Influences on nurses' engagement in antimicrobial stewardship behaviours: a multi-country survey using the Theoretical Domains Framework

Chater, Angel M.; Family, Hannah; Abraão, Lígia Maria; Burnett, Emma; Castro‐Sánchez, Enrique; Toit, Briette du; Gallagher, Rose; Gotterson, Fiona; Manias, Elizabeth; McEwen, J.; Figueiredo, Rosely Moralez de; Nathan, Martina; Ness, Val; Olans, Rita; Padoveze, Maria Clara; Courtenay, Molly

doi:10.1016/j.jhin.2022.07.010

Cited by 14 publications

(16 citation statements)

References 25 publications

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“…To allow theory‐practice integration, nurses should be familiar with the basic concepts of antimicrobials, antimicrobial resistance and antimicrobial susceptibility (Padigos et al, 2020). Specific on‐the‐job training and online educational strategies, such as scripting exercises for nurses, allergy verification and online learning have been suggested to bridge the knowledge gap (Chater et al, 2022; Wilson et al, 2017). It is worth mentioning that a lack of up‐to‐date knowledge also led to nurses' low confidence in their ability to play a more significant role in AMS (Wong et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…We identified 'leadership' in the following categories: eleven recorded that nurses needed to have confidence and positive attitude toward engaging in AMS practices. Cadavid et al, 2017;Carter et al, 2018;Chater et al, 2022;Courtenay et al, 2022;Dresser et al, 2020;Dyar & Pulcini, 2017;Edwards et al, 2011;Ellen et al, 2017;Fisher et al, 2018;Fitzpatrick et al, 2021;Gillespie et al, 2013;Ierano et al, 2022;Jeffs et al, 2018;Kirby et al, 2020;Kumar et al, 2018;Lim et al, 2021;Manning et al, 2022;Merrill et al, 2019;Mostaghim et al, 2017;Mula et al, 2021;Olans et al, 2016;Sloan & Dudjak, 2020;…”

Section: Domain 5: Leadershipmentioning

confidence: 99%

“…Assessment/appropriate administration/monitoring /observation (Abbas et al, 2019; American Nurses Association, Centers for Disease Control and Prevention, 2017;Carter et al, 2018;Castro-Sánchez et al, 2019;Chater et al, 2022;Courtenay et al, 2022;Dresser et al, 2020;Dyar & Pulcini, 2017;Edwards et al, 2011;Ellen et al, 2017;Fisher et al, 2018;Gillespie et al, 2013;Ha et al, 2019;Hamdy et al, 2019;Ierano et al, 2022;Kumar et al, 2018;Lim et al, 2021;Manning et al, 2022;Merrill et al, 2019;Monsees et al, 2018;Morgan, 2019;Mostaghim et al, 2017;Mula et al...…”

Section: Safety Medication Administrationmentioning

confidence: 99%

“…on-the-job training and online educational strategies, such as scripting exercises for nurses, allergy verification and online learning have been suggested to bridge the knowledge gap(Chater et al, 2022; …”

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confidence: 99%

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Bedside nurses' antimicrobial stewardship practice scope and competencies in acute hospital settings: A scoping review

