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Evaluating nurse practitioner practices in the diagnosis and treatment of acute pharyngitis

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TitleInfo
Title
Evaluating nurse practitioner practices in the diagnosis and treatment of acute pharyngitis
Name (type = personal)
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Elysee
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Junique
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1990-
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Junique Elysee
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author
Name (type = personal)
NamePart (type = family)
Jenkins
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Melinda L.
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Melinda L. Jenkins
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Advisory Committee
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chair
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Bertollo
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Lauren
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Lauren Bertollo
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Advisory Committee
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outside member
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Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
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School of Nursing - RBHS
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school
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Text
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theses
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2019
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2019-01
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2018
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract
The 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.
Subject (authority = RUETD)
Topic
Post-Master's DNP Practice
Subject (authority = ETD-LCSH)
Topic
Pharyngitis
Subject (authority = local)
Topic
Antibiotic resistance
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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ETD_9396
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doi:10.7282/t3-6751-vh92
PhysicalDescription
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application/pdf
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text/xml
Extent
1 online resource (59 pages) : illustrations
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DNP
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Includes bibliographical references
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NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
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Name
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Elysee
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Junique
Role
Copyright Holder
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Permission or license
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2018-12-13 15:12:09
DateTime (point = end); (encoding = w3cdtf); (qualifier = exact)
2099-12-31
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Junique Elysee
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2019-01-31
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2021-01-30
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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2018-12-12T16:49:47
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2018-12-12T16:49:47
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