"Rewriting Prescriptions: Behavioral Interventions to Curb Antibiotic Misuse and the Transformative Role of Community Health Nurses"

Abstract: Antibiotic misuse is a global public health concern contributing significantly to antimicrobial resistance (AMR), increased healthcare costs, and poor patient outcomes. Behavioral factors such as patient expectations, lack of awareness, self-medication, and inappropriate prescribing practices play a crucial role in the misuse of antibiotics. This review explores evidence-based behavioral interventions designed to reduce antibiotic misuse and highlights the pivotal role of community health nurses (CHNs) in implementing these strategies. The article synthesizes findings from recent literature on educational, social, and system-level interventions, including nudging techniques, communication strategies, delayed prescriptions, and community-based awareness programs. Furthermore, it discusses the integration of behavioral science into public health policies and emphasizes culturally sensitive interventions in diverse populations. Community health nurses serve as frontline agents in promoting rational antibiotic use through patient education, advocacy, surveillance, and interprofessional collaboration. Strengthening their capacity can significantly contribute to antimicrobial stewardship at the grassroots level. This review underscores the need for multi-level interventions combining behavioral insights with nursing practice to combat antibiotic misuse effectively.