School of Social Work and Health, Avans University of Applied Sciences, 's Hertogenbosch, The Netherlands.
IQ Health Science Department, Radboud University Medical Center, Nijmegen, The Netherlands.
Antimicrob Resist Infect Control. 2024 Aug 29;13(1):93. doi: 10.1186/s13756-024-01451-z.
Antimicrobial Stewardship (AMS), the set of actions to ensure appropriate antimicrobial use, is increasingly considered a multidisciplinary endeavour. However, it is unclear how Dutch hospital-based nurses envision their contribution to AMS.
To explore the views and visions of Dutch bedside nurses on their role regarding appropriate antimicrobial use.
A qualitative study using semi-structured interviews was conducted. Fourteen bedside nurses in nine different Dutch hospitals participated. Data were analysed using a thematic content analysis.
Nurses considered their role regarding appropriate use of antibiotics as an integral part of their daily nursing practice. They envisioned their future role as an expansion of their current practice, improving or intensifying this contribution. Prompting review of antimicrobial treatment by nurses was seen as regular practice. Ward rounds were considered the best moment to exert their nursing role, by showing leadership in communicating about different aspects of AMS. Patient advocacy ("striving for the best possible care for their patient") appears to be a driver of the nursing contribution. Nurses perceived a shared responsibility with prescribers on certain aspects of the antimicrobial treatment and wished for a clarification of this role. Education and cognitive reminders such as antibiotic checklist to be used in ward rounds, can support the uptake of the nurses' role.
Nurses envision their future role in AMS as an enhanced, elaborated and empowered version of their current daily practice. Education, formal acknowledgment and increased awareness of the nursing role, may advance the contributing role nurses already have.
抗菌药物管理（Antimicrobial Stewardship，AMS）是确保合理使用抗菌药物的一系列措施，越来越被认为是一项多学科的工作。然而，目前尚不清楚荷兰医院护士如何看待他们对抗菌药物合理使用的贡献。
探讨荷兰 bedside 护士对其在适当使用抗菌药物方面作用的看法和愿景。
采用半结构式访谈进行定性研究。9 家荷兰医院的 14 名 bedside 护士参与了研究。使用主题内容分析法对数据进行分析。
护士认为他们在抗生素合理使用方面的角色是日常护理实践的一个组成部分。他们设想自己未来的角色是扩大当前的实践，以改善或加强这一贡献。护士主动促使审查抗菌治疗被视为常规做法。病房查房被认为是发挥护理作用的最佳时机，可以通过在沟通抗菌药物管理的各个方面时展示领导力来实现。患者倡导（“为患者争取最佳护理”）似乎是推动护理贡献的一个驱动因素。护士认为在抗菌药物治疗的某些方面与处方者共同承担责任，并希望明确这一角色。教育和认知提示，如在病房查房中使用抗生素检查表，可以支持护士发挥作用。
护士设想他们在 AMS 中的未来角色是在当前日常实践的基础上增强、完善和赋权的版本。教育、正式认可和提高对抗菌药物管理中护士角色的认识，可能会促进护士已经发挥的作用。
