Centre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia
School of Social and Political Sciences, University of Sydney, Sydney, New South Wales, Australia.
BMJ Open. 2020 Oct 29;10(10):e042321. doi: 10.1136/bmjopen-2020-042321.
This study responds to calls for greater focus on nursing roles, and the need for nursing integration within the antimicrobial optimisation agenda. The objective of this study was to explore Australian hospital nurses' views on antimicrobial resistance and antimicrobial stewardship (AMS) in a hospital setting, in order to better understand the opportunities for and challenges to integration of nursing staff in antimicrobial optimisation within hospital settings.
Qualitative one-on-one, semistructured interviews. Interview transcripts were digitally audio-recorded and transcribed verbatim. Data were subject to thematic analysis supported by the framework approach and informed by sociological methods and theory.
Four hospitals (three public and one private), across metropolitan, regional and remote areas, in two Australian states.
86 nurses (77 females, 9 males), from a range of hospital departments, at a range of career stages.
Findings were organised into three thematic domains: (1) the current peripheral role of nurses in AMS; (2) the importance of AMS as a collaborative effort, and current tensions around interprofessional roles and (3) how nurses can bolster antimicrobial optimisation within AMS and beyond.
Nursing staff are central to infection management within the hospital and are thus ideally located to enhance antibiotic optimisation and contribute to AMS governance. However, without increased interprofessional cooperation, education and integration in the AMS agenda, as well as addressing organisational/resource constraints in the hospital, the nursing role in stewardship will remain limited.
本研究响应了人们呼吁更多地关注护理角色，并呼吁在抗生素优化议程中加强护理整合的需求。本研究的目的是探讨澳大利亚医院护士对医院环境中抗生素耐药性和抗生素管理（AMS）的看法，以便更好地了解在医院环境中整合护理人员进行抗生素优化的机会和挑战。
定性一对一、半结构化访谈。访谈记录以数字音频形式录制，并逐字转录。数据采用框架方法支持的主题分析，社会学方法和理论为其提供信息。
澳大利亚两个州的四个医院（三个公立医院和一个私立医院），分布在市区、地区和偏远地区。
86 名护士（77 名女性，9 名男性），来自医院的多个科室，处于不同的职业阶段。
研究结果分为三个主题领域：（1）护士在 AMS 中的当前边缘角色；（2）AMS 作为一项协作努力的重要性，以及当前围绕跨专业角色的紧张关系；（3）护士如何在 AMS 及其以外的范围内增强抗生素优化。
护理人员是医院内感染管理的核心，因此非常适合增强抗生素优化并为 AMS 治理做出贡献。然而，如果没有增加在 AMS 议程中的跨专业合作、教育和整合，以及解决医院中的组织/资源限制，护理人员在管理方面的作用仍将受到限制。
