| dc.description.abstract | Nurses are central to infection prevention management, and there is a growing recognition of their key position in preventing the development of antibiotic resistance in hospitals. However, there is a lack of studies examining nurses’ involvement in managing antibiotic treatment and antibiotic resistance prevention in India. This qualitative study was conducted to identify the determinants guiding and influencing hospital staff nurses’ practice in their management of antibiotic treatment and antibiotic resistance prevention strategies in two hospitals in North India. Ethnographic methods were used to gain insight into the nurses’ everyday practices in the hospitals. Participant observation allowed for an understanding of nurses’ tasks and practices related to antibiotic treatment, such as preparing, disposing, and administering antibiotics, detecting signs and symptoms of infections, and complying with infection prevention and control measures. Semi-structured interviews with nurses explored their views and perspectives on the management of antibiotic treatment, their perceived need for competency development, and how relations with different professional groups and patients influence their practices. Findings from this study revealed how nurses considered their importance in providing medicines to patients and their role in managing antibiotic treatment. Additionally, it was found that nurses’ practices were influenced by socially constructed notions regarding antibiotic resistance, hygiene, and vital sign assessments. Despite the nurses’ strong sense of responsibility and professional integrity, nursing workload and time limitations impacted their practices, potentially compromising patient safety. The study explored not only the individual practices and perspectives of nurses but also the social relations and resources within the hospitals. Power dynamics and limited prospects for professional development were found to hinder nurses’ ability to stay updated on best practices and to engage in antibiotic resistance prevention efforts despite their readiness and willingness to gain new knowledge and competence. By considering the local context, available resources, and cultural notions related to hygiene and antibiotics, interventions can be tailored to empower nurses as crucial stakeholders in antibiotic resistance prevention. Future interventions should focus on addressing power dynamics, improving working conditions, and providing professional development and training opportunities. A collaborative approach involving multidisciplinary teams can create an environment that supports nurses in their crucial role, contributing to the overall efforts in combating antibiotic resistance and improving patient outcomes. | nob |