Publication Date
Spring 2017
Degree Type
Doctoral Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Lori Rodriguez
Second Advisor
Vivian Wong
Third Advisor
Edwin Cabiago
Keywords
Antibiotic stewardship, Antimicrobial stewardship, Nursing homes, Long-term care
Abstract
This study was part of a quality improvement effort of a Skilled Nursing Facility (SNF) to develop and establish an antimicrobial stewardship program to comply with recently enacted California State Senate Bill 361 (SB 361), which went into effect January l, 2017 (Skilled nursing facilities, 2015). The division of the facility into two sections, one staffed largely by Licensed Vocational Nurses (L VNs) and another staffed largely by Registered Nurses (RNs) provided an study opportunity that easily differentiated the licensed nurses. This study used three methods: 1) an educational intervention to licensed nurses, 2) a post-educational intervention survey of licensed nurses, and 3), a retrospective medical chart audit of facility residents before and after the educational intervention. There was no significant difference demographic between L VNs and RNs. All agreed antimicrobial stewardship was important. While there was an increase in adherence to standardized infection criteria post-educational intervention, the most significant change was in the prescribing behavior by nurse practitioners (NPs ).
In conclusion, concentrating educational efforts on NPs and allowing them to practice in all areas of a SNF, may provide the greatest impact on the success of antimicrobial stewardship programs in these facilities.
Recommended Citation
Escalona, Gloria M., "Antimicrobial Stewardship: Incentives and Barriers to Implementation in Skilled Nursing Facilities" (2017). Doctoral Projects. 72.
DOI: https://doi.org/10.31979/etd.pkrd-7s42
https://scholarworks.sjsu.edu/etd_doctoral/72
