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Study-Unit Description

Study-Unit Description


CODE NUR5145

 
TITLE Antimicrobial Stewardship: Managing Antibiotics Resistance

 
UM LEVEL 05 - Postgraduate Modular Diploma or Degree Course

 
MQF LEVEL 7

 
ECTS CREDITS 5

 
DEPARTMENT Nursing

 
DESCRIPTION Designed for healthcare professionals, this study unit will inform healthcare professionals – and empower them to provide – safe, high-quality antibiotic use. Through this study-unit participants should be able to understand core competencies of antimicrobial stewardship and how they can be applied to common clinical scenarios. As part of an Erasmus+ Blended Intensive Programme, study unit participants will interact with colleagues from other partner universities, to understand what antibiotic resistance means – and why the World Economic Forum has placed it alongside terrorism and climate change on its global risk register.

Study-Unit Aims:

To provide students with:

- the theoretical and practical knowledge on Antibiotic Resistance and its global impact;
- the knowledge required on mechanisms of antimicrobial resistance;
- the relationship between antibiotic resistance and prescribing;
- knowledge on what antimicrobial stewardship is and how it can be implemented in a hospital setting;
- strategies which can be used to enhance antimicrobial stewardship, surveillance and audit as tools for driving infection prevention;
- knowledge on the principles of why measurement is important in stewardship: how it can improve antibiotic prescribing;
- understanding of the importance of how novel diagnostics can help in clinical decision making for antibiotic prescribing;
- an understanding of the value of Behaviour Change Science to improve antibiotic prescribing;
- provide examples of successful antibiotic stewardship worldwide.

Learning Outcomes:

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:

- Discuss the threat of antibiotic resistance in the learner's location and to their practice;
- Evaluate the effectiveness of using certain strategies/tools/interventions in antimicrobial stewardship to drive improvement in learner's location and practice;
- Understand the value of measurement in antimicrobial stewardship: how to calculate DDDs and use Point Prevalence Surveys, have begun to determine how to use these in their location and practice to drive improvements in antibiotic prescribing;
- Discuss the value of novel diagnostics to clinical decision making for optimal antibiotic prescribing;
- Understand the value of Behaviour Change Science to successful antimicrobial stewardship: by assessing issues around culture and context learners will explore how you can apply this evidence in their own setting.

2. Skills:

By the end of the study-unit the student will be able to:

- Enhance the safety of their own clinical practice, methods and procedures that prevent healthcare associated infections and prevent cross-transmission of microorganisms;
- Encourage and support colleagues to adopt safe sample taking practices and procedures (such as collection of blood culture, urine sample, specimen for culture and sensitivity);
- Use tools and hospital -specific protocols to improve the use of antimicrobials for surgical prophylaxis;
- Interpret data on antibiograms and multidrug-resistant organis from various sources, and use it to develop safer practice procedures;
- Use examples of successful antimicrobial stewardship implementation from across the globe will be provided and learners encouraged to assess the value of these for their own location and practice;
- Introduce novel ideas to improve antimicrobial stewardship programmes in your clinical area to improve quality of care and patient safety.

Main Text/s and any supplementary readings:

Main Texts:

- Courtenay, M., & Castro-Sánchez, E. (Eds.). (2020). Antimicrobial stewardship for nursing practice. CABI.

Supplementary Readings:

- Van Huizen P, Kuhn L, Russo PL, Connell CJ. The nurses’ role in antimicrobial stewardship: A scoping review. International Journal of Nursing Studies. 2021 Jan 1;113:103772. (avalaible online )https://doi.org/10.1016/j.ijnurstu.2020.103772.
- Courtenay M, Castro-Sanchez E, Gallagher R, McEwen J, Bulabula AN, Carre Y, Du Toit B, Figueiredo RM, Gjerde ME, Hamilton N, Jorgoni L. Development of consensus-based international antimicrobial stewardship competencies for undergraduate nurse education. Journal of Hospital Infection. 2019 Nov 1;103(3):244-50. (avalaible online )https://doi.org/10.1016/j.jhin.2019.08.001.
- Organisation for Economic Co-operation and Development. Stemming the superbug tide: just a few dollars more. Paris: OECD Publishing; 2018. (avalaible online )https://doi.org/10.1787/9789264307599-en%0Ahttp://www.oecd.org/unitedstates/Stemming-the-Superbug-Tide-in-the-US.pdf%0Ahttps://www.oecd-ilibrary.org/social-issues-migration-health/stemming-the-superbug-tide_9789264307599-en.
- Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: Results from two european point prevalence surveys, 2016 to 2017. Eurosurveillance 2018;23:1–18. (avalaible online ) https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800516.
- Price L, MacDonald J, Melone L, Howe T, Flowers P, Currie K, et al. Effectiveness of national and subnational infection prevention and control interventions in high-income and upper-middle-income countries: a systematic review. Lancet Infect Dis 2018;18:e159–71. (avalaible online ) https://doi.org/10.1016/S1473-3099(17)30479-6.
- Storr J, Twyman A, Zingg W, Damani N, Kilpatrick C, Reilly J, et al. Core components for effective infection prevention and control programmes: New WHO evidence-based recommendations. Antimicrob Resist Infect Control 2017;6. (avalaible online ) https://doi.org/10.1186/s13756-016-0149-9.
- WHO. Minimum requirements for infection prevention and control programmes. Geneva: World Health Organization. 2019. (avalaible online ) https://apps.who.int/iris/bitstream/handle/10665/330080/9789241516945-eng.pdf?ua=1
- WHO. Core competencies for infection prevention and control professionals. Geneva: World Health Organization: 2020. (avalaible online ) https://apps.who.int/iris/bitstream/handle/10665/335821/9789240011656-eng.pdf?ua=1.

 
ADDITIONAL NOTES Pre-requisite Qualifications: Registered healthcare professionals in possession of an MQF Level 6 Qualification.

 
STUDY-UNIT TYPE Independent Study, Lecture & Online Learning

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Online Moderated Discussions and Postings See note below Yes 30%
Presentation See note below Yes 70%
Note: Assessment due will vary according to the study-unit availability.

 
LECTURER/S Anna Partanen
Darja Barlic Maganja
Helena Skocir
Rosario Caruso
Tiina Susanna Varamaki
Ermira Tartari Bonnici
Enrique Castro Sanchez

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years.

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