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Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study
OBJECTIVES: This study responds to calls for greater focus on nursing roles, and the need for nursing integration within the antimicrobial optimisation agenda. The objective of this study was to explore Australian hospital nurses’ views on antimicrobial resistance and antimicrobial stewardship (AMS)...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597488/ https://www.ncbi.nlm.nih.gov/pubmed/33122328 http://dx.doi.org/10.1136/bmjopen-2020-042321 |
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author | Kirby, Emma Broom, Alex Overton, Kristen Kenny, Katherine Post, Jeffrey J Broom, Jennifer |
author_facet | Kirby, Emma Broom, Alex Overton, Kristen Kenny, Katherine Post, Jeffrey J Broom, Jennifer |
author_sort | Kirby, Emma |
collection | PubMed |
description | OBJECTIVES: This study responds to calls for greater focus on nursing roles, and the need for nursing integration within the antimicrobial optimisation agenda. The objective of this study was to explore Australian hospital nurses’ views on antimicrobial resistance and antimicrobial stewardship (AMS) in a hospital setting, in order to better understand the opportunities for and challenges to integration of nursing staff in antimicrobial optimisation within hospital settings. DESIGN: Qualitative one-on-one, semistructured interviews. Interview transcripts were digitally audio-recorded and transcribed verbatim. Data were subject to thematic analysis supported by the framework approach and informed by sociological methods and theory. SETTING: Four hospitals (three public and one private), across metropolitan, regional and remote areas, in two Australian states. PARTICIPANTS: 86 nurses (77 females, 9 males), from a range of hospital departments, at a range of career stages. RESULTS: Findings were organised into three thematic domains: (1) the current peripheral role of nurses in AMS; (2) the importance of AMS as a collaborative effort, and current tensions around interprofessional roles and (3) how nurses can bolster antimicrobial optimisation within AMS and beyond. CONCLUSION: Nursing staff are central to infection management within the hospital and are thus ideally located to enhance antibiotic optimisation and contribute to AMS governance. However, without increased interprofessional cooperation, education and integration in the AMS agenda, as well as addressing organisational/resource constraints in the hospital, the nursing role in stewardship will remain limited. |
format | Online Article Text |
id | pubmed-7597488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-75974882020-11-05 Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study Kirby, Emma Broom, Alex Overton, Kristen Kenny, Katherine Post, Jeffrey J Broom, Jennifer BMJ Open Nursing OBJECTIVES: This study responds to calls for greater focus on nursing roles, and the need for nursing integration within the antimicrobial optimisation agenda. The objective of this study was to explore Australian hospital nurses’ views on antimicrobial resistance and antimicrobial stewardship (AMS) in a hospital setting, in order to better understand the opportunities for and challenges to integration of nursing staff in antimicrobial optimisation within hospital settings. DESIGN: Qualitative one-on-one, semistructured interviews. Interview transcripts were digitally audio-recorded and transcribed verbatim. Data were subject to thematic analysis supported by the framework approach and informed by sociological methods and theory. SETTING: Four hospitals (three public and one private), across metropolitan, regional and remote areas, in two Australian states. PARTICIPANTS: 86 nurses (77 females, 9 males), from a range of hospital departments, at a range of career stages. RESULTS: Findings were organised into three thematic domains: (1) the current peripheral role of nurses in AMS; (2) the importance of AMS as a collaborative effort, and current tensions around interprofessional roles and (3) how nurses can bolster antimicrobial optimisation within AMS and beyond. CONCLUSION: Nursing staff are central to infection management within the hospital and are thus ideally located to enhance antibiotic optimisation and contribute to AMS governance. However, without increased interprofessional cooperation, education and integration in the AMS agenda, as well as addressing organisational/resource constraints in the hospital, the nursing role in stewardship will remain limited. BMJ Publishing Group 2020-10-29 /pmc/articles/PMC7597488/ /pubmed/33122328 http://dx.doi.org/10.1136/bmjopen-2020-042321 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Nursing Kirby, Emma Broom, Alex Overton, Kristen Kenny, Katherine Post, Jeffrey J Broom, Jennifer Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title | Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title_full | Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title_fullStr | Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title_full_unstemmed | Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title_short | Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
title_sort | reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study |
topic | Nursing |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597488/ https://www.ncbi.nlm.nih.gov/pubmed/33122328 http://dx.doi.org/10.1136/bmjopen-2020-042321 |
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