Nurse role and contribution to antimicrobial stewardship: An integrative review

Gotterson, Fiona; Buising, Kirsty; Manias, Elizabeth

doi:10.1016/j.ijnurstu.2020.103787

Cited by 49 publications

(39 citation statements)

References 78 publications

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“…Even though theoretical advances from academia or policy describe nurses’ roles, these are yet to be translated to clinical settings. 28 , 29 Published evidence also suggest that the extent to which these professionals are involved remains a barrier; 30 , 31 however, we recognize not all pharmacists and nurses may be suitably trained for AMS activities, and, where possible, should involve those with specialist knowledge/skills. Patient education on rational antibiotic use was an area that the learners acknowledged pharmacist and nurses to have an important role.…”

Section: Discussionmentioning

confidence: 99%

What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course

Nampoothiri

Bonaconsa

Surendran

et al. 2021

JAC-Antimicrobial Resistance

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Background Whilst antimicrobial stewardship (AMS) is being implemented globally, contextual differences exist. We describe how the use of a massive open online course (MOOC) platform provided an opportunity to gather diverse narratives on AMS from around the world. Methods A free 3 week MOOC titled ‘Tackling antimicrobial resistance: a social science approach’ was launched in November 2019. Learners were asked specific questions about their experiences of AMS via 38 optional free-text prompts dispersed throughout the modules. Content analysis was used to identify key emerging themes from the learners’ responses in the first three runs of the MOOC. Results Between November 2019 and July 2020, 1464 learners enrolled from 114 countries. Overall, 199 individual learners provided a total of 1097 responses to the prompts. The diverse perspectives describe unique challenges present in different contexts including ill-defined roles for pharmacists and nurses in AMS; inadequate governance and policy inconsistencies in surveillance for antibiotic consumption and antimicrobial resistance (AMR) in some countries; lack of ownership of antibiotic decision-making and buy-in from different clinical specialties; and human resource and technological constraints. Patients’ knowledge, experiences and perspectives were recognized as a valuable source of information that should be incorporated in AMS initiatives to overcome cultural barriers to the judicious use of antibiotics. Conclusions Analysis of learner comments and reflections identified a range of enablers and barriers to AMS implementation across different healthcare economies. Common challenges to AMS implementation included the role of non-physician healthcare workers, resource limitations, gaps in knowledge of AMR, and patient engagement and involvement in AMS.

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Section: Discussionmentioning

confidence: 99%

What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course

Nampoothiri

Bonaconsa

Surendran

et al. 2021

JAC-Antimicrobial Resistance

View full text Add to dashboard Cite

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“…However, stewardship is more successful when practiced within the multidisciplinary healthcare team. 4,5 It is important to include nurses on the stewardship team because they are responsible for stewardship-related activities such as patient education and antibiotic administration. [4][5][6] We found that most nurses had some familiarity with antimicrobial stewardship.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 It is important to include nurses on the stewardship team because they are responsible for stewardship-related activities such as patient education and antibiotic administration. [4][5][6] We found that most nurses had some familiarity with antimicrobial stewardship. However, >1 in 4 were unaware that most patients who reported a penicillin allergy could safely take a penicillin.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic prescribing knowledge: A brief survey of providers and staff at an ambulatory cancer center during Antibiotic Awareness Week 2019

Gulleen

Krantz

Zier

et al. 2022

ASHE

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“… 57 , 59 , 60 AMS programmes that are led by non-infectious diseases doctors, pharmacists, infection control practitioners and nurses are now common in Australian rural hospitals. 49 , 50 , 61 , 62 Support for these staff is being bolstered through AMS network arrangements. There are opportunities for new partnerships to be created, particularly with primary care and aged care, given their interconnectedness with acute hospital care in rural settings.…”

Section: Acute Care (Hospitals)mentioning

confidence: 99%

Antimicrobial stewardship in Australia: the role of qualitative research in programme development

Thursky

Hardefeldt

Rajkhowa

et al. 2021

JAC-Antimicrobial Resistance

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Antimicrobial stewardship (AMS) in Australia is supported by a number of factors, including enabling national policies, sectoral clinical governance frameworks and surveillance programmes, clinician-led educational initiatives and health services research. A One Health research programme undertaken by the National Centre for Antimicrobial Stewardship (NCAS) in Australia has combined antimicrobial prescribing surveillance with qualitative research focused on developing antimicrobial use-related situational analyses and scoping AMS implementation options across healthcare settings, including metropolitan hospitals, regional and rural hospitals, aged care homes, general practice clinics and companion animal and agricultural veterinary practices. Qualitative research involving clinicians across these diverse settings in Australia has contributed to improved understanding of contextual factors that influence antimicrobial prescribing, and barriers and facilitators of AMS implementation. This body of research has been underpinned by a commitment to supplementing ‘big data’ on antimicrobial prescribing practices, where available, with knowledge of the sociocultural, technical, environmental and other factors that shape prescribing behaviours. NCAS provided a unique opportunity for exchange and cross-pollination across the human and animal health programme domains. It has facilitated synergistic approaches to AMS research and education, and implementation of resources and stewardship activities. The NCAS programme aimed to synergistically combine quantitative and qualitative approaches to AMS research. In this article, we describe the qualitative findings of the first 5 years.

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Nurse role and contribution to antimicrobial stewardship: An integrative review

Cited by 49 publications

References 78 publications

What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course

What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course

Antibiotic prescribing knowledge: A brief survey of providers and staff at an ambulatory cancer center during Antibiotic Awareness Week 2019

Antimicrobial stewardship in Australia: the role of qualitative research in programme development

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