Inovações para governança hospitalar no enfrentamento da resistência antimicrobiana: perspectivas de stakeholders

Background and Objectives: Antimicrobial resistance has global health and policy implications and tackling it in hospitals requires a range of strategic governance interventions that integrate management and involve leaders in the day-to-day running of the hospital. The aim was to analyse the perspectives of local leaders and stakeholders on innovations in the governance of a teaching hospital in tackling antimicrobial resistance. Methods: This is a qualitative study using interviews with local leaders involved in mandatory and advisory hospital committees, conducted between September and November 2023. Results: 13 stakeholders from the institution were interviewed, the majority of whom were women (76.9%), all self-identified as white and in a stable union (61.5%). Innovations were grouped into: Decision making based on service evidence; Use of research in practice; Antimicrobial stewardship; Development of health care teams; and Patient-centred and timely care. Conclusion: The research has made an important contribution to local decision making and to the management of the hospital's response capacity. It also contributes to strengthening the policy agenda and global and local agreements. Future research could address the development of models for hospital governance, as well as the implementation and evaluation of interventions to reduce the challenges identified.