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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Victoria Britson


gonorrhea, chlamydia, screening, sexual history, rural


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

Chlamydia infections -- Diagnosis
Women -- Health and hygiene
Medical Screening
Sexually transmitted diseases


Includes bibliographical references (pages 72-80)



Number of Pages



South Dakota State University


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