Date of Award

Spring 2021

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)

Committee Chairperson

Veronica Wilbur, Ph.D.

Committee Member

Jackie Owens, DNP

Committee Member

Cheryl Schlamb, DNP


The overuse and misuse of antibiotics for acute respiratory tract infections contribute to antimicrobial resistance and potential patient harm. The use of shared decision-making is an evidence-based practice tool shown to decrease unnecessary antibiotic prescriptions while promoting antibiotic stewardship. This quality improvement project implanted an evidence- based shared decision-making model, along with the use of an evidence-based decision tool for the treatment of acute respiratory infections in a rural college health center over a 4- month period. The results of this project were commensurate with the historical and current evidence found, adding to the body of knowledge and research supporting shared decision- making in the outpatient setting for the reduction in antibiotic use.