Background: Antibiotic resistance is a critical public health concern driven largely by the overprescription of antibiotics, particularly for viral upper respiratory infections (URIs). Despite established guidelines discouraging antibiotic use for viral illnesses, urgent care clinics (UCCs) continue to experience high prescribing rates due to patient expectations, provider decision-making challenges, and operational pressures. 
Purpose: This Doctor of Nursing Practice project aimed to develop and implement an antibiotic stewardship program (ASP) in two UCCs in Orange County, California. The project focused on educating both patients and healthcare providers, including nurse practitioners and physician associates, to support broader efforts in preserving antibiotic effectiveness and combating antibiotic resistance. 
Methods: A literature review identified common factors contributing to antibiotic overprescription. Two key interventions were implemented: a patient education poster displayed in clinic settings to and a comprehensive PowerPoint presentation for providers covering best practices in antibiotic stewardship, prescribing guidelines, and strategies to reduce unnecessary prescriptions. Provider attitudes and perceptions were assessed using a pre- and post-intervention Evidence-Based Practice Attitude Scale (EBPAS) survey and qualitative questions. 
Results: While overall EBPAS scores showed no statistically significant change, a paired samples t-test revealed significant differences in the Requirements, Appeal, and Openness subscales. Qualitative responses from providers also highlighted barriers to appropriate prescribing practices, such as patient pressure, time constraints, and concerns about patient satisfaction scores. 
Conclusion: These findings underscored the complexity of antibiotic stewardship in UCCs and highlighted the need for ongoing provider education, systemic support, and patient engagement strategies to sustain reductions in inappropriate antibiotic use.