The nurses’ role in antimicrobial stewardship : A scoping review

Journal article


van Huizen, Pheona, Kuhn, Lisa, Russo, Philip L. and Connell, Clifford J.. (2021). The nurses’ role in antimicrobial stewardship : A scoping review. International Journal of Nursing Studies. 113, p. Article 103772. https://doi.org/10.1016/j.ijnurstu.2020.103772
Authorsvan Huizen, Pheona, Kuhn, Lisa, Russo, Philip L. and Connell, Clifford J.
Abstract

Background
The role of nurses in antimicrobial stewardship is understated and not well understood. Nurses can have a significant impact on the development of antimicrobial resistant bacteria in hospitals and the wider community through their management of intravenous antibiotics.

Objective
To investigate the nurse's role in antimicrobial stewardship and examine best practice for preparing, administering and disposing of intravenous antibiotics.

Methods
A systematically conducted scoping review was used. Seven databases were searched for published articles. Retrieved articles were screened for eligibility against pre-set inclusion and exclusion criteria with eligible full-text articles included in the synthesis. Reference lists of eligible articles and social media were reviewed to identify further sources of literature.

Results
Forty-three sources of evidence were included. The extracted data indicate that a part of the nurse's role in antimicrobial stewardship is to monitor judicious antibiotic prescribing practices. Other than literature related to medication errors, there was limited research describing best practice when preparing, administering and disposing of intravenous antibiotics. There was also little evidence of consistent policy, guidelines and education for nurses’ practice related to antimicrobial stewardship.

Conclusions
The evidence for best practice when nurses prepare, administer and dispose of intravenous antibiotics in hospitals is scarce. When nurses use best practice to manage intravenous antibiotics, the risk of antimicrobial resistant bacteria developing is minimised. The role of nurses in antimicrobial stewardship needs to be supported through education and evidence-based guidelines.

Tweetable abstract: Nurse work practices may prevent the development and spread of antimicrobial resistant bacteria

Keywordsanti-bacterial agents; antimicrobial drug resistance; antimicrobial stewardship; hospitals; nurses
Year2021
JournalInternational Journal of Nursing Studies
Journal citation113, p. Article 103772
PublisherElsevier Ltd
ISSN0020-7489
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ijnurstu.2020.103772
PubMed ID33080476
Scopus EID2-s2.0-85092719262
Page range1-18
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online09 Sep 2020
Publication process dates
Accepted05 Sep 2020
Deposited16 Jun 2023
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https://acuresearchbank.acu.edu.au/item/8z248/the-nurses-role-in-antimicrobial-stewardship-a-scoping-review

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