Sports Business Management إدارة الأعمال الرياضية
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- ItemKnowledge, Attitudes, and Practices Towards Antimicrobial Stewardship Among Healthcare Workers in Hebron Governorate Governmental Hospitals(Al-Quds University, 2025-04-12) Fatima Ahmad Mohammad Abu-Sabha; فاطمة أحمد محمد أبو صبحةAntimicrobial resistance (AMR) is one of the world's most serious and urgent problems caused by the misuse, abuse, and overuse of antimicrobials. To prevent and limit the spread of AMR, the appropriate choice of antimicrobial drugs is critical to optimize the treatment of the infection. new strategies must be developed urgently, as several associations support adopting antimicrobial stewardship (AMS) programs within hospitals. Consequently, healthcare workers (HCWs) must possess high-quality knowledge, attitudes, and practices (KAPs) to improve future antimicrobial use and reduce AMR. Aim: This study aimed to assess knowledge, attitudes, and practices toward antimicrobial stewardship among healthcare workers in Hebron Governorate Governmental Hospitals. Methodology: This study was descriptive analytics, cross-sectional, questionnaire-based study conducted in the Hebron governorate governmental hospital for six months with a sample size of 285, which included Nurses, doctors, pharmacists, and lab technicians. The questionnaire included sociodemographic characteristics, 20 questions about knowledge, 9 questions about attitude, 15 about practice, and 10 about barriers to AMS implementation. Additionally, Statistical analysis of the data was performed using the statistical package for social sciences IBM (SPSS) version 20, by using Descriptive statistics, one-way analysis of variance (ANOVA) and the Tukey test, the t-test, and Cronbach's alpha. Result: The study involved a sample of 285 HCWs, with a demographic breakdown showing a slight majority of females (53%) and a significant representation of nurses (60.4%). Also, most respondents were aged 31-40 years (40.7%) and married (71.6%). Most held a bachelor's degree (78.9%) and had 10-15 years of experience (40.4%). Overall, HCWs demonstrated a high level of knowledge, attitudes, and practices regarding AMS, with a mean score of 4.02. Knowledge was ranked highest with a mean of 4.30, followed by attitudes with a mean score of 4.05 and practices with a mean score of 3.85. Also, the study found no statistically significant differences in knowledge, attitudes, and practices based on gender, age, marital status, or years of experience. However, significant differences were noted based on profession ( p value = 0.041), with nurses scoring higher than doctors, pharmacists, and laboratory technicians. In addition to that, the study identified several VI barriers to implementing AMS, with a mean score of 3.92. Key barriers included public access to antimicrobials without prescriptions and limited acceptance of AMS by patients. Conclusion: need for ongoing educational programs and institutional support to strengthen AMS practices among HCWs in Hebron governmental hospitals. By addressing the identified gaps and barriers, healthcare institutions can enhance the quality of care, reduce the incidence of AMR, and ultimately improve patient outcomes. The findings contribute valuable insights for policymakers and healthcare administrators aiming to develop effective strategies for antimicrobial stewardship.