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Objective <p>Staffing needs for an antimicrobial stewardship program (ASP) in the neonatal intensive care unit setting are undefined.</p> Study design <p>In an ASP collaborative of 29 California NICUs, we surveyed sites to determine full-time equivalents (FTE) for ASP implementation effort by clinical role, clinical acuity, patient volume, and other NICU characteristics.</p> Results <p>146 staff members performed ASP implementation, including neonatologists, nurses, hospitalists, nurse practitioners, pharmacists, information technology personnel, and infectious disease specialists. The 8-month preparation and 12-month intervention phases required a median (IQR) of 0.015 (0.011–0.025) and 0.071 (0.056–0.091) FTEs (0.6 and 2.8 hours per week), respectively. Neonatologists and nurses performed 43% and 19% of the workload, respectively; effort for site-level stewardship activities and collaborative learning dissemination varied 3.3-fold over the collaborative. Higher clinical acuity and patient volume were associated with higher neonatologist effort.</p> Conclusion <p>Driven by neonatologists and nurses, NICU ASP requires demonstrable effort, and staff needs vary considerably.</p>

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Implementation of an antimicrobial stewardship program in a multicenter neonatal intensive care unit collaborative: a mixed-methods staff resource needs evaluation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月22日

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  • Cynthia L. Gong,
  • Nabeel Qureshi,
  • Peter Mendel,
  • Kurlen S. E. Payton,
  • Henry C. Lee,
  • Kenneth M. Zangwill

摘要

Objective

Staffing needs for an antimicrobial stewardship program (ASP) in the neonatal intensive care unit setting are undefined.

Study design

In an ASP collaborative of 29 California NICUs, we surveyed sites to determine full-time equivalents (FTE) for ASP implementation effort by clinical role, clinical acuity, patient volume, and other NICU characteristics.

Results

146 staff members performed ASP implementation, including neonatologists, nurses, hospitalists, nurse practitioners, pharmacists, information technology personnel, and infectious disease specialists. The 8-month preparation and 12-month intervention phases required a median (IQR) of 0.015 (0.011–0.025) and 0.071 (0.056–0.091) FTEs (0.6 and 2.8 hours per week), respectively. Neonatologists and nurses performed 43% and 19% of the workload, respectively; effort for site-level stewardship activities and collaborative learning dissemination varied 3.3-fold over the collaborative. Higher clinical acuity and patient volume were associated with higher neonatologist effort.

Conclusion

Driven by neonatologists and nurses, NICU ASP requires demonstrable effort, and staff needs vary considerably.