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Published on: August 30, 2018
Antibiotic stewardship for nurses: Using e-learning modules to bridge the education gap.
1Quality Initiatives Department, The Hospital and Healthsystem Association of Pennsylvania, Harrisburg, Pennsylvania.
Front-line nurses require education to improve antibiotic stewardship. E-learning modules empower nurses, addressing key barriers like lack of knowledge and unit culture for better antimicrobial stewardship.
Area of Science:
- Nursing Education
- Antimicrobial Stewardship
- Infectious Disease Management
Background:
- The Centers for Disease Control and Prevention (CDC) advocates for interdisciplinary antibiotic stewardship, emphasizing the crucial role of front-line nurses.
- Identified barriers to nurse engagement in antibiotic stewardship include insufficient education, poor inter-provider communication, and unit culture.
- Nurses are integral to the success of antibiotic stewardship programs.
Purpose of the Study:
- To develop and evaluate the effectiveness of e-learning modules designed to enhance nurses' knowledge and preparedness for antibiotic stewardship.
- To address specific educational gaps related to nurses' roles in antibiotic stewardship, antibiotic resistance, and related clinical practices.
Main Methods:
- Three e-learning modules were created covering essential aspects of antibiotic stewardship relevant to nursing practice.
- Front-line acute care nurses participated in the e-learning modules as part of a new antibiotic stewardship program.
- A post-module survey assessed nurses' perceived preparedness, attitudes towards stewardship, and identified persistent barriers.
Main Results:
- A significant majority of nurses (81%) expressed a desire to be part of the antibiotic stewardship team.
- Post-module, 72% of nurses felt more empowered to engage in stewardship discussions, with 23% seeking further education.
- Nurses reported high applicability (97%) of the learned information to their daily work, with lack of education (45%) and unit culture (13%) remaining cited barriers.
Conclusions:
- Addressing educational deficits and hospital/unit culture is essential for overcoming barriers to nurse involvement in antimicrobial stewardship.
- E-learning presents a feasible and efficient method for initial nurse education in antibiotic stewardship, requiring minimal time investment.
- Continued educational initiatives and cultural support are necessary to fully integrate nurses into antimicrobial stewardship efforts.
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