DNP alumni Tamara Link publishes an article entitled "Reducing Inappropriate Antibiotic Prescribing for Adults with Acute Bronchitis in an Urgent Care Setting: A Quality Improvement Initiative" in the Advanced Emergency Nursing Journal. The article was co-authored with Cristina Hendrix and experts from Durham Veterans Affairs Medical and FastMed Urgent Care.

Abstract: Acute bronchitis is a predominantly viral illness and, according to clinical practice guidelines, should not be treated with antibiotics. Despite clear guidelines, acute bronchitis continues to be the most common acute respiratory illness for which antibiotics are incorrectly prescribed. Although the national benchmark for antibiotic prescribing for adults with acute bronchitis is 0%, a preliminary record review before implementing the intervention at the project setting showed that 96% (N = 30) of adults with acute bronchitis in this setting were prescribed an antibiotic. This quality improvement project utilized a single-group, pre-post design. The setting for this project was a large urgent care network with numerous locations in central North Carolina. The purpose was to determine whether nurse practitioners and physician assistants, after participating in a multifaceted provider education session, would reduce inappropriate antibiotic prescribing for healthy adults with acute uncomplicated bronchitis. Twenty providers attended 1 of 4 training sessions offered in October and November 2015. The face-to-face interactive training sessions focused on factors associated with inappropriate antibiotic prescribing, current clinical practice guidelines, and patient communication skills. Retrospective medical record review of 217 pre-training and 335 post-training encounters for acute bronchitis by 19 eligible participating providers demonstrated a 61.9% reduction in immediate.