Keeping Patients Safe

Manning, Mary Lou; Giannuzzi, Donna

doi:10.1097/nna.0000000000000159

Cited by 27 publications

(7 citation statements)

References 11 publications

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“…This could be a reason why these activities were not identified by the participants. However, antibiotic stewardship is an area where nurses could contribute to prevention of antibiotic resistance [1, 14].…”

Section: Main Textmentioning

confidence: 99%

Knowledge, beliefs and practices on antibiotic use and resistance among a group of trainee nurses in Sri Lanka

2019

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Objectives Nurses are the main communication link for healthcare messages to hospitalized patients and also play a crucial role in preventing the emergence and spread antibiotic resistant bacteria through antibiotic stewardship and infection control programmes. This requires them to possess correct knowledge and attitudes towards antibiotic use and resistance. This study was carried out to identify the level of knowledge, attitude and practices on antibiotic use and antibiotic resistance among student nurses. Results A descriptive cross-sectional study was conducted using a pre-validated, self-administered questionnaire with closed and open ended questions, among 199 student nurses at a government nurses training school in Sri Lanka. Scores and proportions were analysed with non-parametric methods and thematic analysis was done for the qualitative data. The study cohort had a mean knowledge score of 71.9% (SD 14). However, close to 40% believed that taking antibiotics will help to prevent cold from worsening and make recovery faster. Infection control was identified as the main method that nurses can engage in preventing antibiotic resistance. While the knowledge among our study cohort appeared to be good, some misbeliefs were present. Our findings can be used in developing the nursing curricula on antibiotic use and resistance.

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Section: Main Textmentioning

confidence: 99%

Knowledge, beliefs and practices on antibiotic use and resistance among a group of trainee nurses in Sri Lanka

2019

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“…The daily practices needed for responsible antimicrobial use within an institution are inherently multidisciplinary, with different healthcare workers capable of contributing in a variety of ways (Table 1) [27]. Although the core AMS team in hospitals should include specialists in infectious diseases, clinical microbiology and pharmacists, involving other specialties and professions in leadership positions can send a strong signal throughout the institution about the importance of responsible antimicrobial management [21,28,29]. Among frontline staff, a simple step of regularly involving clinical teams in data collection on antimicrobial use could improve awareness of patterns of appropriate and inappropriate antimicrobial use in those who deliver daily patient care, and help promote shared ownership of AMS efforts [30].…”

Section: Embrace Multidisciplinary Approachesmentioning

confidence: 99%

Managing responsible antimicrobial use: perspectives across the healthcare system

Dyar

Tebano²,

Pulcini

2017

Clinical Microbiology and Infection

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Managers in the healthcare system are in a strong position to look beyond individual prescriptions and to recognize the many ways in which different healthcare system building blocks can contribute to responsible use of antimicrobials. At the institution level this can be achieved by implementing antimicrobial stewardship programmes, ensuring they are adequately resourced, and driving buy-in across clinical leadership. At regional and national levels this includes facilitating the sharing of experiences and resources between institutions, and developing the standards and regulations needed to support responsible antimicrobial use.

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“…33 Interestingly, an increasing number of authors have already proposed the expansion of the scope of nursing participation in stewardship, leaving behind a focus on tasks related to the administration of antimicrobials, the collection of microbiological samples or as mere reminders to encourage prescribers to comply with guidelines and policies, and endorsing their involvement in the design, implementation and evaluation of antimicrobial stewardship programmes. 34 The impact of these additional competences on current and future educational needs and demands is yet to be fully appreciated.Finally, independent nurse prescribers 35 have emerged not just in the UK but also worldwide. 36 Early reports evaluating their impact point towards a beneficial influence on antimicrobial use at community level.…”

Section: Education For Other Healthcare Professionalsmentioning

confidence: 99%

How Can Multi-Professional Education Support Better Stewardship?

Pereira

Castro‐Sánchez

Nathwani

2017

Infectious Disease Reports

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Antimicrobial stewardship is widely accepted as an efficient strategy to combat the growing threat of antimicrobial resistance. Education is one of the cornerstones of successful antimicrobial stewardship programs. There is also general agreement that antimicrobial stewardship is a team effort that must involve the whole continuum of healthcare workers. Providing adequate education for all different professionals although challenging is deemed crucial to achieve good results. This paper reviews the different strategies available to educate the multiple healthcare workers, discusses how education can improve antimicrobial stewardship programs and outlines some of the challenges faced and research gaps that need to be addressed in order to improve education in this field.

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Keeping Patients Safe

Abstract: In this column, the authors discuss the issue of antibiotic resistance, components of a program of antibiotic stewardship, and the role of the nurse executive in leading and supporting these efforts.

Cited by 27 publications

References 11 publications

Knowledge, beliefs and practices on antibiotic use and resistance among a group of trainee nurses in Sri Lanka

Knowledge, beliefs and practices on antibiotic use and resistance among a group of trainee nurses in Sri Lanka

Managing responsible antimicrobial use: perspectives across the healthcare system

How Can Multi-Professional Education Support Better Stewardship?

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