Evidence map›Paper›PMID 38429699›Full record

ArticleBMC nursing2024

Nursing strategies in antimicrobial stewardship in the hospital environment: a qualitative systematic review.

Flavia Giron Camerini, Tonia Lourenço Cunha, Cintia Silva Fassarella, Danielle de Mendonça Henrique, Juliana Gerhardt Soares Fortunato

Abstract read
In one paragraph

Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Can nursing strengthen one health initiatives?One health (Amsterdam, Netherlands) · 2025
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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

5 authors.

Flavia Giron CameriniMedical-Surgical Department of the Faculty of Nursing, State University of Rio de Janeiro, Boulevard 28 de Setembro, 157 - Vila Isabel, Rio de Janeiro, RJ, 20551-030, Brazil. fcamerini@gmail.com.ORCID https://orcid.org/0000-0002-4330-953X
Tonia Lourenço CunhaFaculty of Nursing, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0002-7279-9996
Cintia Silva FassarellaMedical-Surgical Department of the Faculty of Nursing, State University of Rio de Janeiro, Boulevard 28 de Setembro, 157 - Vila Isabel, Rio de Janeiro, RJ, 20551-030, Brazil.ORCID https://orcid.org/0000-0002-2946-7312
Danielle de Mendonça HenriqueMedical-Surgical Department of the Faculty of Nursing, State University of Rio de Janeiro, Boulevard 28 de Setembro, 157 - Vila Isabel, Rio de Janeiro, RJ, 20551-030, Brazil.ORCID https://orcid.org/0000-0002-0656-1680
Juliana Gerhardt Soares FortunatoFaculty of Nursing, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0003-3806-9380

Funding

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro Ref. Proc. E-26/211.832/2021 FAPERJ
6 · The paper itself

Abstract

backgroundAntimicrobial resistance has become one of the world's most important public health problems. Accordingly, nursing strategies to manage antimicrobials in hospital environments are fundamental to promoting patient health. The aim of this study was to summarise the best evidence available on nursing strategies for the safe management of antimicrobials in hospital environments.

methodsThis qualitative systematic review used meta-aggregation in accordance with the recommendations of the Joanna Briggs Institute. The protocol was registered in the data base of the Prospective Register of Systematic Reviews under No. CRD42021224804. The literature search was conducted, in April and May 2021, in the following data bases and journal repositories: Latin American and Caribbean Health Sciences Literature (LILACS) via the Virtual Health Library (VHL), Medical Literature Analysis and Retrieval System on-line (Medline) via PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scientific Electronic Library Online (SciELO) and Excerpta Medica Database (EMBASE). The findings of each study were summarized and the results were meta-aggregated in JBI SUMARI software.

resultsThe search resulted in a total of 447 studies and, after selection, the review included 26 studies, in which 42 nursing strategies were identified. The strategies were first categorised as care- or stewardship-related and then into the subcategories: Screening, Administration, Monitoring and Discharge, Nursing Team, Multi-professional Teams, Patients and Institutional Leadership. The 42 strategies were meta-aggregated and represented in flow diagrams. The best evidence was synthesized related to nursing strategies in the safe management of antimicrobials in the hospital environment.

conclusionsNurses play an indispensable function in antimicrobial stewardship in the hospital environment, because they work directly at the core of safe patient care. Significant contributions by nursing towards reducing antimicrobial resistance were found in care-related practice, education activities, research and policy.

Indexed as

Anti-bacterial agentsDrug resistanceNursing careReview

Identifiers

PMID38429699
PMCPMC10908145

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Registered trials

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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.