de Lima Gusmão Viviane Cristina, Abraão Lígia Maria, da Silva Felix Adriana Maria, Ciofi-Silva Caroline Lopes, Courtenay Molly, Ness Valerie, Castro-Sanchez Enrique, de Figueiredo Rosely Moralez, Padoveze Maria Clara
Department of Collective Health Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil.
Nursing School, University of Campinas, Campinas, Brazil.
BMC Nurs. 2024 Dec 2;23(1):870. doi: 10.1186/s12912-024-02504-9.
Antimicrobial stewardship programs (ASPs) have become important strategies for addressing antimicrobial resistance (AMR). Despite the increasing number of international publications identifying the important roles played by nurses as part of ASPs in low- and middle-income countries, this topic is yet poorly researched. This study aimed to identify priority research gaps in the Brazilian context concerning nurses' performance in ASPs from the perspective of nursing professionals and explore the main themes among the ideas generated by these nurses.
This qualitative study used the modified Nominal Group Technique (mNGT) during a three-day online workshop. Content analysis was performed on the basis of the ideas proposed by the participants after the clarification stage.
The participants suggested 68 ideas in the first phase. After the idea's clarification phase, 45 ideas were included in the voting rounds. The ideas prioritized by participants voting addressed (i) attributions and competencies of nurses in the ASP; (ii) planning and implementation of ASP nurses' activities; and (iii) use of information and communication technologies to assist nurses. The content analysis highlighted nine main themes in the initial ideas.
The study identified significant gaps in research related to nurses' roles in ASPs in the Brazilian context. These findings suggest that further investigation into nurses' competences, the implementation of their roles, and the application of digital tools are priority subjects of future research to improve nurses' participation in ASPs. These themes should be further studied in the Brazilian context but may be applicable to other similar socioeconomic contexts.
抗菌药物管理计划（ASPs）已成为应对抗菌药物耐药性（AMR）的重要策略。尽管国际上越来越多的出版物指出护士在低收入和中等收入国家作为抗菌药物管理计划一部分所发挥的重要作用，但该主题的研究仍很薄弱。本研究旨在从护理专业人员的角度确定巴西在护士在抗菌药物管理计划中的表现方面的优先研究差距，并探讨这些护士提出的想法中的主要主题。
本定性研究在为期三天的在线研讨会期间使用了改良的名义小组技术（mNGT）。在澄清阶段后，根据参与者提出的想法进行了内容分析。
参与者在第一阶段提出了68个想法。在想法澄清阶段之后，45个想法被纳入投票轮次。参与者投票优先考虑的想法涉及：（i）护士在抗菌药物管理计划中的属性和能力；（ii）抗菌药物管理计划护士活动的规划和实施；以及（iii）使用信息和通信技术协助护士。内容分析突出了初始想法中的九个主要主题。
该研究确定了巴西在护士在抗菌药物管理计划中的作用方面的研究存在重大差距。这些发现表明，进一步调查护士的能力、其角色的实施以及数字工具的应用是未来研究的优先主题，以提高护士对抗菌药物管理计划的参与度。这些主题应在巴西背景下进一步研究，但可能适用于其他类似的社会经济背景。
