What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review

Abstract Background Antimicrobial resistance issues, and the consequent demand for antimicrobial stewardship (AMS) programs, need to be investigated urgently and clearly. Considering the large amount of time nurses spend at patients’ bedside, the aim of the present study was to examine recent litera...

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Main Authors: Matteo Danielis, Domenico Regano, Anna Castaldo, Maria Mongardi, Tania Buttiron Webber
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Antimicrobial Resistance and Infection Control
Subjects:
Online Access:https://doi.org/10.1186/s13756-022-01189-6
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author Matteo Danielis
Domenico Regano
Anna Castaldo
Maria Mongardi
Tania Buttiron Webber
author_facet Matteo Danielis
Domenico Regano
Anna Castaldo
Maria Mongardi
Tania Buttiron Webber
author_sort Matteo Danielis
collection DOAJ
description Abstract Background Antimicrobial resistance issues, and the consequent demand for antimicrobial stewardship (AMS) programs, need to be investigated urgently and clearly. Considering the large amount of time nurses spend at patients’ bedside, the aim of the present study was to examine recent literature on nursing competency in AMS. Methods Drawing from Tricco and colleagues’ seven-stage process, a rapid review was performed. MEDLINE, CINAHL and EMBASE databased were searched from December 1st, 2019 until December 31st, 2021. Article screening and study selection were conducted independently by three reviewers. Data were analyzed narratively and categorized adopting an inductive thematic coding. Results Sixteen studies met the inclusion criteria and were included. Publications were mainly authored in USA (n = 4), Australia and New Zealand (n = 4) and Asia (n = 4), followed by Europe (n = 2) and Africa (n = 2). Ten studies were quantitative in design, followed by qualitative (n = 4) and mixed-methods studies (n = 2). Nursing competency in AMS seems to be influenced by a two-dimensional model: on the one hand, internal factors which consisted in knowledge, attitudes and practices and, on the other hand, external aspects which are at environmental level in terms of structures and processes. Conclusion This study provided a map of dimensions for researchers and practitioners to consider when planning clinical governance, educational activities, and research programs. Significant opportunities exist for nurses to contribute to practice, education, research, and policy efforts aimed at reducing antimicrobial resistance.
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spelling doaj.art-19aa330176494fc0af5f950d418e9ec82022-12-22T04:18:56ZengBMCAntimicrobial Resistance and Infection Control2047-29942022-12-0111111810.1186/s13756-022-01189-6What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid reviewMatteo Danielis0Domenico Regano1Anna Castaldo2Maria Mongardi3Tania Buttiron Webber4ANIPIO, Società Scientifica Nazionale degli Infermieri Specialisti del Rischio Infettivo - National Association of Nurses for the Prevention of Hospital InfectionsANIPIO, Società Scientifica Nazionale degli Infermieri Specialisti del Rischio Infettivo - National Association of Nurses for the Prevention of Hospital InfectionsANIPIO, Società Scientifica Nazionale degli Infermieri Specialisti del Rischio Infettivo - National Association of Nurses for the Prevention of Hospital InfectionsANIPIO, Società Scientifica Nazionale degli Infermieri Specialisti del Rischio Infettivo - National Association of Nurses for the Prevention of Hospital InfectionsANIPIO, Società Scientifica Nazionale degli Infermieri Specialisti del Rischio Infettivo - National Association of Nurses for the Prevention of Hospital InfectionsAbstract Background Antimicrobial resistance issues, and the consequent demand for antimicrobial stewardship (AMS) programs, need to be investigated urgently and clearly. Considering the large amount of time nurses spend at patients’ bedside, the aim of the present study was to examine recent literature on nursing competency in AMS. Methods Drawing from Tricco and colleagues’ seven-stage process, a rapid review was performed. MEDLINE, CINAHL and EMBASE databased were searched from December 1st, 2019 until December 31st, 2021. Article screening and study selection were conducted independently by three reviewers. Data were analyzed narratively and categorized adopting an inductive thematic coding. Results Sixteen studies met the inclusion criteria and were included. Publications were mainly authored in USA (n = 4), Australia and New Zealand (n = 4) and Asia (n = 4), followed by Europe (n = 2) and Africa (n = 2). Ten studies were quantitative in design, followed by qualitative (n = 4) and mixed-methods studies (n = 2). Nursing competency in AMS seems to be influenced by a two-dimensional model: on the one hand, internal factors which consisted in knowledge, attitudes and practices and, on the other hand, external aspects which are at environmental level in terms of structures and processes. Conclusion This study provided a map of dimensions for researchers and practitioners to consider when planning clinical governance, educational activities, and research programs. Significant opportunities exist for nurses to contribute to practice, education, research, and policy efforts aimed at reducing antimicrobial resistance.https://doi.org/10.1186/s13756-022-01189-6Antimicrobial stewardshipNursesNursing competency Rapid review
spellingShingle Matteo Danielis
Domenico Regano
Anna Castaldo
Maria Mongardi
Tania Buttiron Webber
What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
Antimicrobial Resistance and Infection Control
Antimicrobial stewardship
Nurses
Nursing competency 
Rapid review
title What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
title_full What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
title_fullStr What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
title_full_unstemmed What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
title_short What are the nursing competencies related to antimicrobial stewardship and how they have been assessed? Results from an integrative rapid review
title_sort what are the nursing competencies related to antimicrobial stewardship and how they have been assessed results from an integrative rapid review
topic Antimicrobial stewardship
Nurses
Nursing competency 
Rapid review
url https://doi.org/10.1186/s13756-022-01189-6
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