Staff nurses as antimicrobial stewards: An integrative literature review.

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Staff nurses as antimicrobial stewards: An integrative literature review.

Am J Infect Control. 2017 Aug 01;45(8):917-922

Authors: Monsees E, Goldman J, Popejoy L

Abstract
BACKGROUND: Guidelines on antimicrobial stewardship emphasize the importance of an interdisciplinary team, but current practice focuses primarily on defining the role of infectious disease physicians and pharmacists; the role of inpatient staff nurses as antimicrobial stewards is largely unexplored.
METHODS: An updated integrative review method guided a systematic appraisal of 13 articles spanning January 2007-June 2016. Quantitative and qualitative peer-reviewed publications including staff nurses and antimicrobial knowledge or stewardship were incorporated into the analysis.
RESULTS: Two predominant themes emerged from this review: (1) nursing knowledge, education, and information needs; and (2) patient safety and organizational factors influencing antibiotic management.
DISCUSSION: Focused consideration to empower and educate staff nurses in antimicrobial management is needed to strengthen collaboration and build an interprofessional stewardship workforce.
CONCLUSIONS: Further exploration on the integration and measurement of nursing participation is needed to accelerate this important patient safety initiative.

PMID: 28768593 [PubMed - in process]

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