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Evaluating nurse practitioner practices in the diagnosis and treatment of acute pharyngitis
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Elysee, Junique. Evaluating nurse practitioner practices in the diagnosis and treatment of acute pharyngitis. Retrieved from https://doi.org/doi:10.7282/t3-6751-vh92

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TitleEvaluating nurse practitioner practices in the diagnosis and treatment of acute pharyngitis
NameElysee, Junique (author); Jenkins, Melinda L. (chair); Bertollo, Lauren (outside member); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-01 (degree)
SubjectPost-Master's DNP Practice, Pharyngitis, Antibiotic resistance
Extent1 online resource (59 pages) : illustrations
DescriptionThe use and misuse of antibiotics is a major contributor to the development of antibiotic-resistant bacteria. Forty-four percent of outpatient antibiotic prescriptions are written to treat patients with acute respiratory conditions, such as acute pharyngitis. Half of these prescriptions are unnecessary. The Centor score uses a number system to identify how likely it is for Group A beta-hemolytic streptococcus to be present based on certain criteria. Clinical decision making with the Centor score should be confirmed with laboratory testing, such as rapid antigen detection test or throat culture. The aim of this project overall was to improve quality of care in the management and treatment of acute pharyngitis. Using a pre-post survey design, provider response to an educational intervention was evaluated. Results showed that there was no correlation between provider demographics and current practices. Verbalization on the use of the Centor score increased from 70.8% to 79.2% between the pre and post survey. Evaluation of the educational program was found useful by 87.5% of the participants, and 54.2% stated that it would impact their future practices. There was no increase in the use of diagnostic tools between winters 2017 vs. winter 2018; this could be for a variety of reasons. Subjects verbalized that the main barrier to appropriate antibiotic prescribing was patient’s insisting on the need for an antibiotic prescription even when their rapid strep tests were negative.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-6751-vh92
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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