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Development of consensus based international antimicrobial stewardship competencies for undergraduate nurse education

Courtenay, Molly, Castro-Sanchez, Enrique, Gallagher, Rose, McEwen, Jo, Bulabula, Andre N.H, Carre, Yolene, Du Toit, Briette, Moralez Figueiredo, Rosely, Gjerde, Merete Elisabeth, Hamilton, Nykoma, Jorgoni, Linda, Ness, Valerie, Olans, Rita, Padoveze, Maria Clara, Rout, Joan, van Gulik, Nantanit and Van Zyl, Yolanda 2019. Development of consensus based international antimicrobial stewardship competencies for undergraduate nurse education. Journal of Hospital Infection 103 (3) , pp. 244-250. 10.1016/j.jhin.2019.08.001
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Abstract

Background There is growing recognition by national and international policy makers of the contribution nurses make towards antimicrobial stewardship. Although undergraduate education provides an ideal opportunity to prepare nurses for antimicrobial stewardship roles and activities, only two thirds of undergraduate nursing programmes incorporate any antimicrobial stewardship teaching and only 12% cover all the recommended antimicrobial stewardship principles. Nurses also report that they do not have a good knowledge of antibiotics, and many have not heard of the term antimicrobial stewardship. Aim To provide international consensus on the antimicrobial stewardship competency descriptors appropriate for undergraduate nurse education. Methods A modified Delphi approach comprising two on-line surveys delivered to an international panel of fifteen individuals reflecting expertise in prescribing and medicines management in the education and practice of nurses; and antimicrobial stewardship. Data collection took place between February and March 2019. Findings A total of 15 participants agreed to become members of the expert panel, of whom 13 (86%) completed round one questionnaire, and 13 (100%) completed round two. Consensus was achieved, with consistent high levels of agreement across panel members, on 6 overarching competency domains and 63 descriptors, essential for antimicrobial stewardship practice. Conclusion The competency descriptors should be used to direct undergraduate nurse education, and the AMS practices of qualified nurses (including those working in new roles such as Nursing Associates) given the high levels of agreement reached on competency descriptors.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: Elsevier
ISSN: 0195-6701
Date of First Compliant Deposit: 6 August 2019
Date of Acceptance: 1 August 2019
Last Modified: 06 Nov 2019 16:24
URI: http://orca-mwe.cf.ac.uk/id/eprint/124754

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