Abstract：
BACKGROUND:Nursing has been called for greater participation in antibiotic stewardship. Although many of the functions that are integral to successful stewardship are within the scope of bedside nurses, data evaluating nursing engagement in stewardship are limited. The objective of this study was to identify nurses' roles and confidence in engaging in stewardship practices by conducting a survey of pediatric staff nurses employed at a 354-bed freestanding children's hospital with a well-established prospective audit and feedback stewardship program. METHODS:An investigator-developed online survey was used to assess 10 identified practices that fall within the responsibility of inpatient nurses and contribute to the stewardship process. RESULTS:One hundred and eighty nurses participated in the study. Nurses were highly confident assessing for an adverse drug reaction history, obtaining cultures prior to antibiotics, and participating in patient education. They were less confident in reviewing microbiology results to determine antibiotic appropriateness. Clinical practice and hospital culture influenced perceptions of the nursing role in stewardship. Reported barriers to stewarding included nurses not included in rounds, interdisciplinary power differentials, and nursing input not actively sought. CONCLUSIONS:Barriers to nurse engagement were identified and could be addressed by improving education in microbiology and principles of antibiotic use along with more consistent inclusion of nurses in bedside rounds while also cultivating an environment where nurse contribution is actively sought.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Monsees E,Popejoy L,Jackson MA,Lee B,Goldman Jdoi
10.1016/j.ajic.2018.03.028subject
Has Abstractpub_date
2018-07-01 00:00:00pages
737-742issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(18)30425-5journal_volume
46pub_type
杂志文章abstract：:Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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更新日期：2018-01-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2020-08-11 00:00:00
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更新日期：2005-10-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
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更新日期：2000-08-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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