Division of Infectious Diseases, Children's National Health System, Washington, DC, United States of America; Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, United States of America.
Division of Nursing, Children's National Health System, Washington, DC, United States of America.
J Pediatr Nurs. 2019 Sep-Oct;48:10-17. doi: 10.1016/j.pedn.2019.05.020. Epub 2019 Jun 11.
To explore pediatric nurses' perceptions of their role in antimicrobial stewardship.
Twelve focus group sessions were conducted at a freestanding children's hospital including 90 nurses across a range of settings, units, and years of experience. Transcripts of the focus group sessions were jointly coded, from which themes were developed.
Specific nursing roles in antibiotic stewardship identified include: (1) advocating for the patient, (2) communicating with the team, (3) administering medications safely, (4) educating caregivers, and (5) educating themselves. Identified barriers hindering effective execution of these roles include inconsistent inclusion on rounds and lack of institutional protocols for antibiotic use.
Nurses easily identified numerous daily nursing tasks that fit within the framework of antimicrobial stewardship and desired additional education and engagement in antibiotic stewardship.
Engaging nurses could improve the structure of antibiotic stewardship programs and break down the barriers that keep nurses from fulfilling their role.
探讨儿科护士对抗菌药物管理中自身角色的认知。
在一家独立的儿童医院进行了 12 次焦点小组会议，包括来自不同环境、科室和工作年限的 90 名护士。对焦点小组会议的记录进行了联合编码，并从中开发出主题。
确定了儿科护士在抗菌药物管理中的具体作用包括：（1）为患者代言，（2）与团队沟通，（3）安全管理药物，（4）教育照护者，以及（5）自我教育。阻碍这些作用有效执行的障碍包括在查房时未被一致纳入以及缺乏抗生素使用的机构协议。
护士很容易确定了许多符合抗菌药物管理框架的日常护理任务，并希望接受更多关于抗菌药物管理的教育和参与。
让护士参与进来可以改善抗菌药物管理计划的结构，并消除阻碍护士发挥作用的障碍。
