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The application of antimicrobial stewardship knowledge to nursing practice: A national survey of United Kingdom pre‐registration nursing students
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-04-25 , DOI: 10.1111/jan.16195
Molly Courtenay 1 , Clare Hawker 1 , Rose Gallagher 2 , Enrique Castro‐Sanchez 3, 4, 5 , Dinah J. Gould 6 , Faten Al Salti 7 , Jennifer Bate 8 , Daniel Cooper 9 , Rebecca Cooper 10 , Rebecca Craig 11 , Rebecca Dickenson 12 , Debbie Fallon 13 , Sharon Mcleod 14 , Kate Morrow 15 , Valerie Ness 16 , Andrew Nichols 17 , Sarah O'reilly 18 , Sarah Partington 19 , J. Claire Sevenoaks 20 , Matthew Sunter 21 , Jane Turner 22 , Liz W. Underhill 23 , Sarah L. Weaver 24
Affiliation  

AimTo assess student nurses understanding and skills in the application of antimicrobial stewardship knowledge to practice.DesignQuantitative.MethodsCross‐sectional survey.ResultsFive hundred and twenty three student nurses responded across 23 UK universities. Although students felt prepared in competencies in infection prevention and control, patient‐centred care and interprofessional collaborative practice, they felt less prepared in competencies in which microbiological knowledge, prescribing and its effect on antimicrobial stewardship is required. Problem‐based learning, activities in the clinical setting and face‐to‐face teaching were identified as the preferred modes of education delivery. Those who had shared antimicrobial stewardship teaching with students from other professions reported the benefits to include a broader understanding of antimicrobial stewardship, an understanding of the roles of others in antimicrobial stewardship and improved interprofessional working.ConclusionThere are gaps in student nurses' knowledge of the basic sciences associated with the antimicrobial stewardship activities in which nurses are involved, and a need to strengthen knowledge in pre‐registration nurse education programmes pertaining to antimicrobial management, specifically microbiology and antimicrobial regimes and effects on antimicrobial stewardship. Infection prevention and control, patient‐centred care and interprofessional collaborative practice are areas of antimicrobial stewardship in which student nurses feel prepared. Interprofessional education would help nurses and other members of the antimicrobial stewardship team clarify the role nurses can play in antimicrobial stewardship and therefore maximize their contribution to antimicrobial stewardship and antimicrobial management.Implications for the ProfessionThere is a need to strengthen knowledge from the basic sciences, specifically pertaining to antimicrobial management, in pre‐registration nurse education programmes.Patient or Public ContributionNo patient or public contribution.ImpactWhat Problem Did the Study Address?Nurses must protect health through understanding and applying antimicrobial stewardship knowledge and skills (Nursing and Midwifery Council 2018); however, there is no research available that has investigated nurses understanding and skills of the basic sciences associated with the antimicrobial stewardship activities in which they are involved.What Were the Main Findings?There are gaps in student nurses' knowledge of the basic sciences (specifically microbiology and prescribing) associated with the antimicrobial stewardship activities in which nurses are involved. Problem‐based learning, and activities in the clinical setting, were reported as useful teaching methods, whereas online learning, was seen as less useful.Where and on Whom Will the Research Have an Impact?Pre‐registration nurse education programmes.Reporting MethodThe relevant reporting method has been adhered to, that is, STROBE.

中文翻译:

抗菌管理知识在护理实践中的应用:对英国预注册护理学生的全国调查

目的评估学生护士将抗菌管理知识应用于实践的理解和技能。设计定量。方法横断面调查。结果23 所英国大学的 523 名学生护士做出了回应。尽管学生们认为自己在感染预防和控制、以患者为中心的护理和跨专业协作实践方面的能力做好了准备,但他们认为在需要微生物学知识、处方及其对抗菌药物管理的影响的能力方面准备不足。基于问题的学习、临床环境中的活动和面对面教学被确定为首选的教育模式。那些与其他专业的学生分享抗菌药物管理教学的人报告了好处,包括对抗菌药物管理有更广泛的了解,了解其他人在抗菌药物管理中的作用以及改善跨专业工作。 结论 实习护士对基本知识的了解存在差距。与护士参与的抗菌药物管理活动相关的科学知识,以及需要加强与抗菌药物管理有关的预注册护士教育计划的知识,特别是微生物学和抗菌制度以及对抗菌药物管理的影响。感染预防和控制、以患者为中心的护理和跨专业协作实践是实习护士感到做好准备的抗菌药物管理领域。跨专业教育将帮助护士和抗菌药物管理团队的其他成员明确护士在抗菌药物管理中可以发挥的作用,从而最大限度地发挥他们对抗菌药物管理和抗菌药物管理的贡献。对专业的影响有必要加强基础科学知识,特别是与抗菌药物管理有关的预注册护士教育计划。患者或公众贡献没有患者或公众贡献。影响研究解决了什么问题?护士必须通过理解和应用抗菌药物管理知识和技能来保护健康(护理和助产士委员会 2018 年);然而,尚无研究调查护士对与其所参与的抗菌药物管理活动相关的基础科学的理解和技能。主要发现是什么?实习护士对基础科学的知识存在差距(特别是微生物学和处方)与护士参与的抗菌药物管理活动相关。据报道,基于问题的学习和临床环境中的活动是有用的教学方法,而在线学习则被认为不太有用。研究将在哪里以及对谁产生影响?预注册护士教育计划。报告方法已遵守相关报告方法,即STROBE。
更新日期:2024-04-25
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