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Tytuł:
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A novel framework to guide antibiotic stewardship nursing practice.
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Autorzy:
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Manning ML; Center for Infection Prevention and Antibiotic Stewardship, Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, PA. Electronic address: .
Pogorzelska-Maziarz M; Center for Infection Prevention and Antibiotic Stewardship, Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, PA.
Hou C; Jefferson Health New Jersey, Infectious Diseases, Voorhees, NJ.
Vyas N; Clinical Pharmacist/Infectious Diseases, Jefferson Health New Jersey, Stratford, NJ.
Kraemer M; Assistant VP Safety and Quality, Jefferson Health- NJ, Voorhees, NJ.
Carter E; University of Connecticut, School of Nursing, Storrs, CT.
Monsees E; Antibiotic Stewardship Program Manager, Senior PCS Researcher, Patient Care Services Research, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO.
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Źródło:
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American journal of infection control [Am J Infect Control] 2022 Jan; Vol. 50 (1), pp. 99-104. Date of Electronic Publication: 2021 Sep 04.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Original Publication: St. Louis, Mosby
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MeSH Terms:
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Antimicrobial Stewardship*
Physicians*
Anti-Bacterial Agents/therapeutic use ; Delivery of Health Care ; Drug Resistance, Microbial ; Humans ; Pharmacists
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Contributed Indexing:
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Keywords: Antibiotic; Nurses; Practice; SCAN-P Framework; Stewardship
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Substance Nomenclature:
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0 (Anti-Bacterial Agents)
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Entry Date(s):
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Date Created: 20210907 Date Completed: 20220302 Latest Revision: 20220531
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Update Code:
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20240105
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DOI:
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10.1016/j.ajic.2021.08.029
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PMID:
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34492325
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Background: There is a pervasive view among some nurses and health care disciplines that antibiotic stewardship (AS) is solely a physician or pharmacist responsibility. There is an urgent need to alter this view so that nurses can seize every opportunity to prevent patient harm from antibiotics and optimize antibiotic use. One challenge to achieving full nurse engagement as equal members of the AS team is lack of an organizing framework to illustrate relationships of phenomena and concepts inherent to adoption of AS nursing practices.
Methods: We sought to create a framework derived from the peer-reviewed literature, systematic and scoping reviews, and professional standards, consensus statements and white papers. The emerging framework went through multiple iterations as it was vetted with nurse clinicians, scholars and educators, physicians, pharmacists, infection preventionists and AS subject matter experts.
Results: Our evidence-based Antibiotic Stewardship Nursing Practice SCAN-P Framework provides the much-needed context and clarity to help guide local-level nurses to participate in and lead AS nursing practice.
Conclusions: Nurses worldwide are ideally situated to provide holistic person-centered care, advocate for judicious use of antibiotics to minimize antibiotic resistance, and be AS educators of their patients, communities and the general public. The Antibiotic Stewardship Nursing Practice SCAN-P Framework provides a tool to do so.
(Copyright © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
