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DNP - University Access Only
Doctor of Nursing Practice (DNP)
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
Sexually transmitted diseases
Includes bibliographical references (pages 72-80)
Number of Pages
South Dakota State University
In Copyright - Non-Commercial Use Permitted
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.