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Document Type
DNP - University Access Only
Award Date
2017
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Victoria Britson
Keywords
gonorrhea, chlamydia, screening, sexual history, rural
Abstract
Gonorrhea and chlamydia infections are primarily asymptomatic in women, however are known to contribute to long-term health complications that can negatively impact reproductive health (Centers for Disease Control [CDC], 2015a). Considerable increases in rates of these infections throughout the state of Minnesota impose a significant threat to public health (Minnesota Department of Health, 2015). Screening rates are at suboptimal levels despite evidence-based recommendations. Obtaining an accurate sexual history assessment is vital to identifying at-risk women; however, is a skill that many healthcare providers are not comfortable with in their practice (CDC, 2015a; Jenkins & LaVault, 2016). Implementation of education to providers and standardized assessment screening using the CDC (2011) Brief Sexual History Tool in adolescent and adult women in a rural, primary care clinic resulted in a 42.5% increase in provider assessment and documentation of sexual history in the post-intervention group (p <0.05), along with statistically significant increase in chlamydia and gonorrhea screening tests ordered or offered to these patients (p <0.05). Use of a standardized screening method has the potential to promote routine screening as a part of comprehensive care, reduce stigma associations with STI screening, and improve timely diagnosis and treatment of these communicable diseases.
Library of Congress Subject Headings
Gonorrhea
Chlamydia
Chlamydia infections -- Diagnosis
Women -- Health and hygiene
Medical Screening
Sexually transmitted diseases
Description
Includes bibliographical references (pages 72-80)
Format
application/pdf
Number of Pages
123
Publisher
South Dakota State University
Rights
In Copyright - Non-Commercial Use Permitted
http://rightsstatements.org/vocab/InC-NC/1.0/
Recommended Citation
Vogel, Christina M., "Improving Gonorrhea and Chlamydia Screening Rates Among Adolescent and Adult Women in a Rural Health Clinic" (2017). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 59.
https://openprairie.sdstate.edu/con_dnp/59