Zhao

Guo

Sun

et al. 2023

Journal of Clinical Nursing

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AimTo identify and map bedside nurses' practice scope and competencies regarding antimicrobial stewardship in acute hospital settings, and develop a competency framework for them.BackgroundAntimicrobial stewardship requires multidisciplinary engagement including nursing. However, bedside nurses' antimicrobial stewardship practice scope and competencies in acute hospital settings remain unclear.DesignScoping review.MethodsUsing a five‐stage framework proposed by Arksey and O'Malley and following the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews guidelines.ResultsA total of 1422 records were retrieved, and 41 studies were included. In addition to the six practices recommended, this review summarized bedside nurses' contributions to five additional fields as well. Correspondingly, the competencies required by bedside nurses were summarized into eight domains: specialized knowledge, safety medication administration, leadership, education, diagnostic stewardship, infection prevention and control, professional development and professional quality.ConclusionNurses' practice scope overlaps greatly with routine nursing practice in antimicrobial stewardship, confirming the evidence that nurses are ideal partners in antimicrobial stewardship. This review developed a competency framework at both basic and advanced levels. Among them, professional knowledge is the foundation, while professional quality motivates nurses to participate. In addition to competency assessment, it can also be used for training and human resource deployment based on seniority or professional level. This could bridge the knowledge gap and improve the engagement of nurses in heavy workload situations.Relevance to clinical practiceThis practice scope will provide opportunities for nurses to engage in antimicrobial stewardship. Moreover, nursing competencies identified in this field could facilitate the development of competency‐based education interventions, talent assessments, training and recruitment programs.Data resourcesPubMed, EMBASE, Web of Science, CINHAL, PsycINFO, Cochrane Library, ProQuest and Scopus were searched from inception to November 2022, with an updated search in March 2023.ImpactThis scoping review provides evidence for best nursing practice scope and competency in antimicrobial stewardship in hospitals. However, it is also in line with the commitment of all nurses in the global community to combat antimicrobial resistance, which has become a global threat. An antimicrobial stewardship competency framework for bedside nurses was developed at both the basic and advanced levels. It would facilitate talent assessment, training, recruitment and human resource management by guiding the development of competency‐based education interventions.Patient or Public ContributionNo Patient or Public Contribution.

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Section: Discussionmentioning

confidence: 99%

Section: Domain 5: Leadershipmentioning

confidence: 99%

Section: Safety Medication Administrationmentioning

confidence: 99%

mentioning

confidence: 99%

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Bedside nurses' antimicrobial stewardship practice scope and competencies in acute hospital settings: A scoping review

Zhao

Guo

Sun

et al. 2023

Journal of Clinical Nursing

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“…Of the 46 studies included in the analysis, 14 were carried out in the United States [12][13][14][15][16][17][18][19][20][21][22][23][24][25], 11 in China [26][27][28][29][30][31][32][33][34][35][36], four in each of the United Kingdom [27,[37][38][39] and Switzerland [6,7,40,41], three in Italy [42][43][44], two in South Africa [45,46] and one in each of Germany [8], Saudi Arabia [47], Finland [48], the Netherlands [49], Australia [50], Ghana [51], Pakistan [52], and Singapore [53]. There were 20 crosssectional studies [8, 15-17, 24, 25, 31, 32, 34-37, 39-41, 49-52, 54], 15 qualitative studies [6,…”

Section: Study Characteristicsmentioning

confidence: 99%

Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis

Chen,

Li,

Kuang

et al. 2024

Health Care Science

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Remarkable progress has been made in infection prevention and control (IPC) in many countries, but some gaps emerged in the context of the coronavirus disease 2019 (COVID‐19) pandemic. Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic. Therefore, the core competences of IPC professionals during the pandemic, and how these contributed to successful prevention and control of the epidemic, should be studied. To investigate, using a systematic review and cluster analysis, fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID‐19 pandemic. We searched the PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases for original articles exploring core competencies of IPC professionals during the COVID‐19 pandemic (from January 1, 2020 to February 7, 2023). Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high‐frequency technical terms. Cluster analysis was performed using the within‐group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development. We identified 46 studies with 29 high‐frequency technical terms. The most common term was “infection prevention and control training” (184 times, 17.3%), followed by “hand hygiene” (172 times, 16.2%). “Infection prevention and control in clinical practice” was the most‐reported core competency (367 times, 34.5%), followed by “microbiology and surveillance” (292 times, 27.5%). Cluster analysis showed two key areas of competence: Category 1 (program management and leadership, patient safety and occupational health, education and microbiology and surveillance) and Category 2 (IPC in clinical practice). During the COVID‐19 pandemic, IPC program management and leadership, microbiology and surveillance, education, patient safety, and occupational health were the most important focus of development and should be given due consideration by IPC professionals.

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Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study

Nie,

Yue,

Peng

et al. 2024

International Journal of Nursing Sciences

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Influences on nurses' engagement in antimicrobial stewardship behaviours: a multi-country survey using the Theoretical Domains Framework

Cited by 14 publications

References 25 publications

Bedside nurses' antimicrobial stewardship practice scope and competencies in acute hospital settings: A scoping review

Bedside nurses' antimicrobial stewardship practice scope and competencies in acute hospital settings: A scoping review

Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis

Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study

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