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The delivery of antimicrobial stewardship competencies in United Kingdom pre-registration nurse education programmes: A national cross-sectional survey

Courtenay, M., Castro-Sanchez, E. ORCID: 0000-0002-3351-9496, Gallagher, R., Gould, D. J., Hawker, C. and Nurse Antimicrobial Stewardship Group (NAG), (2021). The delivery of antimicrobial stewardship competencies in United Kingdom pre-registration nurse education programmes: A national cross-sectional survey. Journal of Hospital Infection, doi: 10.1016/j.jhin.2021.09.027


BACKGROUND: Registered nurses perform numerous functions critical to the success of antimicrobial stewardship but only 63% of pre-registration nursing programmes include any teaching about stewardship. Updated nursing standards highlight nurses require antimicrobial stewardship knowledge and skills.

AIM: To explore the delivery of key antimicrobial stewardship competencies within updated pre-registration nursing programmes.

METHOD: A cross-sectional survey design. Data were collected between March and June 2021.

FINDINGS: Lecturers from 35 UK universities responsible for teaching antimicrobial stewardship participated. The provision of antimicrobial stewardship teaching and learning was inconsistent across programmes with competencies in infection prevention and control, patient centred care, and interprofessional collaborative practice taking precedent over those pertaining to the use, management, and monitoring of antimicrobials. On-line learning and teaching surrounding hand hygiene, personal protective equipment, and immunisation theory was reported to have increased during the pandemic. Only a small number of respondents reported that students shared taught learning with other healthcare professional groups.

CONCLUSION: There is a need to ensure consistency in antimicrobial stewardship across programmes, and greater knowledge pertaining to the use, management and monitoring of antimicrobials should be included. Programmes need to adopt teaching strategies and methods that allow nurses to develop interprofessional skill in order to practice collaboratively.

Publication Type: Article
Additional Information: © 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Subjects: L Education > LB Theory and practice of education > LB2300 Higher Education
Q Science > QR Microbiology
R Medicine > RT Nursing
Departments: School of Health Sciences > Nursing
Date available in CRO: 13 Dec 2021 10:13
Date deposited: 13 December 2021
Date of acceptance: 15 September 2021
Date of first online publication: 24 November 2021
[img] Text - Accepted Version
This document is not freely accessible until 24 November 2022 due to copyright restrictions.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

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