Date of Award
Spring 5-2020
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
First Advisor
Jennifer Goldsberry
Second Advisor
Sheryl Winn
Third Advisor
Robert Hawes
Abstract
This study measured the effectiveness of an evidence-based guideline intervention regarding provider’s and antibiotic use in a rural health clinic. Sixty percent of providers in the clinic participated in the study. The Antibiotic Knowledge Survey (AKS) was used to measure provider’s knowledge of antibiotic overuse at baseline and 10 weeks post-intervention. Antibiotics prescribed with the diagnosis of sinusitis was measured 6 months pre-intervention and 6 months post-intervention. There was not a significant change in provider’s knowledge from pre-intervention to post-intervention (77.2, SD 9.4), t(16) = 0.63, p = 0.53. However, antibiotic prescribing did decrease from pre- to post-intervention, though this decrease was not statistically significant (583.3, SD 684.8), t(0.84) =2, p = 0.49. Further analysis of each question on the AKS was assessed and showed statistical significance related to providers being more likely to prescribe antibiotics pre-intervention due to patient preference (M 1.17, SD 0.77), t(16) = 2.05, p = 0.05 and more likely to use education courses post-intervention (M 4.59, SD 0.50), t(16) = 2.07, p = 0.05. These results can be used in future studies to assess the best interventions related to educating providers on antibiotic overuse. This study also forms the basis for studies to assess patient’s perception of antibiotics.
Keywords: Advance Practice Providers, educational interventions, antibiotic resistance, and antibiotic overuse.
Recommended Citation
Vargas, GerLana, "Implementation of an Evidence-Based Guideline to Improve Knowledge and Prescribing for Rhinosinusitis" (2020). Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects. 48.
https://kb.gcsu.edu/dnp/48