Development and Evaluation of an Antimicrobial Stewardship Education Program for Physician Assistant Nurses: A One-Group Pretest-Posttest Design
10.22650/JKCNR.2026.32.1.94
- Author:
Eun Young SI
1
;
Tae Hyung KIM
;
Mi Hee CHOI
;
Hyo Bin PARK
;
So Yeon KIM
;
Hye Won KANG
;
Hyun Hee KIM
;
Ji Hye PARK
;
Hye Ran KIM
;
Hae Ju KIM
;
Ga Hee KIM
;
Su Rin PARK
;
Jeong Hwa LEE
;
Eun Ji PARK
;
Ji Seon KIM
;
Young Eun KIM
Author Information
1. Department of Nursing Soonchunhyang University Seoul Hospital
- From:
Journal of Korean Clinical Nursing Research
2026;32(1):94-106
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to develop and implement an antimicrobial stewardship education program for physician assistant nurses and to evaluate its effects on their knowledge and clinical performance.
Methods:A quasi-experimental, single-group pre-post design was conducted with 50 physician assistant nurses at a university hospital in Seoul, Republic of Korea. The antimicrobial stewardship education program, developed using the ADDIE model, consisted of 12 sessions including lectures and case-based learning (CBL)-based discussions.Knowledge was measured before and immediately after the intervention, while performance was assessed pre-intervention and four weeks post-program. Data were analyzed using paired t-tests, Wilcoxon signed-rank tests, and analysis of covariance (ANCOVA).
Results:Knowledge scores significantly improved from 44.65±7.45 to 58.50±10.11 (p<.001), and all subdomains showed significant increases (p<.001). Performance scores increased from 3.68±0.77 to 4.28±0.68 (p<.001). Knowledge gain did not differ significantly between the medical and surgical departments (p=.710). Likewise, after adjusting for pre-test scores, no significant difference in performance improvement was observed between the two departments (ANCOVA, p=.170). These results indicate that the program was effective across both departments regardless of their characteristics.
Conclusion:The antimicrobial stewardship education program improved both knowledge and performance among physician assistant nurses. This program may contribute to the standardization of antimicrobial stewardship education and to appropriate antimicrobial use and the reduction of antimicrobial resistance.
