Background: Antibiotic resistance is a major public health threat, especially in nursing homes (NHs). Nursing home nurses (NHNs) can play a crucial role in antimicrobial stewardship (AMS), but research on their opinions regarding potential expanded AMS roles is limited.

Objectives: To identify different profiles of NHNs according to their opinions on the potential evolution of their AMS roles and to study facilitators/barriers to implementing new AMS roles and the demographic and professional characteristics associated with these profiles.

Methods: Data were collected from a national cross-sectional online survey conducted from May to July 2022 among French NHNs. Profiles were identified via hierarchical clustering. Factors associated with the identified profiles were studied via Fisher's exact tests.

Results: Among the 922 participants included in the analysis, three distinct profiles were identified. NHNs 'more favourable to the evolution of the AMS role' (40% of the sample) expressed strong support for the potential evolution of their AMS role. NHNs 'moderately favourable to the evolution of the AMS role' (46%) were less prone to reinforce discussion with general practitioners about antibiotic prescription. NHNs 'less favourable to the evolution of the AMS role' (14%) showed little or no agreement regarding several potential new AMS roles. Being a head nurse was associated with more favourable opinions on the evolution of the AMS role as opposed to practicing in NHs connected to a hospital.

Conclusions: These findings could help healthcare managers and policy-makers tailor the implementation of these new roles among NHNs, if they prove effective and safe.

© The Author(s) 2024. Published by Oxford University Press on behalf of British Society for Antimicrobial Chemotherapy.

背景：

抗生素耐药性是公共卫生的重大威胁，尤其是在护理院（NH）中。护理院护士（NHNs）在抗菌药物管理（AMS）方面可以发挥关键作用，但关于他们对潜在扩展AMS角色的看法的研究有限。

目标：

确定不同类别的护理院护士，根据他们对于其AMS角色可能演变的意见，并研究实施新AMS角色的促进因素/障碍以及与这些类别相关的个人和职业特征。

方法：

数据来自2022年5月至7月期间对法国护理院护士进行的一项全国性横断面在线调查。通过层次聚类法识别不同类别，使用费舍尔确切检验研究影响各类别的因素。

结果：

在922名参与分析的参与者中，共确定了三个不同的类别。认为“AMS角色演变更为有利”的护理院护士（占样本的40%）强烈支持其AMS角色可能的发展。持“对AMS角色演变较为保守态度”的护理院护士（占46%）不太倾向于与全科医生讨论抗生素处方事宜。“对AMS角色演变不甚乐观”的护理院护士（占14%）在多个潜在的新AMS角色方面表现出很少或没有一致意见。担任主管护士与更支持AMS角色的演进有关，而相比之下，在与医院连接的护理院工作则不然。

结论：

这些发现可以帮助医疗管理人员和政策制定者根据实际效果和安全性来调整针对护理院护士实施新角色的策略。