Nurses as Antibiotic Brokers: Institutionalized Praxis in the Hospital

Broom, Alex, Broom, Jennifer, Kirby, Emma and Scambler, Graham (2016) Nurses as Antibiotic Brokers: Institutionalized Praxis in the Hospital. Qualitative health research, 27 13: 1924-1935. doi:10.1177/1049732316679953

Author Broom, Alex
Broom, Jennifer
Kirby, Emma
Scambler, Graham
Title Nurses as Antibiotic Brokers: Institutionalized Praxis in the Hospital
Journal name Qualitative health research   Check publisher's open access policy
ISSN 1049-7323
Publication date 2016-11-30
Year available 2016
Sub-type Article (original research)
DOI 10.1177/1049732316679953
Open Access Status DOI
Volume 27
Issue 13
Start page 1924
End page 1935
Total pages 12
Place of publication Thousand Oaks, CA United States
Publisher Sage Publications
Language eng
Abstract 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.
Keyword Asia-Pacific
Australia, Australians
health care
health care professional
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID LP140100020
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Clinical Medicine Publications
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Created: Wed, 15 Nov 2017, 12:48:47 EST