Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting
Author
Godette, Danyiel
Abstract
Extra-genital gonorrhea and chlamydia infections affecting the throat and rectum continue to
increase among young adults. People aged 24 years and younger are the most at-risk. Low rates
of extra-genital screening present the problem of a missed diagnosis of gonorrhea and chlamydia.
Any missed diagnosis delays evidenced-based treatment and contributes to the spread of sexually
transmitted infections (STIs) and avoidable complications. This project aimed to implement a
standardized process for screening patients and increase extra-genital testing. The Theoretical
Domains Framework and a multidisciplinary team approach were adopted as the operational
framework to guide the project. The project was conducted in a college health setting at a
university student health center. Established goals were to modify and implement a sexual
history-taking tool, educate nursing staff and providers on use of the tool, introduce the Five Ps
of sexual history-taking: Partners, Practices, Protection, Past-History, and Prevention of
Pregnancy, track compliance with use of the tool, and evaluate for an increase in extra-genital
screening rates. Quantitative results revealed a 93% overall use rate of the sexual history-taking
tool. There was a 38% increase in extra-genital testing during the project implementation
compared to the pre-data timeframe. Findings support the importance of the project as nurses and
providers increased their knowledge of the Five Ps of sexual history-taking and confidence when
discussing sexual health. An important finding was that the efficient use of extra-genital testing
far outweighs the cost of a missed diagnosis of gonorrhea and chlamydia and untreated infection
complications.
Date
2023-07-19
Citation:
APA:
Godette, Danyiel.
(July 2023).
Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting
(DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship.
(http://hdl.handle.net/10342/13016.)
MLA:
Godette, Danyiel.
Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting.
DNP Scholarly Project. East Carolina University,
July 2023. The Scholarship.
http://hdl.handle.net/10342/13016.
June 29, 2024.
Chicago:
Godette, Danyiel,
“Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting”
(DNP Scholarly Project., East Carolina University,
July 2023).
AMA:
Godette, Danyiel.
Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting
[DNP Scholarly Project]. Greenville, NC: East Carolina University;
July 2023.
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