Date of Award

Fall 2016

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Department of Nursing

Advisor(s)

Dr. Maria deValpine

Dr. Patty Hale

Dr. Richard Ayers

Abstract

Objective- Determine the effectiveness of shared decision making to 1) increase decisional comfort with the appropriate use of antibiotics for respiratory tract infections and 2) maintain antibiotic prescribing rates at current levels.

Participants- English speaking college students age 18 and over diagnosed with a respiratory tract infection in the general medical clinic of a university health center from August 31, 2015-May 6, 2016.

Methods- Pre- and post-intervention surveys used to measure decisional conflict of students. Intervention included staff training in shared decision making and the use of a decision aid in clinical practice.

Results- Students who received routine care were 2.2 times more likely to experience decisional conflict than students whose care included the decision aid. Antibiotic prescribing rates where maintained at pre-intervention levels.

Conclusions- Use of a decision aid show promise to increase comfort with the appropriate treatment of respiratory tract infections while maintaining current prescribing rates.

Included in

Nursing Commons

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