Nurses' knowledge and implementation of antimicrobial stewardship and infection prevention strategies in acute paediatric settings.
J Hosp Infect
; 137: 54-60, 2023 Jul.
Artículo
en Inglés
| MEDLINE | ID: covidwho-2316068
ABSTRACT
BACKGROUND:
Nurses are the first point of contact for patients and are responsible for monitoring and reporting signs of infection. The COVID-19 pandemic cemented nurses' leadership role in infection prevention. Despite this, nurses' contribution to antimicrobial stewardship initiatives remains under-recognized.AIM:
To determine how paediatric nurses understood their role and contribution to antimicrobial stewardship and infection prevention and control practices in three different acute paediatric wards.METHODS:
Forty-three nurses were recruited from an adolescent ward, an oncology ward, and a surgical ward in a metropolitan tertiary children's hospital for a qualitative exploratory descriptive study.FINDINGS:
Thematic and content analysis derived three themes from the data understanding of preventable infections; embracing evidence-based guidelines to protect the patient; and roles in preventing and controlling infections and antimicrobial stewardship. Associated subthemes were desensitized to COVID-19; understanding infection prevention and control precautions; correct use of hospital policy and guidelines; restrictions associated with the use of electronic medical records; understanding of sepsis management and the importance of timely microbiological testing; ambivalence on antimicrobial stewardship roles; and high priority placed on consumer education.CONCLUSION:
Nurses' understanding of their role focused on practices such as performing hand hygiene, standard precautions, and reporting the use of high-risk antimicrobials. A lack of understanding of paediatric COVID-19 transmission and presentations was also reported. Education on best practice in infection prevention and AMS was recognized as crucial for both nurses and parents.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Programas de Optimización del Uso de los Antimicrobianos
/
COVID-19
Tipo de estudio:
Estudio pronóstico
/
Investigación cualitativa
Límite:
Adolescente
/
Niño
/
Humanos
Idioma:
Inglés
Revista:
J Hosp Infect
Año:
2023
Tipo del documento:
Artículo
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