2019
DOI: 10.1016/j.ajic.2018.09.008
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Knowledge, attitudes, and practices of bedside nursing staff regarding antibiotic stewardship: A cross-sectional study

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Cited by 28 publications
(33 citation statements)
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“… 43 Our findings reveal several barriers to nursing inclusion in AMS, including: a lack of input into AMS strategies/ASPs, limited authority to enact formal change, a lack of empowerment in terms of interprofessional roles and teamwork and a lack of clarity around the roles and responsibilities of nursing within new AMS-driven procedures. 19 It was clear from the interviews that participating nurses wanted to know more, to learn more and to be more involved and included in AMS. Yet, the majority of nurses felt peripheral to AMS practice, as well as (and relatedly) inconvenienced and burdened by the additional work it represented.…”
Section: Discussionmentioning
confidence: 99%
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“… 43 Our findings reveal several barriers to nursing inclusion in AMS, including: a lack of input into AMS strategies/ASPs, limited authority to enact formal change, a lack of empowerment in terms of interprofessional roles and teamwork and a lack of clarity around the roles and responsibilities of nursing within new AMS-driven procedures. 19 It was clear from the interviews that participating nurses wanted to know more, to learn more and to be more involved and included in AMS. Yet, the majority of nurses felt peripheral to AMS practice, as well as (and relatedly) inconvenienced and burdened by the additional work it represented.…”
Section: Discussionmentioning
confidence: 99%
“…Although the potential for nursing to inform and advance AMS activities seems clear, recent research has identified numerous barriers that impede such involvement, including limited integration in training regarding AMS, interprofessional jurisdictional issues and enduring hierarchical power relations within the hospital. 19 29 A lack of full integration of AMS into formal nursing education has also been cited as one factor that can limit nurses’ knowledge of AMR and engagement in AMS implementation. 19 30 31 In a recent survey of Australian hospital nurses, more than half rated their antimicrobial-related knowledge as limited or minimal.…”
Section: Introductionmentioning
confidence: 99%
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“…The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) identified the development and spread of antimicrobial resistance as a global health crisis and a major public health concern (Abbas et al, 2019;Ha et al, 2019;Manning et al, 2016;R.N. Olans et al, 2016).…”
mentioning
confidence: 99%
“…Knowledge, attitudes, and practices of bedside nursing staff regarding antibiotic stewardship: a crosssectional study -Abbas et al48 • Rapid respiratory panel testing: impact of active antimicrobial stewardship -Abbas et al49 • De-escalating antibiotic use in the inpatient setting: strategies, controversies, and challenges -Markleyet al 50 • Effect of carbapenem restriction on prescribing trends for immunocompromised wards at an academic medical center -Kirk et al 51 • Carbapenem-resistant Enterobacteriaceae at a low prevalence tertiary care center: patient level risk factors and implication for an infection prevention strategy -Doll et al 52 • A survey to optimize the design of an antimicrobial stewardship and infectious disease smartphone app at an academic medical center -Markley et al 53 • Surgeons do not listen: evaluation of compliance with antimicrobial stewardship program recommendations -Duane et al 54 • Guarding the goods: an introduction to antimicrobial stewardship -Wang J et al 55 • Antimicrobial stewardship practices in Virginia -Lee et al 56 • Antimicrobial stewardship program members' perspectives on program goals and national metrics -Van Parys et al 57 • Pediatric antimicrobial stewardship: state of the art -Godbout 58 • Performance of a novel antipseudomonal antibiotic consumption metric among academic medical centers in the United States -Markley et al 59 • Description of a restriction program for gram-positive antimicrobial agents at an academic medical center -Molayi et al 60 • An examination of stewardship interventions by major category in an urban, academic medical center -Pellerin et al 61 • Facilitators and barriers to implementing antimicrobial stewardship strategies: results from a qualitative study -Pakyz et al 62 • An evaluation of the association between an antimicrobial stewardship score and antimicrobial usage -Pakyz et al 63 • Managing antibiotic resistance -Wenzel and Edmond 64 • The current state of antimicrobial stewardship: challenges, successes and future directions -Emberger et al 65 • The role of the hospital epidemiologist in antibiotic stewardship -Abbas et al 66 • Antibiotic prevention of acute exacerbations of COPD -Wenzel et al 67 • The effectiveness of formulary restriction and preauthorization at an academic medical center -Kirk et al Key barriers to nurse participation in AS-related activities include time constraints, physician pushback, and unfamiliarity with AS practices. • Challenges to ADE arise when clinicians lack confidence due to their uncertainty in culture data, thus requiring a high degree of clinical judgement.…”
mentioning
confidence: 99%