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Clinical Nurse Preparation and Partnership in Antibiotic Stewardship Programs

National Survey Findings Are a Call to Action for Nurse Leaders

Carter, Eileen J. PhD, RN; Manning, Mary Lou PhD, CRNP, CIC, FAAN; Pogorzelska-Maziarz, Monika PhD, MPH, CIC

JONA: The Journal of Nursing Administration: December 2019 - Volume 49 - Issue 12 - p 591–595
doi: 10.1097/NNA.0000000000000821

OBJECTIVE Describe clinical nurse involvement in antibiotic stewardship programs (ASPs).

BACKGROUND The extent to which clinical nurses are supported and integrated into ASPs is unknown.

METHODS Electronic survey of infection preventionists (IPs) working in acute care hospitals.

RESULTS A total of 207 IPs nationwide reported on clinical nurses' involvement in their hospital's ASP. Among respondents, 42% reported the presence of a designated nurse executive that championed nurses' involvement in ASPs; 33% reported that the hospital provides antibiotic stewardship education and training to clinical nurses, and only 14% believed that clinical nurses have adequate stewardship knowledge to participate in ASP activities.

CONCLUSIONS Study findings indicate the need for nurse leaders to improve the preparation and integration of clinical nurses in ASPs. While clinical nurses routinely perform activities that contribute to optimal antibiotic use, the knowledge and competency of clinical nurses in these activities and their formal integration in ASPs are minimal.

Author Affiliations: Assistant Professor of Nursing (Dr Carter), Columbia University School of Nursing, Columbia University Irving Medical Center; and Nurse Researcher, New York–Presbyterian Hospital, New York; and Professor (Dr Manning) and Assistant Professor (Dr Pogorzelska-Maziarz), Thomas Jefferson University, College of Nursing, Philadelphia, Pennsylvania

The authors declare no conflicts of interest.

Correspondence: Dr Carter, Columbia University Irving Medical Center, 560 W 168th St, New York, NY 10032 (

Online date: November 12, 2019

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