.1007/s12275-011-0172-8

Gil, A. C. (2017). Como elaborar projetos de pesquisa. (6ed). Editora Atlas.

Khadka, S., Khadka, S., Yadav, G. K., Sharma, A., Giri, S., Joshi, R., & Amgain, K. (2023). Assessment of rational use of antimicrobials: a cross-sectional study among people of Nepal. Annals of medicine and surgery (2012), 85(7), 3372–3380. https://doi.org/10.1097/MS9.0000000000000925

Machado, M. H., Coelho, M. C. R., Pereira, E. J., Telles, A. O., Soares Neto, J. J., Ximenes Neto, F. R. G., Guimarães-Teixeira, E., Bembele, J. N., Silva, L. G. da ., & Vargas, F. L. (2023). Condições de trabalho e biossegurança dos profissionais de saúde e trabalhadores invisíveis da saúde no contexto da COVID-19 no Brasil. Ciência & Saúde Coletiva, 28(10), 2809–2822. https://doi.org/10.1590/1413-812320232810.10072023

Martins-Santana, L., Rezende, C. P., Rossi, A., Martinez-Rossi, N. M., & Almeida, F. (2023). Addressing Microbial Resistance Worldwide: Challenges over Controlling Life-Threatening Fungal Infections. Pathogens (Basel, Switzerland), 12(2), 293. https://doi.org/10.3390/pathogens12020293

Mello, M. S., & Oliveira, A. C. (2021). Desafios para adesão às ações de contenção da resistência bacteriana em hospitais de grande porte. Revista Brasileira de Enfermagem, 74(3), e20200510. https://doi.org/10.1590/0034-7167-2020-0510

Organização Pan-Americana da Saúde. (2021). A resistência aos antimicrobianos, acelerada pela pandemia de COVID-19: Informe de política, novembro de 2021. https://iris.paho.org/bitstream/handle/10665.2/55936/OPASCDEAMRCOVID19220006_por.pdf?sequence=1&isAllowed=y

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Editora UAB/NTE/UFSM.

Peters, A., Schmid, M. N., Parneix, P., Lebowitz, D., de Kraker, M., Sauser, J., Zingg, W., & Pittet, D. (2022). Impact of environmental hygiene interventions on healthcare-associated infections and patient colonization: a systematic review. Antimicrobial resistance and infection control, 11(1), 38. https://doi.org/10.1186/s13756-022-01075-1

Phadke, I., McKee, A., Conway, J. M., & Shea, K. (2021). Analysing how changes in the health status of healthcare workers affects epidemic outcomes. Epidemiology and infection, 149, e42. https://doi.org/10.1017/S0950268821000297

Rêgo, T. C. R., Santana, F. F., & Passos, M. A. N. (2023). Atuação da enfermagem no controle da infecção hospitalar por bactérias multiresistentes: uma revisão bibliográfica. Revista JRG De Estudos Acadêmicos, 6(13), 18–30. https://doi.org/10.5281/zenodo/7950725

Rodriguez, J. A., Clark, C. R., & Bates, D. W. (2020). Digital Health Equity as a Necessity in the 21st Century Cures Act Era. JAMA Network, 323(23), 2381–2382. https://doi.org/10.1001/jama.2020.7858

Sati, H. F., Bruinsma, N., Galas, M., Hsieh, J., Sanhueza, A., Ramon Pardo, P., & Espinal, M. A. (2019). Characterizing Shigella species distribution and antimicrobial susceptibility to ciprofloxacin and nalidixic acid in Latin America between 2000-2015. PloS one, 14(8), e0220445. https://doi.org/10.1371/journal.pone.0220445

Secretaria de Estado de Saúde de Minas Gerais. (2022). Análise de Situação de Saúde de Minas Gerais – 2022. http://vigilancia.saude.mg.gov.br/wp-content/uploads/2023/06/Ana%CC%81lise-de-Situac%CC%A7a%CC%83o-de-Sau%CC%81de-SVE_2022.pdf

Siegel, J. D., Rhinehart, E., Jackson, M., Chiarello, L., & Health Care Infection Control Practices Advisory Committee (2007). 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings. American journal of infection control, 35(10 Suppl 2), S65–S164. https://doi.org/10.1016/j.ajic.2007.10.007

Silva, B. C., & Carreiro, M.A. (2020, 22 de junho). Ações de Prevenção e Controle de Infecção na Corrente Sanguínea: um estudo de revisão. Revista Pró-UniverSUS, 11(1), 55-61. https://doi.org/10.21727/rpu.v11i1.2108

Sparrow, A., Smith-Torino, M., Shamamba, S. M., Chirakarhula, B., Lwaboshi, M. A., Benn, C. S., & Chumakov, K. (2024). A Risk Management Approach to Global Pandemics of Infectious Disease and Anti-Microbial Resistance. Tropical medicine and infectious disease, 9(11), 280. https://doi.org/10.3390/tropicalmed9110280

Teixeira, N. H., & Pacheco, A. L. O. (2024). Infecções relacionadas a assistência à Saúde-IRAS entre pacientes pediátricos internados em uma UTI de um hospital referência em infectologia no Amazonas. Brazilian Journal of Health Review, 7(4), e71399. https://doi.org/10.34119/bjhrv7n4-115

Vieira, F. F. S., & Pereira, T. F. (2021). A influência da cultura organizacional no sucesso dos projetos: uma Revisão Sistemática da Literatura / The influence of organizational culture on the success of projects: a Systematic Review of Literature. Brazilian Journal of Development, 7(6), 62331–62348. https://doi.org/10.34117/bjdv7n6-556

Vieira, N. S. S., Ferreira, V. M. B., Rocha, M. G. D., & Ribeiro, R. S. (2024, 14 de março). Estratégias de prevenção e gerenciamento para mitigação de infecções hospitalares em ambientes de emergência. Humanidades & Inovação, 10(14): Saúde e Sociedade: diálogos interdisciplinares, 63-73.

Published

2025-07-03

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Implementation of educational technology on antimicrobial resistance for health professionals in a teaching hospital - Study protocol. Research, Society and Development, [S. l.], v. 14, n. 7, p. e0714749120, 2025. DOI: 10.33448/rsd-v14i7.49120. Disponível em: https://rsdjournal.org/rsd/article/view/49120. Acesso em: 5 dec. 2025.