Evidence map›Paper›PMID 29395509›Full record

ArticleAmerican journal of infection control2018

Exploring the nurses' role in antibiotic stewardship: A multisite qualitative study of nurses and infection preventionists.

Eileen J Carter, William G Greendyke, E Yoko Furuya, Arjun Srinivasan, Alexa N Shelley, Aditi Bothra, Lisa Saiman, Elaine L Larson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed.

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  17. Antimicrobial stewardship knowledge, attitudes, and practices (KAP) among nurses.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
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  18. Review
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eileen J CarterColumbia University School of Nursing, New York, NY; Department of Nursing, NewYork-Presbyterian, New York, NY. Electronic address: em2473@columbia.edu.
William G GreendykeDepartment of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY; Department of Medicine, Columbia University Medical Center, New York, NY.
E Yoko FuruyaDepartment of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY; Department of Medicine, Columbia University Medical Center, New York, NY.
Arjun SrinivasanDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Alexa N ShelleyColumbia University School of Nursing, New York, NY; Department of Nursing, NewYork-Presbyterian, New York, NY.
Aditi BothraColumbia University Mailman School of Public Health, New York, NY.
Lisa SaimanDepartment of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY; Department of Pediatrics, Columbia University Medical Center, New York, NY.
Elaine L LarsonColumbia University School of Nursing, New York, NY; Columbia University Mailman School of Public Health, New York, NY.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThere is a growing recognition of the need to partner with nurses to promote effective antibiotic stewardship. In this study, we explored the attitudes of nurses and infection preventionists toward 5 nurse-driven antibiotic stewardship practices: 1) questioning the need for urine cultures; 2) ensuring proper culturing technique; 3) recording an accurate penicillin drug allergy history; 4) encouraging the prompt transition from intravenous (IV) to oral (PO) antibiotics; and 5) initiating an antibiotic timeout.

methodsNine focus groups and 4 interviews with 49 clinical nurses, 5 nurse managers, and 7 infection preventionists were conducted across 2 academic pediatric and adult hospitals.

resultsNurse-driven antibiotic stewardship was perceived as an extension of the nurses' role as patient advocate. Three practices were perceived most favorably: questioning the necessity of urinary cultures, ensuring proper culturing techniques, and encouraging the prompt transition from IV to PO antibiotics. Remaining recommendations were perceived to lack relevance or to challenge traditionally held nursing responsibilities. Prescriber and family engagement were noted to assist the implementation of select recommendations. Infection preventionists welcomed the opportunity to assist in providing nurse stewardship education.

conclusionsNurses appeared to be enthusiastic about participating in antibiotic stewardship. Efforts to engage nurses should address knowledge needs and consider the contexts in which nurse-driven antibiotic stewardship occurs.

Indexed as

Nurse's RoleAnti-Bacterial AgentsAntimicrobial StewardshipCommunicable DiseasesHumansInterviews as TopicAnti-Bacterial Agentsantibiotic stewardshipNursesqualitative research

Identifiers

PMID29395509
PMCPMC6495548

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.