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Improving Pharyngitis Care in School...

Bjuro, Dana,

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Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative // Dana Bjuro.
Author:	Bjuro, Dana,
Description:	1 electronic resource (74 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
Contained By:	Dissertations Abstracts International85-11B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31147278
ISBN:	9798382719054

Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative /
Bjuro, Dana,

Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative /Dana Bjuro. - 1 electronic resource (74 pages)

Source: Dissertations Abstracts International, Volume: 85-11, Section: B.

Background: This quality improvement initiative focused on developing and deploying evidence-based education about acute pharyngitis care to School-Based Virtual Care (SBVC) providers and caregivers of students presenting with a sore throat to an SBVC clinic. The clinics selected for this initiative have one of the highest prevalence of Group A Streptococcus pharyngitis in North Carolina. With the increasing use of telehealth, the Centers for Disease Control and Prevention (CDC) encourages organizations to use strategies to improve antibiotic stewardship and guideline-concordant care in the telehealth setting.Aims: This initiative aimed to decrease inappropriate antibiotic prescribing for pharyngitis infections during the ten-week implementation period. The second aim was to assess barriers and improve the use of the organization's Sore Throat Treatment Algorithm with Antibiotic Guidance among medical assistants and SBVC providers providing care in the specific SBVC clinics. The third aim was to improve caregiver knowledge about sore throat diagnosis and treatment by distributing evidence-based information.Methods: SBVC providers received an education module about the Sore Throat Treatment Algorithm and general feedback on antibiotic prescribing. Following their child's visit with an SBVC provider, caregivers received a postcard with a link to additional CDC sore throat education. Quantitative and qualitative data collection methods were used to assess the success of this project.Results: Following the Sore Throat Treatment Algorithm, manual chart reviews of antibiotic prescribing rates revealed an average decrease in inappropriate antibiotic prescribing by 53.3%. Sixty-six percent (66%) of all caregivers who completed the post-education survey reported feeling extremely comfortable caring for their child with pharyngitis after viewing the evidence-based education.Conclusion: Improving adherence to the organization's Sore Throat Treatment Algorithm and providing caregiver-specific education on pharyngitis has reduced inappropriate antibiotic prescribing and improved caregiver knowledge.

English

ISBN: 9798382719054Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Algorithm

Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative /
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100 1 $a Bjuro, Dana, $e author. $3 3828499
245 1 0 $a Improving Pharyngitis Care in School-Based Virtual Care Clinics: A Quality Improvement Initiative / $c Dana Bjuro.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2024
300 $a 1 electronic resource (74 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
500 $a Advisors: Davison, Jean Committee members: Durham, Carol; Davidson, Lisa.
502 $b D.N.P. $c The University of North Carolina at Chapel Hill $d 2024.
520 $a Background: This quality improvement initiative focused on developing and deploying evidence-based education about acute pharyngitis care to School-Based Virtual Care (SBVC) providers and caregivers of students presenting with a sore throat to an SBVC clinic. The clinics selected for this initiative have one of the highest prevalence of Group A Streptococcus pharyngitis in North Carolina. With the increasing use of telehealth, the Centers for Disease Control and Prevention (CDC) encourages organizations to use strategies to improve antibiotic stewardship and guideline-concordant care in the telehealth setting.Aims: This initiative aimed to decrease inappropriate antibiotic prescribing for pharyngitis infections during the ten-week implementation period. The second aim was to assess barriers and improve the use of the organization's Sore Throat Treatment Algorithm with Antibiotic Guidance among medical assistants and SBVC providers providing care in the specific SBVC clinics. The third aim was to improve caregiver knowledge about sore throat diagnosis and treatment by distributing evidence-based information.Methods: SBVC providers received an education module about the Sore Throat Treatment Algorithm and general feedback on antibiotic prescribing. Following their child's visit with an SBVC provider, caregivers received a postcard with a link to additional CDC sore throat education. Quantitative and qualitative data collection methods were used to assess the success of this project.Results: Following the Sore Throat Treatment Algorithm, manual chart reviews of antibiotic prescribing rates revealed an average decrease in inappropriate antibiotic prescribing by 53.3%. Sixty-six percent (66%) of all caregivers who completed the post-education survey reported feeling extremely comfortable caring for their child with pharyngitis after viewing the evidence-based education.Conclusion: Improving adherence to the organization's Sore Throat Treatment Algorithm and providing caregiver-specific education on pharyngitis has reduced inappropriate antibiotic prescribing and improved caregiver knowledge.
546 $a English
590 $a School code: 0153
650 4 $a Nursing. $3 528444
650 4 $a Public health education. $3 2144801
650 4 $a Continuing education. $3 527504
653 $a Algorithm
653 $a Antibiotic stewardship
653 $a Pharyngitis infections
653 $a Disease Control and Prevention
653 $a Telehealth
690 $a 0569
690 $a 0500
690 $a 0651
710 2 $a The University of North Carolina at Chapel Hill. $b Nursing. $e degree granting institution. $3 3827121
720 1 $a Davison, Jean $e degree supervisor.
773 0 $t Dissertations Abstracts International $g 85-11B.
790 $a 0153
791 $a D.N.P.
792 $a 2024
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31147278