Knowledge, attitudes, and practices of bedside nursing staff regarding antibiotic stewardship: A cross-sectional study.

Academic Medical Centers Antimicrobial Stewardship / methods Cross-Sectional Studies Health Knowledge, Attitudes, Practice Humans Nursing Staff / psychology Tertiary Care Centers Virginia
Antimicrobial stewardship CDC core elements

Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
03 2019
Historique:
received: 06 06 2018
revised: 02 09 2018
accepted: 03 09 2018
pubmed: 26 11 2018
medline: 9 4 2020
entrez: 26 11 2018
Statut: ppublish

Résumé

Nursing engagement in antibiotic stewardship programs (ASPs) remains suboptimal. The purpose of this study was to determine the knowledge, attitudes, and practices of nursing staff members regarding ASPs and identify barriers to their participation in such programs. This cross-sectional study was conducted at Virginia Commonwealth University Health System, an 860-bed tertiary care academic center located in Richmond, Virginia, where a well-resourced ASP has been in place for 2 decades. A survey consisting of 12 questions was administered to nursing staff via REDCap (Research Electronic Data Capture) in February 2018. A total of 159 survey responses were included in the study. The results demonstrated gaps in knowledge regarding antibiotic stewardship (AS) and highlighted the importance of improving communication between nurses and ASPs. Overall, 102 (64.15%) of the study participants indicated familiarity with AS. Time constraints and concerns over physician pushback were identified as major barriers to participation. Many nurses were unaware of our center's ASP. Nurses identified activities falling within their daily workflow as potential areas for contribution to ASPs. Key barriers to participation were also identified. These data will inform efforts to engage nursing in AS activities at our medical center.

Sections du résumé

BACKGROUND
Nursing engagement in antibiotic stewardship programs (ASPs) remains suboptimal. The purpose of this study was to determine the knowledge, attitudes, and practices of nursing staff members regarding ASPs and identify barriers to their participation in such programs.
METHODS
This cross-sectional study was conducted at Virginia Commonwealth University Health System, an 860-bed tertiary care academic center located in Richmond, Virginia, where a well-resourced ASP has been in place for 2 decades. A survey consisting of 12 questions was administered to nursing staff via REDCap (Research Electronic Data Capture) in February 2018.
RESULTS
A total of 159 survey responses were included in the study. The results demonstrated gaps in knowledge regarding antibiotic stewardship (AS) and highlighted the importance of improving communication between nurses and ASPs. Overall, 102 (64.15%) of the study participants indicated familiarity with AS. Time constraints and concerns over physician pushback were identified as major barriers to participation.
CONCLUSIONS
Many nurses were unaware of our center's ASP. Nurses identified activities falling within their daily workflow as potential areas for contribution to ASPs. Key barriers to participation were also identified. These data will inform efforts to engage nursing in AS activities at our medical center.

Identifiants

DOI: 10.1016/j.ajic.2018.09.008 PMID: 30471970
pubmed: 30471970
pii: S0196-6553(18)30914-3
doi: 10.1016/j.ajic.2018.09.008
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

230-233

Informations de copyright

Copyright © 2018. Published by Elsevier Inc.

Auteurs

Salma Abbas (S)

Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA.

Kimberly Lee (K)

Department of Pharmacology, Virginia Commonwealth University, Richmond, VA.

Amy Pakyz (A)

Department of Pharmacotherapy & Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, VA.

Daniel Markley (D)

Department of Internal Medicine, Division of Infectious Diseases, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA.

Kaila Cooper (K)

Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University, North Hospital, Richmond, VA.

Ginger Vanhoozer (G)

Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University, North Hospital, Richmond, VA.

Michelle Doll (M)

Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA; Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University, North Hospital, Richmond, VA.

Gonzalo Bearman (G)

Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA; Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University, North Hospital, Richmond, VA.

Michael P Stevens (MP)

Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA. Electronic address: michael.stevens@vcuhealth.org.

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Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Centres hospitaliers universitaires › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Bilan opérationnel › Revue des pratiques de prescription des médicaments › Gestion responsable des antimicrobiens › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Connaissances, attitudes et pratiques en santé › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Personnel infirmier › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › Centres de soins tertiaires › Knowledge, attitudes, and practices of bedside...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › États du Sud-Est des États-Unis › Virginie › Knowledge, attitudes, and practices of bedside...