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Published on: August 30, 2018
Exploring prescriber perspectives toward nurses' active involvement in antimicrobial stewardship: A qualitative
William G Greendyke1,2, Alexandra N Shelley3, Philip Zachariah2,4
1Department of Medicine, Columbia University Irving Medical Center, New York, New York.
Prescribers are open to nurses assisting with antimicrobial stewardship programs. However, addressing structural barriers and knowledge gaps is crucial for successful collaboration in antimicrobial stewardship.
Area of Science:
- Healthcare Management
- Infectious Disease
- Nursing Practice
Background:
- Antimicrobial stewardship programs (ASW) are vital for combating antimicrobial resistance.
- The role of clinical nurses in antimicrobial stewardship is not well-defined.
- Understanding prescriber attitudes is essential for integrating nursing into stewardship efforts.
Purpose of the Study:
- To explore prescribers' attitudes toward the involvement of clinical nurses in antimicrobial stewardship.
- To identify perceived benefits and challenges of nurse participation in stewardship activities.
Main Methods:
- Qualitative study utilizing focus groups.
- Six focus groups were conducted with prescribers.
- Discussions centered on nurses' roles and attitudes towards antimicrobial stewardship.
Main Results:
- Prescribers expressed receptiveness to nursing involvement in stewardship.
- Key themes included perceived benefits like improved surveillance and education.
- Identified barriers included lack of clarity on roles, time constraints, and knowledge gaps.
Conclusions:
- Clinical nurses can play a valuable role in antimicrobial stewardship.
- Addressing structural and educational barriers is necessary for effective nurse integration.
- Further research should focus on developing and evaluating nursing-led stewardship interventions.
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