NRSG 411 Unit 3- Discussion Board
NRSG 411 Unit 3- Discussion Board
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.
The main limitation of the study was a short post-intervention period. The other limitation was the skewness of data 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.
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NRSG 411 Unit 3- Discussion Board 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 Control, 7(1), 1-12. https://doi.org/10.1186/s13756-018-0400-7
Assignment Details
Assignment Description
Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.
To continue building the case for change with your supervisor, plan to present some key quantitative evidence or research to support your idea for changes in patient care in your clinical setting. Include the following:
Find a quantitative research article from current peer-reviewed journals (from within the past 5 years) in the CTU Library. Provide a summary of the article that includes the following:
The purpose of the research and the research question
The target population
The study methodology
The results of the study
Summarize the limitations of the study.
Summarize the conclusions of the study, and tell why the study is significant to nursing.
Include at least 1 reference to research sources; all sources should be cited using APA format.
Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:
What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
NRSG 411 Unit 3- Discussion Board Rubric
The Discussion Boar Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This Discussion Board Grading Rubric is divided into components that provide a clear description of what should be included within each component of the discussion. Itâ€s the roadmap that can help lead your discussion. Discussion Board Grading Rubric
For assistance with your assignment, please use your text, Web resources, and all course materials.
