A novel framework to guide antibiotic stewardship nursing practice.
Document Type
Article
Publication Date
1-2022
Identifier
DOI: 10.1016/j.ajic.2021.08.029
Abstract
BACKGROUND: There is a pervasive view among some nurses and health care disciplines that antibiotic stewardship (AS) is solely a physician or pharmacist responsibility. There is an urgent need to alter this view so that nurses can seize every opportunity to prevent patient harm from antibiotics and optimize antibiotic use. One challenge to achieving full nurse engagement as equal members of the AS team is lack of an organizing framework to illustrate relationships of phenomena and concepts inherent to adoption of AS nursing practices.
METHODS: We sought to create a framework derived from the peer-reviewed literature, systematic and scoping reviews, and professional standards, consensus statements and white papers. The emerging framework went through multiple iterations as it was vetted with nurse clinicians, scholars and educators, physicians, pharmacists, infection preventionists and AS subject matter experts.
RESULTS: Our evidence-based Antibiotic Stewardship Nursing Practice SCAN-P Framework provides the much-needed context and clarity to help guide local-level nurses to participate in and lead AS nursing practice.
CONCLUSIONS: Nurses worldwide are ideally situated to provide holistic person-centered care, advocate for judicious use of antibiotics to minimize antibiotic resistance, and be AS educators of their patients, communities and the general public. The Antibiotic Stewardship Nursing Practice SCAN-P Framework provides a tool to do so.
Journal Title
American journal of infection control
Volume
50
Issue
1
First Page
99
Last Page
104
Keywords
Antibiotic; Nurses; Practice; SCAN-P Framework; Stewardship
Recommended Citation
Manning ML, Pogorzelska-Maziarz M, Hou C, et al. A novel framework to guide antibiotic stewardship nursing practice. Am J Infect Control. 2022;50(1):99-104. doi:10.1016/j.ajic.2021.08.029
COinS
