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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


antibiotics, antibiotic resistance, acute respiratory infection, antimicrobial resistance, viral respiratory illness, patient education, CDC, get smart about antibiotics.


Purpose: The purpose of the DNP project is to implement a procedure change for patients presenting to the clinic with acute respiratory infection (ARI).
Review of Literature: Approximately half of all antibiotics prescribed are unnecessary, and approximately ninety percent of all ARI’s are viral (Holmes, 2016). Using antibiotics inappropriately can cause: antibiotic resistance, increasing healthcare costs, and adverse reactions (Harris, Hicks, & Qaseem, 2016).
Summary of the Project: Patient education focused on basic antibiotic knowledge, viral versus bacterial infections, bacterial resistance, and appropriate antibiotic usage. In addition, CDC Get Smart about Antibiotics (2015) fact sheets were provided to the patients who presented to the clinic with ARI symptoms. Patients received a pre-test upon check in. Patients completed the pretest in exchange for a fact sheet and the post test. Patients were given time to review the fact sheet and take the post test. The posttest was given to the provider during the visit. Patients completed a pre-and pose test to assess knowledge and desire for antibiotics before and after the intervention.
Findings: The average correct for the pre-test was 56% with a range of scores of 0% up to 100% and the average correct for the posttest was 74.7% with a range of scores from 57% up to 100%. The increase in knowledge was a difference of 27%. Patients desire for antibiotics was also assessed utilizing a Likert scale, a scale of 1-10. The pre-test patient desire was 5.77 and the posttest desire was 3.06. This shows that the DNP project was successful in increasing knowledge and decreased patient desire for antibiotics.

Library of Congress Subject Headings

Respiratory infections -- Treatment
Virus diseases
Patient education


Includes bibliographical references (pages 58-62)



Number of Pages



South Dakota State University


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