Date of Award

Spring 5-2020

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Jennifer Goldsberry

Second Advisor

Sheryl Winn

Third Advisor

Robert Hawes


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.

Included in

Nursing Commons