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    Community nursing and antibiotic stewardship: the importance of communication and training

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    Authors
    Chater, Angel M.
    Courtenay, Molly
    Affiliation
    University of Bedfordshire
    University College London
    Cardiff University
    Issue Date
    2019-07-02
    Subjects
    communication skills
    antibiotic stewardship
    patient expectations
    antibiotic guardians
    nurse prescribers
    B790 Nursing not elsewhere classified
    
    Metadata
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    Abstract
    Antimicrobial stewardship (using antimicrobials responsibly) can reduce the risk of antimicrobial resistance (AMR). Many health professionals identify themselves as ‘antibiotic guardians’, but patient expectations, time constraints, and a lack of confidence or underdeveloped communication skills can influence decisions to prescribe. Nurse prescribers have an important role to play in antibiotic stewardship, and their numbers continue to grow. While nurse prescribers welcome this extension to their traditional role, they are often faced with barriers to antibiotic stewardship activities. These barriers may relate to their Capability (knowledge/skill), Opportunity (norms of practice, influence of patients, environmental factors), and Motivation (attitudes and beliefs, concern over outcome, emotion and habit) [COM-B]. Education, training and enablement can help to overcome these barriers, and the development of knowledge, confidence and effective communication skills should be of priority. Further, communication skills can help nurse prescribers understand patient expectations, with the use of open-ended questions, active listening and creation of a patient-centred consultation that leads to a mutually agreed end goal and way forward.
    Citation
    Chater A, Courtenay M (2019) 'Community nursing and antibiotic stewardship: the importance of communication and training', British Journal of Community Nursing, 24 (7), pp.338-342.
    Publisher
    MA Healthcare Ltd
    Journal
    British Journal of Community Nursing
    URI
    http://hdl.handle.net/10547/623758
    DOI
    10.12968/bjcn.2019.24.7.338
    PubMed ID
    31265341
    Additional Links
    https://www.magonlinelibrary.com/doi/full/10.12968/bjcn.2019.24.7.338
    Type
    Article
    Language
    en
    ISSN
    1462-4753
    EISSN
    2052-2215
    ae974a485f413a2113503eed53cd6c53
    10.12968/bjcn.2019.24.7.338
    Scopus Count
    Collections
    Health

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