Literature DB >> 31157106

Antimicrobial stewardship and the hospital nurse and midwife: how do they perceive their role?

Michael Wilcock1, Neil Powell1, Frazer Underwood2.   

Abstract

OBJECTIVES: Our aim was to determine the views of nurses and midwives in an acute hospital regarding a potential role in an antimicrobial stewardship programme.
METHODS: An online survey about antimicrobial stewardship was distributed to nursing and midwifery staff at the Royal Cornwall Hospitals NHS Trust. Descriptive statistics were used for analysis.
RESULTS: Eighty responses were received. Forty-three (54%) claimed to have heard the term antimicrobial stewardship. Only seven (9%) had cause to look at the hospital's antimicrobial guidelines at least once a week. Between 47 (60%) and 68 (87%) respondents agreed they should be involved in a range of stewardship roles. Constraints of time and workload, lack of knowledge and lack of adequate staff training were the three main perceived challenges to a wider role.
CONCLUSIONS: Staff in this survey recognise the potential for wider antimicrobial stewardship roles. They also identify challenges to undertaking these roles. Some of these barriers could be overcome by provision of education and support; hospital pharmacists may be able to assist with this role development.

Entities:  

Keywords:  change management; clinical governance; infection control; qualitative research; quality in healthcare

Year:  2017        PMID: 31157106      PMCID: PMC6452351          DOI: 10.1136/ejhpharm-2017-001312

Source DB:  PubMed          Journal:  Eur J Hosp Pharm        ISSN: 2047-9956


  17 in total

1.  Assessing knowledge of antimicrobial stewardship.

Authors:  Willie McGregor; Arlene Brailey; Gill Walker; Gwen Bayne; Jacqueline Sneddon; Jo McEwen
Journal:  Nurs Times       Date:  2015 May 20-26

2.  Antimicrobial stewardship: the role of the nurse.

Authors:  David Ladenheim; Denise Rosembert; Carole Hallam; Christianne Micallef
Journal:  Nurs Stand       Date:  2013 Oct 9-15

Review 3.  Antibiotic prescribing in hospitals: a social and behavioural scientific approach.

Authors:  Marlies E J L Hulscher; Richard P T M Grol; Jos W M van der Meer
Journal:  Lancet Infect Dis       Date:  2010-03       Impact factor: 25.071

4.  Defining a Role for Nursing Education in Staff Nurse Participation in Antimicrobial Stewardship.

Authors:  Rita Drummond Olans; Patrice K Nicholas; Diane Hanley; Alfred DeMaria
Journal:  J Contin Educ Nurs       Date:  2015-07       Impact factor: 1.224

5.  Improving antibiotic stewardship by involving nurses.

Authors:  Elizabeth Gillespie; Anne Rodrigues; Louise Wright; Natalie Williams; Rhonda L Stuart
Journal:  Am J Infect Control       Date:  2012-10-13       Impact factor: 2.918

6.  The Critical Role of the Staff Nurse in Antimicrobial Stewardship--Unrecognized, but Already There.

Authors:  Richard N Olans; Rita D Olans; Alfred DeMaria
Journal:  Clin Infect Dis       Date:  2015-08-11       Impact factor: 9.079

7.  Covering more Territory to Fight Resistance: Considering Nurses' Role in Antimicrobial Stewardship.

Authors:  R Edwards; Ln Drumright; M Kiernan; A Holmes
Journal:  J Infect Prev       Date:  2011-01

8.  Antimicrobial stewardship programmes: the need for wider engagement.

Authors:  Esmita Charani; Alison H Holmes
Journal:  BMJ Qual Saf       Date:  2013-09-17       Impact factor: 7.035

9.  Mapping Antimicrobial Stewardship in Undergraduate Medical, Dental, Pharmacy, Nursing and Veterinary Education in the United Kingdom.

Authors:  Enrique Castro-Sánchez; Lydia N Drumright; Myriam Gharbi; Susan Farrell; Alison H Holmes
Journal:  PLoS One       Date:  2016-02-29       Impact factor: 3.240

10.  Participatory eHealth development to support nurses in antimicrobial stewardship.

Authors:  Jobke Wentzel; Lex van Velsen; Maarten van Limburg; Nienke de Jong; Joyce Karreman; Ron Hendrix; Julia Elisabeth Wilhelmina Cornelia van Gemert-Pijnen
Journal:  BMC Med Inform Decis Mak       Date:  2014-06-05       Impact factor: 2.796

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  1 in total

Review 1.  Guideline recommendations for antimicrobial stewardship education for clinical nursing practice in hospitals: A scoping review.

Authors:  J Rout; S Essack; P Brysiewicz
Journal:  South Afr J Crit Care       Date:  2021-12-31
  1 in total

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