Original ResearchNurse Practitioners' Attitudes, Perceptions, and Knowledge About Antimicrobial Stewardship
Section snippets
Methods
In collaboration with the Centers for Disease Control and Prevention's (CDC) Division of Healthcare Quality Promotion “Get Smart about Healthcare,” a 68-item Web-based survey, was developed for use at a 1,500-bed tertiary care center, university-affiliated hospital in Florida. In this setting, NPs collaborate with attending physicians in patient care but have autonomous ability to prescribe antimicrobial therapy. A modified version of the survey instrument that had been distributed to
Demographics
Forty-three percent (58/135) of the NPs completed the questionnaire. The respondents were 88% female; 66% had graduated in their area of specialty as an NP 7 or more years ago, 24% 2-6 years ago, and 10% within 1 year before taking the survey. Among the 58 respondents, 53% reported that they usually prescribe antibiotics mostly for hospitalized patients, 34% mostly for outpatients, and 12% for both. Respondents varied widely in their area of specialty: 26% in critical care, 12% obstetrics and
Discussion
Since the 1970s, studies have shown that NPs consistently provide primary care that is similar in quality to physicians and that NPs have the ability to appropriately prescribe drugs independently.20 NPs' antimicrobial prescribing patterns (both appropriate and inappropriate) for viral infections have been shown to be similar to those of physicians according to some17, 21 but not all22 authors. Roumie et al22 compared outpatient antibiotic prescribing patterns by physicians, nonphysician
Acknowledgments
The authors appreciate the assistance of Ronda Sinkowitz-Cochran, MPH, and Arjun Srinivasan, MD, at the Centers for Disease Control and Prevention, Division of Healthcare Quality and Promotion, for their thoughtful review of the survey and the final manuscript.
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Evaluating knowledge and perception of antimicrobial stewardship among nurses in an acute care hospital
2021, Infection, Disease and HealthCitation Excerpt :There was often a lack of awareness of AMS reported among the nurses and a lack of recognition of their role within this aspect [4–6]. Furthermore, the recommended AMS principles were not incorporated in most of the undergraduate nursing programmes [4,7]. Nonetheless, nurses are involved in the surveillance of appropriate antibiotic prescribing practices, communicating and coordinating patient care, as well as round the clock monitoring of patients' safety and reaction to the antibiotic therapy [8].
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2021, American Journal of Infection ControlCitation Excerpt :Interviews were recorded, transcribed by a VA-approved transcriptionist, coded for recurring themes, and mapped to the SEIPS framework (Fig 1). We used a survey conducted with NPs in 2012 as a starting point for developing the interview questions5 and consulted with a local VA infectious disease physicians. Questions were vetted by 2 investigators (KS and KB) and the primary investigator pilot tested the questions with 3 NPs at a rural VA facility not participating in the project.
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2020, Journal of Hospital InfectionCitation Excerpt :Multidisciplinary rounds provide an effective platform for nurses to provide input, clarify doubts, and be kept up-to-date with their patient's medications and be involved in their treatment decision-making processes. Previous studies have shown that the involvement of nurses in the shared decision-making for antibiotic prescribing could be an effective strategy to educate them about antibiotics, their proper use, and the ways in which AMR could be avoided [28,29]. Such involvement could also improve the communications and rapport between the nurses and other healthcare professionals, resulting in better workflows and antibiotic stewardship in hospitals.
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2020, Infectious Disease Clinics of North AmericaCitation Excerpt :They conjectured that the failure of nursing to be included in ASP structures or planning could be due either (a) to a perception of infection preventionists as nurse representatives or (b) to the dearth of published articles on antibiotic resistance or antimicrobial stewardship in nursing journals.12–14 There was also a perception among nurses themselves that, with the exception of nurse practitioners,14 they were not antibiotic prescribers and therefore were not integral to AS functions.15 The CDC supported nursing inclusion in the National Quality Partners Playbook16 in their core elements for antimicrobial stewardship.
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2019, American Journal of Infection ControlThai clinicians’ attitudes toward antimicrobial stewardship programs
2018, American Journal of Infection ControlCitation Excerpt :Most clinicians in this study agreed that systems for improved antibiotic prescribing were important to reduce the occurrence of AMR and should be a hospital priority. Many other studies have also reported that systems to improve antibiotic prescribing would be clinically useful to ensure the optimal prescribing and use of antibiotics9,11,14-16,20 and support the premise that AMS programs decrease inappropriate antibiotic use, reduce health care costs, and decrease the occurrence of AMR and adverse drug events, all of which improve patient care.21 Therefore, the strategies and systems that promote appropriate antibiotic use or AMS programs have been set as a worldwide agenda.1
In compliance with national ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest..
- 1
Lilian Abbo, MD, is an assistant professor of clinical medicine in the division of infectious diseases at the University of Miami Miller School of Medicine and medical director of the Antimicrobial Stewardship Program at Jackson Memorial Hospital in Miami, FL.
- 2
Laura Smith, PharmD, BCPS, is a clinical pharmacist in infectious diseases at the same hospital and pharmacy director of the Antimicrobial Stewardship Program.
- 3
Margaret Pereyra, DrPH, is a research assistant professor in the University of Miami department of epidemiology and public health.
- 4
Mary Wyckoff, ARNP, is an acute care nurse practitioner and director of education and research in critical care at the William Lehman Injury Research Center and an assistant professor in the University of Miami School of Nursing.
- 5
Thomas M. Hooton, MD, is professor of clinical medicine in the department of medicine and medical director of infection control and occupational health at the University of Miami.