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intravenous iv antibiotic use secondary care england widespread timely appropriate intravenous oral switch ivos potential deliver significant clinical operational benefits date antimicrobial stewardship ams efforts around ivos focused nursing staff administer antibiotics represents significant gap ams programmes determine involvement bedside nurses acute trusts midlands region england ivos organisations describe views regarding improve ivos anonymous selfadministered mixedmethods online survey developed distributed nursing staff acute trusts via antimicrobial stewardship networks march may 2023 quantitative data analysed describe participant demographics behaviours whereas barriers enablers ivos explored thematic content analysis responses openended questions 545 nursing staff responded survey majority 653 routinely suggested ivos clinicians despite 506 aware local ivos policies one third 347 suggest ivos relying doctors believing patients needed iv treatment lacked knowledge skills request ivos content analysis suggestions improving rate ivos proposed three major themes people process system identified education training improved confidence interprofessional relationships prompts important drivers nursing staff suggest ivos clinicians education resources needed enable empower role