dc.contributor.author | Brown, Cynthia A. | |
dc.date.issued | 2017 | |
dc.description | Approved May 2017 by the faculty of UMKC in partial fulfillment of the requirements
for the degree of Doctor of Nursing Practice | |
dc.description.abstract | Approximately 50% of antibiotics prescribed are not necessary, nevertheless in the United States
among the many outpatient prescriptions, few are more widely prescribed than antibiotics. The
inappropriate use of antibiotics to treat non-bacterial infections has been largely responsible for
the emergence of antibiotic resistance. The purpose of this DNP project was to evaluate the
effect of an antibiotic stewardship program on urgent care providers’ antibiotic prescribing for
acute respiratory infections and to analyze providers’ awareness and beliefs regarding antibiotic
use and resistance. A quasi-experimental study was conducted among a convenience sample of
eight urgent care providers who received a one hour theory-based intervention program on
antibiotic prescribing. Outcomes measured included provider antibiotic prescribing rates pre-
and post-intervention, differences in antibiotic prescribing among the providers, and provider
attitude and knowledge regarding antibiotic prescribing and resistance. The antibiotic
prescribing rate decreased from 30% to 20% post-intervention, p =. 078. The odds ratio of nurse
practitioners preferring not to prescribe antibiotics pre-intervention was 3.273 (p = .001) and
post-intervention 4.155 (p = < .0005) times more than physicians. Within their setting, 84.43%
believed antibiotics are overused, and 92.25% believed antibiotic resistance is a problem.
Implementation of an outpatient antibiotic stewardship program is necessary to decrease
inappropriate antibiotic prescribing, slow progression of antibiotic resistance, and decrease
healthcare costs associated with this world-wide public health problem. | eng |
dc.identifier.uri | https://hdl.handle.net/10355/60369 | |
dc.rights | Open Access (fully available) | |
dc.rights.holder | Copyright retained by author | |
dc.title | Reducing Outpatient Antibiotic Resistance: A Quasi-Experimental Study | eng |
dc.type | Paper | |
thesis.degree.discipline | Nursing (UMKC) | |
thesis.degree.grantor | University of Missouri--Kansas City | |
thesis.degree.level | Doctoral | |
thesis.degree.name | D.N.P. | |