多学科抗微生物管理中的隐藏宝石:关于抗生素使用的日常实践中病床护士活动的系统审查
Maria Bos1,2, Jeroen Schouten2,3, Cindy De Bot1
1School of Social Work and Health, Avans University of Applied Sciences, 's Hertogenbosch, The Netherlands.
JAC-antimicrobial resistance
|November 29, 2023
概括
床边护士通过患者评估,药物管理和教育,积极促进抗菌药物管理 (AMS). 他们的综合作用,由患者倡导驱动,对于有效使用抗生素和保护治疗过程至关重要.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 传染病控制和控制传染病
背景情况:
- 抗菌管理 (AMS) 对于适当使用抗生素至关重要.
- 护士越来越多地被认为是AMS倡议的关键参与者.
- 床边护士对AMS的实际贡献仍未得到充分探索.
研究的目的:
- 系统地审查和描述与临床实践中抗生素使用相关的床边护士的活动.
- 为了比较护士的现实活动与在立场陈述中概述的拟议的AMS参与.
主要方法:
- 在多个数据库 (MEDLINE,Embase,CINAHL) 和灰色文献中进行全面的文献搜索.
- 包括详细介绍床边护士使用抗生素活动的研究.
- 使用混合方法评估工具评估方法严谨性的评估.
主要成果:
- 包括118项研究,显示护士的活动与拟议的AMS角色保持一致.
- 关键活动包括临床评估,样本采集,药物管理和患者/家庭教育.
- 护士在抗菌途径中充当领导者和沟通者,患者倡导是主要的驱动力.
结论:
- 床边护士的AMS活动是日常护理实践和护理领导力的组成部分.
- 有效的沟通和患者倡导是护士在抗微生物治疗中的核心作用.
- 赋予护士在现有角色中的权力可以增强他们对抗微生物药物管理计划的影响.
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