Nurses as Antibiotic Brokers

Institutionalized Praxis in the Hospital

Dados Bibliográficos

ID4679975
AutoresAlex Broom (0000-0003-1258-1140, UNSW Sydney, autor correspondente), Nicole Cort (0000-0001-8434-5994, The University of New South Wales, Sydney, Australia), Jennifer Broom (0000-0003-3513-3412, Sunshine Coast Health and Hospital Service, & The University of Queensland, Brisbane, Australia), Emma Kirby (0000-0001-9754-0342, The University of New South Wales, Sydney, Australia), Graham Scambler (University of Surrey, London, United Kingdom)
Ano2017
Volume27
Fascículo13
Páginas1924-1935
Data de publicação2017-11-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732316679953
PMID27909252
OpenAlexW2559431346
IdiomaEN
Citações recebidas11
Referências citadas40

We are likely moving rapidly toward a post-antibiotic era, as a result of escalating antimicrobial resistance, rapidly declining antibiotic production and profligate overuse. Hitherto research has almost exclusively focused on doctors' prescribing, with nurses' roles in antibiotic use remaining virtually invisible. Drawing on interviews with 30 nurses, we focus on nurses as brokers of doctors' antibiotic decisions, nursing capacity to challenge doctors' decisions, and, "back stage" strategies for circumnavigating organizational constraints. We argue that nurses occupy an essential and conscious position as brokers within the hospital; a subject position that is not neutral, facilitates (short-term) cohesion, and involves the pursuit of particular (preferred) nursing outcomes. Illustrating how authority can be diffuse, mediated by institutionalized praxis, and how professionals evade attempts to govern their practice, we challenge the reification of physician prescribing power, arguing that it may work against the utilization of nurses as important stakeholders in the future of antibiotics

Business · Political science · Politics · Praxis · Public relations · Antibiotic Use and Resistance · Ethics in medical practice · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes