Evidence map›Paper›PMID 38661290›Full record

ArticleJournal of advanced nursing2025

The application of antimicrobial stewardship knowledge to nursing practice: A national survey of United Kingdom pre-registration nursing students.

Molly Courtenay, Clare Hawker, Rose Gallagher, Enrique Castro-Sanchez, Dinah J Gould, Faten Al Salti, Jennifer Bate, Daniel Cooper, Rebecca Cooper, Rebecca Craig and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

23 authors at 20 institutions in 3 countries.

Molly CourtenaySchool of Health Sciences, Cardiff University, Cardiff, UK.ORCID https://orcid.org/0000-0002-8639-5917
Clare HawkerSchool of Health Sciences, Cardiff University, Cardiff, UK.
Rose GallagherInfection Prevention and Control, Royal College of Nursing, London, UK.
Enrique Castro-SanchezBrunel University, Uxbridge, UK.ORCID https://orcid.org/0000-0002-3351-9496
Dinah J GouldInfection Control, London, UK.
Faten Al SaltiSheffield Hallam University, College of Health & Wellbeing, Sheffield, UK.
Jennifer BateSchool of Health, Science and Wellbeing, Staffordshire University, Shrewsbury, UK.
Daniel CooperSchool of Nursing and Advanced Practice, Liverpool John Moore University, Liverpool, UK.
Rebecca CooperSchool of Health Sciences, Medical School, University of Nottingham, Nottingham, UK.
Rebecca CraigSchool of Sport and Health Sciences, University of Brighton, Brighton, UK.
Rebecca DickinsonSchool of Healthcare, University of Leeds, UK.
Debbie FallonManchester University, Manchester, UK.
Sharon McleodBirmingham City University, Birmingham, UK.
Kate MorrowSchool of Health and Social Work, University of Hertfordshire, Hatfield, UK.
Valerie NessDepartment of Nursing and Community Health, Glasgow Caledonian University, Glasgow, UK.
Andrew NicholsSchool of Nursing and Midwifery, Plymouth University, Plymouth, UK.
Sarah O'reillyDepartment of Health Sciences, University of York, UK.
Sarah PartingtonSchool of Nursing and Healthcare Leadership, Bradford University, Bradford, UK.
J Claire SevenoaksSchool of Health Sciences, University of Greenwich, London, UK.
Matthew SunterRobert Gordon University, School of Nursing, Midwifery and Paramedic Practice, Aberdeen, UK.
Jane TurnerSchool of Nursing and Midwifery, University of Derby, Chesterfield, UK.
Liz W UnderhillSchool of Nursing and Midwifery, University of Hull, Hull, UK.
Sarah L WeaverThree Counties School of Nursing and Midwifery, University of Worcester, Worcester, UK.
Cardiff University · GBBiology of Infection · FRBirmingham City University · GBGlasgow Caledonian University · GBImperial College London · GBLiverpool John Moores University · GBRobert Gordon University · GBRoyal College of Nursing · GBSheffield Hallam University · GBUniversity of Bradford · GBUniversity of Brighton · GBUniversity of Derby · GBUniversity of Greenwich · GBUniversity of Hertfordshire · GBUniversity of Hull · GBUniversity of Leeds · GBUniversity of Manchester · GBUniversity of Nottingham · GBUniversity of Plymouth · GBUniversity of Staffordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess student nurses understanding and skills in the application of antimicrobial stewardship knowledge to practice.

designQuantitative.

methodsCross-sectional survey.

resultsFive hundred and twenty three student nurses responded across 23 UK universities. Although students felt prepared in competencies in infection prevention and control, patient-centred care and interprofessional collaborative practice, they felt less prepared in competencies in which microbiological knowledge, prescribing and its effect on antimicrobial stewardship is required. Problem-based learning, activities in the clinical setting and face-to-face teaching were identified as the preferred modes of education delivery. Those who had shared antimicrobial stewardship teaching with students from other professions reported the benefits to include a broader understanding of antimicrobial stewardship, an understanding of the roles of others in antimicrobial stewardship and improved interprofessional working.

conclusionThere are gaps in student nurses' knowledge of the basic sciences associated with the antimicrobial stewardship activities in which nurses are involved, and a need to strengthen knowledge in pre-registration nurse education programmes pertaining to antimicrobial management, specifically microbiology and antimicrobial regimes and effects on antimicrobial stewardship. Infection prevention and control, patient-centred care and interprofessional collaborative practice are areas of antimicrobial stewardship in which student nurses feel prepared. Interprofessional education would help nurses and other members of the antimicrobial stewardship team clarify the role nurses can play in antimicrobial stewardship and therefore maximize their contribution to antimicrobial stewardship and antimicrobial management. IMPLICATIONS FOR THE PROFESSION: There is a need to strengthen knowledge from the basic sciences, specifically pertaining to antimicrobial management, in pre-registration nurse education programmes. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. IMPACT: What Problem Did the Study Address? Nurses must protect health through understanding and applying antimicrobial stewardship knowledge and skills (Nursing and Midwifery Council 2018); however, there is no research available that has investigated nurses understanding and skills of the basic sciences associated with the antimicrobial stewardship activities in which they are involved. What Were the Main Findings? There are gaps in student nurses' knowledge of the basic sciences (specifically microbiology and prescribing) associated with the antimicrobial stewardship activities in which nurses are involved. Problem-based learning, and activities in the clinical setting, were reported as useful teaching methods, whereas online learning, was seen as less useful. Where and on Whom Will the Research Have an Impact? Pre-registration nurse education programmes. REPORTING

methodThe relevant reporting method has been adhered to, that is, STROBE.

Indexed as

Antimicrobial StewardshipClinical CompetenceStudents, NursingAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleSurveys and QuestionnairesUnited KingdomYoung Adultbiological subjectsnurse educationnurse rolesquantitative approaches

Identifiers

PMID38661290
PMCPMC11638529
OpenAlexW4395464732

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.