Evidence-Based Pilot for Improved Antibiotic Prescribing
The nature and burden of inappropriate antibiotic prescribing for self-limiting respiratory tract infections (RTIs) in primary care settings, continues to pose great threats to public health. This high prevalence leads to an increase of antimicrobial resistant infections, which calls for more Evidence-Based Practice (EBP) educational strategies. The practice’s problem was identified as high rates of antibiotic prescribing for acute RTIs, without specific indications for antibiotic treatment. This project was implemented with multi-faceted approaches by identifying strategies to improve provider-patient communication; increasing providers’ knowledge and awareness of current treatment guidelines, and disseminating educational information to patients about the importance of appropriate antibiotic treatment. These educational strategies are the core principles in addressing quality care concerns within this practice, which aimed to reduce unnecessary antibiotic prescriptions in eight weeks.
This study used a descriptive observational method where the pre- and post-interventional design was used to measure the effectiveness of EBP educational information through the delayed antibiotic prescribing strategy. The findings supported the prominence of delayed antibiotic strategy for self-limiting RTIs recommended by the EBP Clinical Guidelines No. 69, entitled “Respiratory Tract Infections – Antibiotic Prescribing” developed by the National Institute for Health and Care Excellence (NICE).
These findings suggested that there was a change in knowledge and awareness in prescribing practices through the combined-educational interventions for providers and patients in delaying the antibiotic treatment. This change in knowledge and awareness of antibiotic indications demonstrated that education affects providers’ awareness about their prescribing practices, as evident by antibiotic prescribing rates dropped immediately post-intervention stage.
| Type | DNP Capstone Project |
| Acquisition | Proxy-submission |
| Review Type | Faculty Approved: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Observational Study, Other (e.g., Prevalence, Incidence) |
| Research Approach | Translational Research/Evidence-based Practice |
| Keywords | Prescriptions, Drug; Antibiotics therapeutic use; prescription drug abuse; Respiratory Tract Infections psychology; Patient Education; Patient Education methods; Antibiotics therapeutic use; Antibiotic Prophylaxis utilization |
| CINAHL Subject(s) | Antibiotics; Antibiotics--Administration and Dosage; Inappropriate Prescribing; Respiratory Tract Infections; Respiratory Tract Infections--Drug Therapy; Professional Practice, Evidence-Based |
| Grantor | Chamberlain University |
| Advisor | Rass, Juanita |
| Level | DNP |
| Year | 2017 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Patient's Impact on Antibiotics Prescription for Viral Infections
(2016-01-28)The purpose of this project is to evaluate the effectiveness of a patient educational intervention on the rates of desire for antibiotics for viral upper respiratory infections. A quasi-experimental design with a convenience ... -
Education Initiative Improves Antibiotic Prescribing in Respiratory Tract Infections in Rural Primary Care
(2017-09-29)With the rise of antibiotic resistance, practicing antibiotic stewardship is of increasing importance, yet remains a significant practice challenge. This study examines a nurse practitioner-lead initiative that demonstrates ... -
Ketorolac use in the pediatric surgical patient: An Evidence-Based Practice analysis
(2017-06-23)Opioid-based medications are often the first medications selected for pain control in young patients; however opioids possess several unwanted side effects such as respiratory depression, nausea, vomiting and allergic ... -
Evidence-Based Practice Change to Prevent CAUTI: A Team-Based Approach
(2016-03-21)Session presented on Monday, November 9, 2015: CAUTI prevention is largely based on nursing awareness regarding best practices in catheter care and timely removal of the catheter. Nursing practice change is accomplished ... -
Reducing Antibiotic Use in the Management of Upper Respiratory Infections in the Urgent Care Setting
(2017-07-14)Purpose: Upper Respiratory Infections (URIs) are the most common presenting complaint to urgent care centers across the United States. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the ...
