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Nurses as Antibiotic Brokers: Institutionalized Praxis in the Hospital

机译：护士作为抗生素经纪人：在医院的普拉西斯制度化

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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.
机译：由于抗微生物抗性，抗生素生产和开采过度使用，因此我们可能会迅速朝着抗生素后时代迅速移动。迄今为止研究几乎完全专注于医生的处方，护士在抗生素使用中的角色留下几乎看不见。借鉴了30名护士的访谈，我们专注于护士作为医生抗生素决策的经纪人，挑战医生决策的护理能力，以及“背阶段”的环保组织限制战略。我们认为护士占据了医院内的经纪人;不中性的主题位置，有助于（短期）凝聚力，并涉及追求特定的（优先）护理结果。说明如何通过制度化的实践介绍权威，以及专业人士如何逃避试图管理他们的实践，我们挑战了医师处方权的重新制定，争论它可能会抵御抗生素未来作为重要利益相关者的抗生素。

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