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The Precaution Adaptation Process Model (PAPM)

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Significance of the Problem
Currently, standards for the diagnosis and treatment of AB are inconsistent, but all guidelines recommend avoiding prescribing antibiotics for acute cough/AB (Dempsey, Businger, Whaley, Gagne & Linder, 2014). A viral infection is usually a self-limited illness (Busse & Lemanske, 2010). Symptoms management such as cough control is the goal and recommended in managing AB. Therefore, the importance of the familiarity of the clinicians with the recent clinical guidelines for AB and adherence to the guidelines is recommended, but can be challenging in terms of consistently utilizing the guidelines into their practice (McCollough, Zimmerman, and Rodriguez, 2014).
Target Population & Setting
The American Academy of Family
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The seven stages of PAPM helps in understanding the dynamic process of adopting to the guidelines, as part of the educational brochure, given to PCPs and the utilization of guidelines into their practice (Weinstein, 1988). These stages will be used each week, during the evaluation process, to determine and evaluate the target population including its adaptation of the educational brochure and the current changes in their…show more content…
These guidelines state the current criteria in diagnosing the types of acute bronchitis and its treatment taken from American Family Practice (Albert, 2010). A recent clinical trial suggests that printed (PDS) and computer decision support (CDS) interventions are safe and effective in reducing antibiotic use in acute bronchitis relative to usual care (Michaelids, Kern & Smith, 2015). Therefore, an educational brochure will be given to clinicians in primary care setting, which will guide them to accurately diagnose and treat AB based on the current guidelines (Appendix A) followed by summary of diagnostic and treatment recommendation for patients with acute cough illness (Appendix B). Both documents will guide the practitioners to practice accountable justification method in their practice (Meeker et al, 2016). Accountable justification is where the providers have guidelines on hand and continuously ask themselves to justify if a medication such as antibiotic is necessary (Meeker et al, 2016). The educational brochure is an algorithm that directs the providers to appropriate diagnosing and treatment of AB that was taken from the recommendation of AAFP. Also, a specific symptom management recommendation for treating AB is included in the educational brochure. The summary of diagnostic and treatment
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