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Table 5 Examples of antimicrobial stewardship nursing posts from UK network

From: Nurse roles in antimicrobial stewardship: lessons from public sectors models of acute care service delivery in the United Kingdom

Domains
Antimicrobial stewardship nursing posts* Interprofessional working+ Strategic influence-
Relation with other structures
Clinical outcomes- (What measure of impact? Process?) Individual identity Funding/
Managerial structures
Setting of practice (hospital, community…) Role components
(clinical, educational, quality, policy, managerial)
Nurse 1 Yes Relation with infection prevention and control, pharmacy
Evolving role focus on Carbapanemase-producing organism screening
Process Staff Nurse Infection Prevention & Sepsis Team, Nursing Directorate
Substantive position
Hospital Education
Nurse 2 Yes Relation with infection prevention and control, pharmacy Process Staff nurse Infection prevention and control, previously in pharmacy
Substantive position
Hospital Clinical, education
Nurse 3 Yes Relation with infection prevention and control, pharmacy, antimicrobial stewardship team, university Clinical outcomes, patient satisfaction, process Advanced nurse practitioner Infection Prevention and control/University
Substantive position
Hospital Clinical, education, policy, managerial
Nurse 4 Yes Relation with infection prevention and control, antimicrobial stewardship team Clinical outcomes, patient satisfaction, process Lead nurse Antimicrobial stewardship team
Initial 1-year funding, then substantive position
Community and long-term care facilities Clinical, education, policy
Nurse 5 Yes Relation with infection prevention and control, antimicrobial stewardship team Process Staff nurse Antimicrobial stewardship team.
Substantive position
Hospital Clinical
Nurse 6 Yes Relation with infection prevention and control, and sepsis teams, but mainly on education for nurses Clinical outcome, process Staff nurse based within pharmacy Antimicrobial stewardship team Hospital Clinical, quality improvement
  1. *None of these roles exemplify the ‘horizontal’ approach theorised in the paper. +Equally, all roles explored work closely with other professions