Elizabeth Monsees1, Jennifer Goldman2, Lori Popejoy3. 1. Patient Care Services Research, Children's Mercy Hospital, Kansas City, MO. Electronic address: eamonsees@cmh.edu. 2. Division of Infectious Disease, Children's Mercy Hospital, Kansas City, MO; University of Missouri - Kansas City, School of Medicine, Kansas City, MO. 3. Sinclair School of Nursing, University of Missouri, Columbia, MO.
Abstract
BACKGROUND: Guidelines on antimicrobial stewardship emphasize the importance of an interdisciplinary team, but current practice focuses primarily on defining the role of infectious disease physicians and pharmacists; the role of inpatient staff nurses as antimicrobial stewards is largely unexplored. METHODS: An updated integrative review method guided a systematic appraisal of 13 articles spanning January 2007-June 2016. Quantitative and qualitative peer-reviewed publications including staff nurses and antimicrobial knowledge or stewardship were incorporated into the analysis. RESULTS: Two predominant themes emerged from this review: (1) nursing knowledge, education, and information needs; and (2) patient safety and organizational factors influencing antibiotic management. DISCUSSION: Focused consideration to empower and educate staff nurses in antimicrobial management is needed to strengthen collaboration and build an interprofessional stewardship workforce. CONCLUSIONS: Further exploration on the integration and measurement of nursing participation is needed to accelerate this important patient safety initiative.
BACKGROUND: Guidelines on antimicrobial stewardship emphasize the importance of an interdisciplinary team, but current practice focuses primarily on defining the role of infectious disease physicians and pharmacists; the role of inpatient staff nurses as antimicrobial stewards is largely unexplored. METHODS: An updated integrative review method guided a systematic appraisal of 13 articles spanning January 2007-June 2016. Quantitative and qualitative peer-reviewed publications including staff nurses and antimicrobial knowledge or stewardship were incorporated into the analysis. RESULTS: Two predominant themes emerged from this review: (1) nursing knowledge, education, and information needs; and (2) patient safety and organizational factors influencing antibiotic management. DISCUSSION: Focused consideration to empower and educate staff nurses in antimicrobial management is needed to strengthen collaboration and build an interprofessional stewardship workforce. CONCLUSIONS: Further exploration on the integration and measurement of nursing participation is needed to accelerate this important patient safety initiative.
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