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Engaging Nurses in Optimizing Antimicrobial Use in ICUs: A Qualitative Study

Jeffs, Lianne, PhD, RN, FAAN; Law, Madelyn, P., PhD; Zahradnik, Michelle, MSc; Steinberg, Marilyn, RN; Maione, Maria, MN, RN; Jorgoni, Linda, MScN, RN; Bell, Chaim, M., MD, PhD; Morris, Andrew, M., MD, SM (Epi)

doi: 10.1097/NCQ.0000000000000281

Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement of nurses to actively participate in initiatives, strategies, and solutions to combat antibiotic resistance across the health care spectrum is required. In this context, the experiences of local ASP teams engaging nurses in appropriate antimicrobial use were explored to inform future strategies to enhance their involvement in ASPs.

St. Michael's Hospital Volunteer Association, Nursing Research Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada (Dr Jeffs); Department of Health Science, Brock University St Catharines, Ontario, Canada (Dr Law); St. Michael's Hospital, Toronto, Canada (Mss Zahradnik and Maione); Sinai Health System, Toronto, Canada (Ms Steinberg and Drs Bell and Morris); University Health Network, Toronto, Canada (Ms Jorgoni); and Department of Medicine, University of Toronto, Canada (Drs. Bell and Morris).

Correspondence: Lianne Jeffs, PhD, RN, FAAN, St. Michael's Hospital Volunteer Association, Nursing Research Li Ka Shing Knowledge Institute, 209 Victoria St, Toronto, ON M5B 1T8, Canada (

This study was funded by Canadian Institutes of Health Research.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflicts of interest.

Accepted for publication: June 7, 2017

Published ahead of print: August 24, 2017

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