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Related Experiment Video

Updated: Oct 21, 2025

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A novel framework to guide antibiotic stewardship nursing practice.

Mary Lou Manning1, Monika Pogorzelska-Maziarz1, Cindy Hou2

  • 1Center for Infection Prevention and Antibiotic Stewardship, Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, PA.

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|September 7, 2021
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Summary

Nurses are vital to antibiotic stewardship (AS). A new SCAN-P Framework empowers nurses to lead AS practices, preventing patient harm and optimizing antibiotic use globally.

Keywords:
AntibioticNursesPracticeSCAN-P FrameworkStewardship

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Area of Science:

  • Nursing Practice
  • Infectious Disease Management
  • Public Health

Background:

  • Antibiotic stewardship (AS) is often viewed as solely a physician or pharmacist role, hindering full nurse engagement.
  • Nurses are crucial for preventing antibiotic-related patient harm and optimizing antibiotic use.
  • A lack of an organizing framework limits nurse participation in AS nursing practices.

Purpose of the Study:

  • To develop a framework for integrating nurses into antibiotic stewardship (AS) teams.
  • To provide nurses with the necessary context and clarity to lead AS nursing practices.
  • To support nurses in their role of advocating for judicious antibiotic use and educating patients.

Main Methods:

  • Framework development involved literature reviews, systematic and scoping reviews.
  • Professional standards, consensus statements, and white papers were utilized.
  • The framework underwent iterative vetting with multidisciplinary healthcare professionals and educators.

Main Results:

  • The evidence-based Antibiotic Stewardship Nursing Practice SCAN-P Framework was created.
  • This framework offers context and clarity for nurses to participate in and lead AS nursing practice.
  • The SCAN-P Framework is designed to guide local-level AS nursing initiatives.

Conclusions:

  • Nurses are strategically positioned to advocate for judicious antibiotic use and combat antibiotic resistance.
  • The SCAN-P Framework serves as a tool to enhance nurses' roles in antibiotic stewardship.
  • Empowering nurses enhances holistic, person-centered care and public health education regarding antibiotic use.