Implementation of a nurse-driven antibiotic engagement tool in 3 hospitals.
Document Type
Article
Publication Date
12-2020
Identifier
DOI: 10.1016/j.ajic.2020.07.002
Abstract
BACKGROUND: Nurses are key in implementing antibiotic stewardship; however, standardized processes are lacking.
METHODS: This feasibility study tested implementation of a nurse-driven antibiotic engagement tool (AET) that addressed antibiotic indication, duration, discontinuation, and intravenous to oral conversion. An investigator-developed survey measured nurse satisfaction, confidence, and understanding of antibiotic plan of care among 4 clinical units. Mann-Whitney U was used to compare differences between time periods. Nonparametric summary distributions assessed AET use.
RESULTS: Results from 121 surveys were available; 71 (36%) presurvey, 50 (24%) postsurvey. Thirteen registered nurses reported satisfaction or agreement with AET use: (1) ease (median: 4 [2.25, 4]); (2) time (median: 4 [3.5, 4.5]); (3) helped facilitate asking questions (median: 4 [3, 4]); (4) helped find antibiotic information (median: 4 [2.5, 4]); and (5) increased confidence in antibiotic discussions (median 4 [3, 4]). Planned duration of antibiotic therapy was unclear to nurses 13.9% of the time with nurses identifying duration discrepancies in 22.8% of submitted AETs.
CONCLUSIONS: The AET promoted interprofessional conversation. Use was higher in settings where leaders and nurse influencers were involved in stewardship promotion. Clarifying antibiotic duration is a prime area for future nursing antibiotic stewardship efforts.
Journal Title
American journal of infection control
Volume
48
Issue
12
First Page
1415
Last Page
1421
PubMed ID
32645472
Keywords
Antibiotic stewardship; Duration; Interprofessional communication; Leadership; Nurses
Recommended Citation
Monsees E, Lee B, Wirtz A, Goldman J. Implementation of a nurse-driven antibiotic engagement tool in 3 hospitals. Am J Infect Control. 2020;48(12):1415-1421. doi:10.1016/j.ajic.2020.07.002
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