Despite evidence-based protocols, inappropriate antibiotic use still presents a systemic global threat to health care in nursing homes (NHs). Nursing staff are responsible for recognizing signs and symptoms that may indicate urinary tract infections (UTIs). The current integrative review was designed to examine the state of the literature related to the role of nursing staff in UTI identification and care in NHs. This review, which includes 19 articles published between 2011 and 2020, identified that, although prescribers are the experts in UTI management, nursing staff in NHs were the individuals who recognized changes and communicated residents' needs to prescribers. Further research is required to understand nursing staff's decision making and unique perspectives and determine if evidence-based protocols align with current practice in the NH setting. [Journal of Gerontological Nursing, 48(5), 43–50.]

尽管有基于证据的协议，但不适当的抗生素使用仍然对疗养院 (NHs) 的医疗保健构成系统性全球威胁。护理人员负责识别可能表明尿路感染 (UTI) 的体征和症状。目前的综合评价旨在检查与护理人员在 NH 中 UTI 识别和护理中的作用相关的文献状况。这篇综述包括 2011 年至 2020 年间发表的 19 篇文章，发现尽管开药者是 UTI 管理方面的专家，但 NH 的护理人员是认识到变化并将居民需求传达给开药者的个人。需要进一步研究以了解护理人员 s 决策和独特的观点，并确定基于证据的协议是否与 NH 环境中的当前实践相一致。[老年护理杂志，48（5），43-50。]