Stewardship Brasil : desenvolvimento de estratégias educacionais na atenção primária à saúde para enfermeiros.

Abstract

Antimicrobial resistance (AMR) emerges as a serious threat to global health, driven by the inappropriate use of antimicrobials and linked to millions of annual deaths. Its impacts on health systems and the economy reinforce the urgency fostering the professional development of Primary Health Care (PHC) nurses for the rational management of these drugs. The objective of this dissertation was to identify the educational strategies used to promote the continuing education of PHC nurses in the management of antimicrobials and to develop a continuing education prototype. Manuscript 1: Entitled "Health Education Strategies for Nurses in the Management of Antimicrobials: A Scope Review," examines a series of educational interventions employed to enhance antimicrobial management among nurses. The review highlights the effectiveness of digital interventions, such as online courses and interactive platforms, along with the need to integrate traditional methods, such as workshops, to maximize learning and practical application. In other words, a hybrid model seems to be the best methodology. The second part of the production consists of a technical product, which is the educational prototype in the format of a short course, entitled "Nursing and Antimicrobials: Good Practices in Primary Care." This technical product proposes a comprehensive training plan developed in five modules (40 hours), which begins with the basic foundations of antimicrobial resistance and advances to the clinical evaluation of patients, rational prescription of antibiotics, and patient monitoring and follow-up strategies. Using a hybrid approach that combines virtual classes (Moodle) with synchronous and asynchronous activities, the course seeks to equip nurses with the skills necessary for safe and effective practice in PHC.