NRSG 411 Plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting.

NRSG 411 Plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting

NRSG 411 Plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting

Nurses should be committed to improving health outcomes by implementing change and evidence-based interventions in clinical settings. The topic of interest for advancing nursing practice in my clinical setting is antibiotic stewardship. It is an important topic since related programs measure and improves how clinicians prescribe antibiotics and how patients use them (Centers for Disease Control and Prevention, 2021). Among the quantitative studies exploring this topic is an article on the effect of antibiotic stewardship interventions with stakeholder involvement in hospital settings. In this article, Wathne et al. (2018) explored the impacts of planning and implementing antibiotic stewardship interventions in hospitals. The research question guiding the research was: what is the effect of antibiotic stewardship programs with stakeholder involvement in hospital settings?

The target population of this study was patients receiving antibiotic treatment in selected specialties in three emergency care hospitals in Western Norway. The selected specialties were infectious diseases, pulmonary medicine, and gastroenterology (Wathne et al., 2018). As the primary stakeholders, physicians and pharmacists co-designed and implemented interventions, with each team refining interventions to fit their local context. The programs’ main areas included antibiotic resistance, antibiotic dosing, and adherence to antibiotic guidelines. Wathne et al. (2018) found that antibiotic stewardship intervention programs improved adherence to antibiotic guidelines from 60% to 66% for all specialties. However, the effect varies with the context since adherence was the highest in the pulmonary ward.

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The main limitation of the study was a short post-intervention period. The other limitation was the skewness of data

NRSG 411 Plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting
NRSG 411 Plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting

between pre- and post-intervention period. Wathne et al. (2018) concluded that antibiotic stewardship programs have better outcomes when stakeholders are involved in setting specific targets for change in antibiotic prescribing behaviors. Similarly, clinical settings should adopt such customized interventions to achieve the desired changes quickly. The study is significant in nursing since it demonstrates how to improve antibiotic stewardship through stakeholder engagement.

 

References

Centers for Disease Control and Prevention. (2021). Core elements of antibiotic stewardship. https://www.cdc.gov/antibiotic-use/core-elements/index.html#:~:text=Antibiotic%20stewardship%20is%20the%20effort,use%2C%20and%20combat%20antibiotic%20resistance.

Wathne, J. S., Kleppe, L. K. S., Harthug, S., Blix, H. S., Nilsen, R. M., Charani, E., & Smith, I. (2018). The effect of antibiotic stewardship interventions with stakeholder involvement in hospital settings: a multicentre, cluster randomized controlled intervention study. Antimicrobial Resistance & Infection Control7(1), 1-12. https://doi.org/10.1186/s13756-018-0400-7