Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals.
BACKGROUND: There are national calls to engage nurses as antimicrobial stewards, but it is unknown how patient safety culture influences nurses' antimicrobial stewardship (AS) involvement.
METHODS: Cross-sectional survey to determine bedside nurses' recognition and performance confidence in AS. Nine hospitals ranged in size from 42 to 562 beds serving pediatric and adult populations in 2 different metropolitan areas. Composite scores for nursing practices, performance confidence, and organizational factors were developed and correlated. Analysis of variance (ANOVA) with Tukey HSD post-hoc tests and nonparametric (Kruskal-Wallis) tests with Bonferroni adjusted P values for multiple comparisons were used to evaluate differences by clinical unit and years of clinical experience. Free text comments were categorized by theme.
RESULTS: A total of 558 nurses participated (13% response rate). A significant positive association r
CONCLUSIONS: Nurses identified a professional role in AS processes, though safety culture inhibited their involvement. These findings can help enhance the inclusion of nurses in AS efforts.
American journal of infection control
Antibiotic stewardship; Antimicrobial stewardship; Nurses; Organizational patient safety; Patient safety; Performance confidence
Monsees, E., Goldman, J., Vogelsmeier, A., Popejoy, L. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. American journal of infection control 48, 239-245 (2020).