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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


antibiotic stewardship, antibiotic resistance, nurse


Introduction: Urinary tract infections are one of the two most common infections treated in hospitals, leading to antibiotic overuse. Antibiotic overuse makes antibiotic stewardship in hospitals important. Methods: Literature terms that were searched were antibiotic stewardship, inappropriate antibiotic prescribing, reducing unnecessary urine culturing, urinary tract infection symptoms, and nursing urinalysis protocols. The themes that emerged were indications for urinalysis as defined by the checklist from the Centers for Disease Control and Prevention, the nursing role in antibiotic stewardship, and barriers for implementing the project. Gaps: There are few articles regarding using a protocol to help define a urinary tract infection for nurses. Nurses have had limited involvement in antibiotic stewardship programs. It is unknown the effect a nurse will have on antibiotic stewardship. Recommendations for Practice: Implementing an evidence-based practice protocol will help to identify the appropriate times for a nurse to request a urinalysis order from a provider and potentially decrease the number of unnecessary urinalysis tests along with inappropriate antibiotic prescriptions.

Library of Congress Subject Headings

Urinary tract infections -- Treatment.
Drug resistance in microorganisms.

Number of Pages



South Dakota State University


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