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Staff nurses as antimicrobial stewards: An integrative literature review
Elizabeth Monsees1, Jennifer Goldman2, Lori Popejoy3
1Patient Care Services Research, Children's Mercy Hospital, Kansas City, MO.
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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