Evidence map›Paper›PMID 42305997›Full record

ReviewCanada communicable disease report = Releve des maladies transmissibles au Canada2026

Canadian nurses' perspectives on challenges to antimicrobial stewardship in long-term care homes.

Alexander Varsaneux, Kathleen Qu, Jorida Cila, Gabrielle Brankston, Klajdi Puka, Tyler Good, Barbara Catt, Shaghig Reynolds, Aboubakar Mounchili, Denise Gravel-Tropper

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Canada communicable disease report = Releve des maladies transmissibles au Canada, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Alexander VarsaneuxCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Kathleen QuCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Jorida CilaSurveillance, Integrated Insights and Risk Assessment, Public Health Agency of Canada, Ottawa, ON.
Gabrielle BrankstonCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Klajdi PukaImpact Canada, Privy Council Office, Ottawa, ON.
Tyler GoodSurveillance, Integrated Insights and Risk Assessment, Public Health Agency of Canada, Ottawa, ON.
Barbara CattCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Shaghig ReynoldsCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Aboubakar MounchiliCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Denise Gravel-TropperCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The World Health Organization recognizes antimicrobial resistance (AMR) as a top global health threat. Antimicrobial resistance-related deaths in Canada are projected to exceed 13,500 annually by 2050. In long-term care homes (LTCH), 40% to 75% of antimicrobial prescriptions are inappropriate or unnecessary. Nurses are well-positioned to lead in antimicrobial stewardship (AMS) initiatives; however, it is unclear what challenges LTCH nurses face in participating in AMS activities. This study aims to provide insights into barriers and facilitators influencing nurses' engagement in AMS within Canadian LTCHs. Methods: A survey was developed using literature and an AMS working group assessing AMS knowledge (10 questions), confidence, barriers and facilitators. The survey targeted nurses working in Canadian LTCHs and was administered through Qualtrics online from January 20, 2023 to April 10, 2023 by distribution partners to obtain a convenience sample. Open-coding thematic analysis was used to describe quantitative data and analyze qualitative responses. Results: A total of 346 complete responses were recorded. The mean knowledge score was 71% (standard deviation [SD]=15%). Most respondents perceived infection prevention and control measures, and monitoring changes in the health of residents to be part of the duties of nurses within AMS. However, making recommendations about antimicrobials was the least cited nursing responsibility. This suggests a lack of clarity around the role of nurses in AMS. Barriers to AMS activities included pressure to treat and lack of meaningful interprofessional communication, while AMS education and senior management support were drivers for AMS engagement. Conclusion: Education, senior-level support, and formal recognition of nurses in AMS programming represent key facilitators to effectively engage LTCH nurses in AMS best practices.

Indexed as

antimicrobial resistanceantimicrobial stewardshipinfection prevention and controllong-term carenursessurvey

Identifiers

PMID42305997
PMCPMC13268222

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.