Background: 

In the neonatal intensive care unit, implementation of antibiotic stewardship programs has been challenging, especially for staff nurses.

Purpose: 

To identify neonatal nurses' knowledge and attitudes toward antibiotic stewardship programs in neonatal intensive care units.

Methods: 

This was a descriptive survey study to assess knowledge, attitudes, and beliefs of neonatal nurses related to antibiotic stewardship. The survey consisted of 23 questions, 6 of which were open-ended. The questions evaluated perceptions of general understanding of antibiotic stewardship, administration of antibiotics, information and perspective about antibiotic use, antibiotic resistance, and availability and usage of resources and education related to antibiotics. The survey was posted online for about 3 months on the Web site of a professional organization of neonatal nurses.

Results: 

Of the 78 neonatal nurses who responded to the survey, 39% were very familiar with the term antibiotic stewardship. The majority of participants did not question the treating provider about the choice, route, or dose of antibiotics. The majority also agreed that more education is needed to achieve the goal of incorporating principles of antibiotic stewardship more fully into practice in the neonatal intensive care unit.

Implications for Practice: 

Results suggest that although most nurses are familiar with the term antibiotic stewardship, they would like to have more education on the appropriate use of antibiotics.

Implications for Research: 

Further studies are needed to identify nurse involvement in applying the principles of antibiotic stewardship programs while working with the vulnerable population of preterm infants.

中文翻译：

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全国新生儿护士抗生素管理知识、信念和实践调查

背景： 

在新生儿重症监护病房，抗生素管理计划的实施一直具有挑战性，特别是对于护士来说。

目的： 

确定新生儿护士对新生儿重症监护病房抗生素管理计划的知识和态度。

方法： 

这是一项描述性调查研究，旨在评估新生儿护士与抗生素管理相关的知识、态度和信念。该调查包括 23 个问题，其中 6 个问题是开放式的。这些问题评估了对抗生素管理、抗生素管理的一般理解、抗生素使用的信息和观点、抗生素耐药性以及与抗生素相关的资源和教育的可用性和使用的看法。该调查在一家新生儿护士专业组织的网站上发布了大约三个月。

结果： 

在接受调查的 78 名新生儿护士中，39% 的人非常熟悉抗生素管理一词。大多数参与者没有向治疗提供者询问抗生素的选择、途径或剂量。大多数人还同意，需要进行更多的教育，以实现将抗生素管理原则更充分地纳入新生儿重症监护病房实践的目标。

对实践的启示： 

结果表明，尽管大多数护士熟悉抗生素管理一词，但他们希望接受更多有关正确使用抗生素的教育。

对研究的影响： 

需要进一步的研究来确定护士在与早产儿弱势群体合作时参与应用抗生素管理计划的原则。