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护士参与抗菌药物管理活动概述。

Overview of the Participation of Nurses in Antimicrobial Stewardship Activities.

机构信息

College of Business, Arts and Social Sciences, Brunel University London, Uxbridge, United Kingdom; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, South Kensington, London, United Kingdom; Universitat de les Illes Balears, Palma, Illes Balears, Spain; Valencia International University, Valencia, Spain.

出版信息

Clin Ther. 2024 Jun;46(6):469-473. doi: 10.1016/j.clinthera.2024.05.002. Epub 2024 Jun 1.

Abstract

Antibiotic resistance is a planetary threat demanding maximum attention from health and social care services worldwide due to the clinical, economic, and human costs. Interventions to address resistance-antimicrobial stewardship (AMS) programs-are multipronged and require the close collaboration of all health care workers involved in antimicrobial decisions and use. Nurses have traditionally been absent from such engagement. This Commentary highlights existing evidence of the need for, and impact of, nursing involvement and leadership in AMS. In addition, four barriers (ie, foundational, ownership, education, and leadership) to the increased involvement of nurses in AMS are discussed, with implications and potential solutions.

摘要

抗生素耐药性是一个全球性的威胁,由于其带来的临床、经济和人类成本,需要全球卫生和社会保健服务给予最大关注。为了解决耐药性问题,采取了多种干预措施,即实施抗菌药物管理(AMS)方案,这需要所有参与抗菌药物决策和使用的卫生保健工作者密切合作。传统上,护士在这方面的参与度较低。本述评强调了护理人员参与和领导 AMS 的必要性和影响,此外,还讨论了阻碍护士更多参与 AMS 的四个障碍(即基础、所有权、教育和领导),并提出了相关影响和潜在解决方案。

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