A novel framework to guide antibiotic stewardship nursing practice

Manning, Mary Lou; Pogorzelska-Maziarz, Monika; Hou, Cindy; Vyas, Nikunj; Kraemer, Marianne; Carter, Eileen J.; Monsees, Elizabeth

doi:10.1016/j.ajic.2021.08.029

Cited by 13 publications

(10 citation statements)

References 59 publications

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“…For instance, nurses can contribute to optimizing microbiology diagnostic procedures by ordering samples appropriately, improving qualified samples, etc. (Manning et al, 2022; Mula et al, 2021). By reporting, interpreting and assisting with the selection of antimicrobial drugs based on microbiology results, nurses can also influence prescribing decisions (Courtenay et al, 2022).…”

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%

“…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%

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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: Domain 5: Leadershipmentioning

confidence: 99%

Section: Safety Medication Administrationmentioning

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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“…8 Nursing competency in AMS is one of the key components of a proposed AMS nursing practice framework that emphasizes the need for development of targeted AMS nursing education programs. 21 Microlearning is an emerging approach in healthcare continuing education. This innovative pedagogy has demonstrated a positive effect on knowledge acquisition, confidence, and in some cases, clinical practice, but data on using this approach in nursing education are lacking.…”

Section: Discussionmentioning

confidence: 99%

An app a day: Results of pre- and post-surveys of knowledge, attitudes, and practices (KAP) regarding antimicrobial stewardship principles among nurses who utilized a novel learning platform

Bobbitt

Cimino²,

Garvey³

et al. 2023

ASHE

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Background: Nurses perform several functions that are integral for antimicrobial stewardship (AMS). However, nurses are underrepresented in research and underutilized in implementation of AMS interventions. The objective of this pilot study was to assess the effect of asynchronous microlearning on inpatient nursing staff knowledge, attitudes, and practices (KAP) regarding AMS principles. Methods: A team of pharmacists, physicians, and nurses developed 9 case-based, multiple-choice questions with accompanying educational explanations on associated AMS principles. One case was delivered to participants daily via an institutional web-based application (QuizTime). A KAP survey with 20 questions on a 5-point Likert scale was administered before and after the intervention. Survey results were compared using a Wilcoxon signed-rank test. Results: Participants’ mean survey score after the intervention demonstrated statistically significant improvement for 18 (90%) of 20 items compared to before the intervention. Participants’ confidence improved in key AMS activities: (1) differentiating between colonization and infection (mean difference, 0.63; P < .001), (2) identifying unnecessary urine cultures and inappropriate treatment of urinary tract infections (mean difference, 0.94; P < .001), (3) recognizing opportunities for intravenous to oral therapy conversion (mean difference, 1.07; P < .001), and (4) assessing for antibiotic-associated adverse effects (mean difference, 0.54; P < .001). Conclusions: Nursing education provided through an asynchronous, microlearning format via a mobile platform resulted in statistically significant improvement in most KAP topics. Nurses are integral members of a multidisciplinary AMS team, and novel education methods can help equip them with the necessary AMS tools. This pilot study forms the basis for expanded AMS educational efforts in all healthcare professionals.

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Electrochemical-enhanced Fe3O4/biochar activates peroxymonosulfate (E/nano-Fe3O4/BC/PMS) for degradation of oxytetracycline

Jiang

Wang

2022

Chemosphere

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A novel framework to guide antibiotic stewardship nursing practice

Cited by 13 publications

References 59 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

An app a day: Results of pre- and post-surveys of knowledge, attitudes, and practices (KAP) regarding antimicrobial stewardship principles among nurses who utilized a novel learning platform

Electrochemical-enhanced Fe3O4/biochar activates peroxymonosulfate (E/nano-Fe3O4/BC/PMS) for degradation of oxytetracycline

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