Opportunities for nurse involvement in surgical antimicrobial stewardship strategies: A qualitative study

Ierano, Courtney; Rajkhowa, Arjun; Gotterson, Fiona; Marshall, Caroline; Peel, Trisha; Ayton, Darshini; Thursky, Karin

doi:10.1016/j.ijnurstu.2022.104186

Cited by 6 publications

(7 citation statements)

References 45 publications

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“…Monsees and colleagues (Monsees et al, 2019) provided a framework called the situation, background, assessment and recommendation (SBAR) tool for organizing information clearly and concisely. Moreover, engendering a sense of responsibility and positive attitudes would facilitate playing nurses' roles in AMS practice and ensure consistent practices (Ierano et al, 2022; Singh et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…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 Responsibility/awareness (Carter et al, 2018;Ellen et al, 2017;Ierano et al, 2022;Kirby et al, 2020;Manning et al, 2022;Monsees et al, 2018;Mula et al, 2021;Rout & Brysiewicz, 2017;Sakaguchi et al, 2023;Schellack et al, 2016;Singh et al, 2021;Sloan & Dudjak, 2020;Wentzel et al, 2014) Professional values/sense of identifying (Broom et al, 2017;Carter et al, 2018;Courtenay et al, 2022;Kirby et al, 2020;Manning et al, 2022;Morgan, 2019;Mostaghim et al, 2017;Mula et al, 2021;Rout & Brysiewicz, 201...…”

Section: Discussionmentioning

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%

“…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%

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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: Discussionmentioning

confidence: 99%

Section: Safety Medication Administrationmentioning

confidence: 99%

Section: Domain 5: Leadershipmentioning

confidence: 99%

See 2 more Smart Citations

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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“…Nursing holds a signi cant position among healthcare professionals due to its major contribution to patient care (11,18,19). Evidence suggest that nurses may contribute by assessing and monitoring patients' clinical status, participating in diagnostic culture and antimicrobial treatment management, and educate patients and families (18,20,21). However, in Brazil there are still research gaps related to the nurses' role in ASPs that need to be identi ed and prioritised for future investigations in order to strengthen the contribution of nurses in ASPs (20,22).…”

Section: Introductionmentioning

confidence: 99%

Research priorities for nurses in antimicrobial stewardship in a middle-income country: a nominal group technique study

Gusmão,

Abraão,

Felix

et al. 2024

Preprint

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Background Antimicrobial Stewardship Programmes (ASP) have become an important strategy to address antimicrobial resistance (AMR). Despite the increasing number of international publications, identifying the roles played by nurses as part of ASPs, in low and middle-income countries this theme is poorly researched. This study aimed to identify priority research gaps in the Brazilian context on nurses' performance in ASPs from the perspective of nursing professionals and explore the main themes among the ideas generated by these nurses.Methods This was a qualitative study using the modified Nominal Group Technique (mNGT) during a 3-day online workshop. Thematic analysis was performed based on the ideas proposed by the participants after the clarification stage.Results The participants suggested 68 ideas at the first phase. After the idea’s clarification phase, 45 ideas were included in the voting rounds. The ideas prioritized by participants voting addressed: i) attributions and competencies of nurses in the ASP; ii) planning and implementation of ASP nurses' activities, and iii) use of information and communication technologies to assist nurses. The thematic analysis highlighted nine main themes.Conclusions The role of nursing in dealing with AMR and, more directly, its role in ASP are still unknown and under-researched topics in Brazil. The participants identified ideas that were mainly focused on elementary aspects of ASP. These themes should be further studied in the Brazilian context, but may potentially be applicable to other similar socio-economic contexts.

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A pilot project of expert nurses for the follow-up of complex intravenous antimicrobial treatment

Rolland

Mainguy

Boissier

et al. 2023

Infectious Diseases Now

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Opportunities for nurse involvement in surgical antimicrobial stewardship strategies: A qualitative study

Cited by 6 publications

References 45 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

Research priorities for nurses in antimicrobial stewardship in a middle-income country: a nominal group technique study

A pilot project of expert nurses for the follow-up of complex intravenous antimicrobial treatment

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