Evidence map›Paper›PMID 33122328›Full record

ArticleBMJ open2020

Reconsidering the nursing role in antimicrobial stewardship: a multisite qualitative interview study.

Emma Kirby, Alex Broom, Kristen Overton, Katherine Kenny, Jeffrey J Post, Jennifer Broom

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
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

16 citing papers in PubMed, 39 citations in OpenAlex.

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  15. Guidelines for the hospital role of the clinical nurse in antimicrobial stewardship: A scoping review.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021
    Article
  16. Guideline recommendations for antimicrobial stewardship education for clinical nursing practice in hospitals: A scoping review.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021
    Article
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

6 authors at 3 institutions in 1 country.

Emma KirbyCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia emma.kirby@unsw.edu.au.ORCID 0000-0001-9754-0342
Alex BroomSchool of Social and Political Sciences, University of Sydney, Sydney, New South Wales, Australia.
Kristen OvertonCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
Katherine KennySchool of Social and Political Sciences, University of Sydney, Sydney, New South Wales, Australia.
Jeffrey J PostDepartment of Infectious Diseases, Prince of Wales Hospital and Community Health Services, Randwick, New South Wales, Australia.
Jennifer BroomDepartment of Infectious Diseases, Sunshine Coast University Hospital, Birtinya, Queensland, Australia.
UNSW Sydney · AUThe University of Sydney · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis 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.

designQualitative 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.

settingFour hospitals (three public and one private), across metropolitan, regional and remote areas, in two Australian states.

participants86 nurses (77 females, 9 males), from a range of hospital departments, at a range of career stages.

resultsFindings 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.

conclusionNursing 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.

Indexed as

Antimicrobial StewardshipAnti-Bacterial AgentsAustraliaFemaleHumansMaleNurse's RoleQualitative ResearchAnti-Bacterial Agentsantibiotic optimisationantimicrobial resistanceantimicrobial stewardshipnursesqualitative research

Identifiers

PMID33122328
PMCPMC7597488
OpenAlexW3094782749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.