The application of antimicrobial stewardship knowledge to nursing practice: A national survey of United Kingdom pre‐registration nursing students

Authors

Molly Courtenay, Senior lecturer, School of Health Care sciences, Cardiff University
Clare Hawker, Senior lecturer, School of Health Care sciences, Cardiff University
Rose Gallagher, Infection Prevention and Control Royal College of Nursing London UK
Enrique Castro‐Sanchez, University of Balearic Islands Spain
Dinah J. Gould, Infection Control London UK
Faten Al Salti, Sheffield Hallam University College of Health & Wellbeing Sheffield UK
Jennifer Bate, School of Health, Science and Wellbeing Staffordshire University Shrewsbury UK
Daniel Cooper, School of Nursing and Advanced Practice Liverpool John Moore University Liverpool UK
Rebecca Cooper, School of Health Sciences Medical School, University of Nottingham Nottingham UK
Rebecca Craig, Senior lecturer, School of Sport and Health Sciences, University of Brighton
Rebecca Dickinson, School of Healthcare University of Leeds UK
Debbie Fallon, Manchester University
Sharon Mcleod, Birmingham City University
Kate Morrow, School of Health and Social Work University of Hertfordshire Hatfield UK
Valerie Ness, Department of Nursing and Community Health Glasgow Caledonian University Glasgow UK
Andrew Nichols, School of Nursing and Midwifery
Sarah O'reilly, Department of Health Sciences University of York UK
Sarah Partington, School of Nursing and Healthcare Leadership Bradford University Bradford UK
J. Claire Sevenoaks, School of Health Sciences University of Greenwich London UK
Matthew Sunter, Robert Gordon University School of Nursing, Midwifery and Paramedic Practice Aberdeen UK
Jane Turner, School of Nursing and Midwifery University of Derby Chesterfield UK
Liz W. Underhill, School of Nursing and Midwifery University of Hull Hull UK
Sarah L. Weaver, Three Counties School of Nursing and Midwifery University of Worcester Worcester UK

Abstract

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.

Publication Date

2024-04-25

Publication Title

J Adv Nurs

ISSN

0309-2402

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10.1111/jan.16195" data-hide-no-mentions="true">

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