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Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings

BACKGROUND: Nurses are the first point of contact for patients and are responsible for monitoring and reporting signs of infection. The COVID-19 pandemic cemented nurses' leadership role in infection prevention. Despite this, nurses' contribution to antimicrobial stewardship initiatives re...

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Autores principales: Kilpatrick, M., Hutchinson, A., Manias, E., Bouchoucha, S.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd on behalf of The Healthcare Infection Society. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164287/
https://www.ncbi.nlm.nih.gov/pubmed/37160230
http://dx.doi.org/10.1016/j.jhin.2023.05.001
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author Kilpatrick, M.
Hutchinson, A.
Manias, E.
Bouchoucha, S.L.
author_facet Kilpatrick, M.
Hutchinson, A.
Manias, E.
Bouchoucha, S.L.
author_sort Kilpatrick, M.
collection PubMed
description BACKGROUND: Nurses are the first point of contact for patients and are responsible for monitoring and reporting signs of infection. The COVID-19 pandemic cemented nurses' leadership role in infection prevention. Despite this, nurses' contribution to antimicrobial stewardship initiatives remains under-recognized. AIM: To determine how paediatric nurses understood their role and contribution to antimicrobial stewardship and infection prevention and control practices in three different acute paediatric wards. METHODS: Forty-three nurses were recruited from an adolescent ward, an oncology ward, and a surgical ward in a metropolitan tertiary children's hospital for a qualitative exploratory descriptive study. FINDINGS: Thematic and content analysis derived three themes from the data: understanding of preventable infections; embracing evidence-based guidelines to protect the patient; and roles in preventing and controlling infections and antimicrobial stewardship. Associated subthemes were: desensitized to COVID-19; understanding infection prevention and control precautions; correct use of hospital policy and guidelines; restrictions associated with the use of electronic medical records; understanding of sepsis management and the importance of timely microbiological testing; ambivalence on antimicrobial stewardship roles; and high priority placed on consumer education. CONCLUSION: Nurses' understanding of their role focused on practices such as performing hand hygiene, standard precautions, and reporting the use of high-risk antimicrobials. A lack of understanding of paediatric COVID-19 transmission and presentations was also reported. Education on best practice in infection prevention and AMS was recognized as crucial for both nurses and parents.
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spelling pubmed-101642872023-05-08 Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings Kilpatrick, M. Hutchinson, A. Manias, E. Bouchoucha, S.L. J Hosp Infect Article BACKGROUND: Nurses are the first point of contact for patients and are responsible for monitoring and reporting signs of infection. The COVID-19 pandemic cemented nurses' leadership role in infection prevention. Despite this, nurses' contribution to antimicrobial stewardship initiatives remains under-recognized. AIM: To determine how paediatric nurses understood their role and contribution to antimicrobial stewardship and infection prevention and control practices in three different acute paediatric wards. METHODS: Forty-three nurses were recruited from an adolescent ward, an oncology ward, and a surgical ward in a metropolitan tertiary children's hospital for a qualitative exploratory descriptive study. FINDINGS: Thematic and content analysis derived three themes from the data: understanding of preventable infections; embracing evidence-based guidelines to protect the patient; and roles in preventing and controlling infections and antimicrobial stewardship. Associated subthemes were: desensitized to COVID-19; understanding infection prevention and control precautions; correct use of hospital policy and guidelines; restrictions associated with the use of electronic medical records; understanding of sepsis management and the importance of timely microbiological testing; ambivalence on antimicrobial stewardship roles; and high priority placed on consumer education. CONCLUSION: Nurses' understanding of their role focused on practices such as performing hand hygiene, standard precautions, and reporting the use of high-risk antimicrobials. A lack of understanding of paediatric COVID-19 transmission and presentations was also reported. Education on best practice in infection prevention and AMS was recognized as crucial for both nurses and parents. The Authors. Published by Elsevier Ltd on behalf of The Healthcare Infection Society. 2023-07 2023-05-07 /pmc/articles/PMC10164287/ /pubmed/37160230 http://dx.doi.org/10.1016/j.jhin.2023.05.001 Text en © 2023 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Kilpatrick, M.
Hutchinson, A.
Manias, E.
Bouchoucha, S.L.
Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title_full Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title_fullStr Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title_full_unstemmed Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title_short Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
title_sort nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164287/
https://www.ncbi.nlm.nih.gov/pubmed/37160230
http://dx.doi.org/10.1016/j.jhin.2023.05.001
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