Implementation of a nurse-driven antibiotic engagement tool in 3 hospitals - 18/11/20
Highlights |
• | Nurses are critical players in the antibiotic stewardship movement. |
• | Feasibility study examined use of a nurse-driven engagement tool to assess satisfaction, confidence and understanding of antibiotic plan. |
• | Tool promoted interdisciplinary conversation and identified antibiotic duration as an area for future nursing interventions. |
Résumé |
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.
Le texte complet de cet article est disponible en PDF.Key Words : Antibiotic stewardship, Nurses, Interprofessional communication, Duration, Leadership
Plan
Funding/support: This study was funded by the APIC Heroes of Implementation Research Scholar Award Program 2019-2020, which was supported by an educational grant from BD (PI: Monsees). |
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Conflicts of interest: None to report. |
Vol 48 - N° 12
P. 1415-1421 - décembre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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