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Advancing Antibiotic Stewardship Nursing Practice Through Standardized Education: A Pilot Study.

Mary Lou Manning, Eleanor Fitzpatrick, Anne M Delengowski

    Journal of Continuing Education in Nursing
    |August 30, 2022
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    Nurses who completed an online antibiotic stewardship (AS) education program showed significant improvements in knowledge and confidence regarding antibiotic resistance and AS practices. This education can motivate nurses to adopt crucial AS nursing practices.

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    Area of Science:

    • Infectious Diseases
    • Public Health
    • Nursing Education

    Background:

    • Antibiotic resistance poses a significant global health threat, necessitating optimized antibiotic use.
    • Nurses are pivotal in implementing antibiotic stewardship (AS) nursing practices to combat resistance.
    • A gap exists in standardized AS education for nursing professionals.

    Purpose of the Study:

    • To assess the impact of an online continuing education program on nurses' knowledge of antibiotic resistance, antibiotics, and AS.
    • To evaluate the program's effect on nurses' confidence and intent to integrate AS into clinical practice.
    • To gather recommendations for integrating AS into daily nursing workflows.

    Main Methods:

    • A quasi-experimental pretest-posttest design was employed.
    • A convenience sample of nurses from a U.S. academic medical center participated.
    • Online continuing education program completion was followed by pre- and post-surveys and focus groups.

    Main Results:

    • Forty-seven nurses completed the program and surveys, demonstrating statistically significant increases in knowledge, confidence, and perceived role in AS (p < .05).
    • Participants reported enhanced understanding of antibiotic resistance, antibiotic use, and AS principles.
    • Focus groups yielded practical recommendations for integrating AS into nursing practice.

    Conclusions:

    • A comprehensive AS nursing continuing education program can effectively enhance nurses' knowledge and confidence.
    • Such programs are instrumental in motivating nurses to adopt and implement AS nursing practices.
    • Investing in AS education is crucial for strengthening the nursing role in combating antibiotic resistance.