Thomas Jefferson University, College of Nursing, Philadelphia, PA.
Thomas Jefferson University, College of Nursing, Philadelphia, PA.
Am J Infect Control. 2018 May;46(5):498-502. doi: 10.1016/j.ajic.2017.10.024.
Infection preventionists (IPs) and registered nurses (RNs) have an important role to play in antibiotic stewardship programs (ASPs). Recent articles highlight their potential roles in practice, research, education, and policy; however, little is known about their actual ASP engagement. Leaders often have early knowledge of emerging trends and evolving health care worker roles.
A survey was developed using the Centers for Disease Control and Prevention's Core Elements of Hospital Antibiotic Stewardship Programs to assess health care system infection prevention and control leaders' perceptions of IP and RN engagement in hospital ASPs.
Thirty-five leaders representing all regions of the United States completed the survey. Their organizations tended to have significant ASP leadership support, but lacked ASP policies indicating IP and RN roles and responsibilities. IPs were more likely than RNs to be members of the ASP team and have greater ASP knowledge. Neither discipline was conducting patient education related to proper use of antibiotics, but this was identified as a future ASP role. The 2017 Joint Commission Antimicrobial Stewardship Standard was accelerating ASP implementation.
IPs and RNs are well-positioned to assume greater roles in ASPs, especially in educating patients about the safe and proper use of antibiotics. However, their roles must be clearly identified, defined, and quantified. In so doing, knowledge and skill gaps can be identified and specific educational programs developed to advance their successful engagement in ASPs.
感染预防专家（IP）和注册护士（RN）在抗生素管理计划（ASP）中发挥着重要作用。最近的文章强调了他们在实践、研究、教育和政策方面的潜在作用；然而，他们在 ASP 中的实际参与情况知之甚少。领导者通常对新出现的趋势和不断变化的医疗保健工作者角色有早期的了解。
使用疾病控制与预防中心的医院抗生素管理计划核心要素开发了一项调查，以评估医疗保健系统感染预防和控制领导者对 IP 和 RN 参与医院 ASP 的看法。
代表美国所有地区的 35 位领导者完成了调查。他们的组织往往得到了 ASP 领导的大力支持，但缺乏表明 IP 和 RN 角色和责任的 ASP 政策。IP 比 RN 更有可能成为 ASP 团队的成员，并且具有更多的 ASP 知识。两个学科都没有进行与正确使用抗生素相关的患者教育，但这被认为是未来的 ASP 角色。2017 年联合委员会抗菌药物管理标准正在加速 ASP 的实施。
IP 和 RN 非常适合在 ASP 中承担更大的角色，尤其是在教育患者安全和正确使用抗生素方面。然而，他们的角色必须明确界定、定义和量化。通过这样做，可以确定知识和技能差距，并制定具体的教育计划，以促进他们成功参与 ASP。
