Utah Valley Hospital, Clinical Education, Provo, Utah.
College of Nursing, Brigham Young University, Provo, Utah.
J Am Assoc Nurse Pract. 2020 Jul 29;33(11):909-915. doi: 10.1097/JXX.0000000000000467.
Antibiotic stewardship (ABS) is a set of strategies to optimize antimicrobial use while reducing antibiotic resistance, improving patient outcomes, and decreasing unnecessary costs. Nurse practitioners (NPs) play an essential role in health care education and represent a valuable potential resource for ABS efforts.
The purpose of this study was to describe the knowledge, attitudes, and perceptions of NPs toward ABS.
A convenience sample of NPs attending the American Association of Nurse Practitioners annual conference was given a modified descriptive survey. Descriptive statistics were used to assess normality.
A total of 194 NPs completed the questionnaire (88% female; 70% master's degree). Factors affecting the decisions of antibiotic prescriptions included patient condition (79%) and patient cost (58%). Nurse practitioners based their antibiotic decisions on the antibiogram (63%) in their setting, whereas 56% indicated they start with broad spectrum and tailor antibiotic choices after cultures are received. Nurse practitioners understood that inappropriate antibiotic use causes resistance (97%), harms the patient (97%), and optimum antibiotic use will reduce resistance (94%). Participants also recognized that strong knowledge of antibiotics was important (94%) and felt confident in using antibiotics (86%). However, 94% agreed that antibiotics are overused nationally, and only 62% thought antibiotics were overused in their setting.
Nurse practitioners recognize that knowledge about antibiotics is important to their career and would like more education about antibiotics and feedback about their antibiotic choices. Finding effective ways to provide this education could change practice and improve antibiotic use.
抗生素管理（ABS）是一组旨在优化抗菌药物使用，同时减少抗生素耐药性、改善患者预后和降低不必要成本的策略。护士从业者（NPs）在医疗保健教育中发挥着重要作用，是 ABS 工作的宝贵潜在资源。
本研究旨在描述 NPs 对 ABS 的知识、态度和看法。
对参加美国护士从业者协会年会的便利样本 NPs 进行了一项改良的描述性调查。采用描述性统计数据评估正态性。
共有 194 名 NPs 完成了问卷调查（88%为女性；70%为硕士学位）。影响抗生素处方决策的因素包括患者病情（79%）和患者费用（58%）。护士从业者根据其所在环境中的药敏试验结果（63%）做出抗生素决策，而 56%的人表示他们会先使用广谱抗生素，在收到培养物后再调整抗生素选择。护士从业者明白，抗生素使用不当会导致耐药性（97%）、损害患者（97%）和最佳抗生素使用会降低耐药性（94%）。参与者还认识到，抗生素知识非常重要（94%），并对使用抗生素有信心（86%）。然而，94%的人同意抗生素在全国范围内被过度使用，只有 62%的人认为抗生素在他们所在的环境中被过度使用。
护士从业者认识到抗生素知识对他们的职业很重要，并希望获得更多关于抗生素的教育和对他们抗生素选择的反馈。找到提供这种教育的有效方法可以改变实践并改善抗生素的使用。
