Advisor | Marshburn, Dianne | |
Author | Godette, Danyiel | |
Date Accessioned | 2023-07-20T12:28:04Z | |
Date Available | 2023-07-20T12:28:04Z | |
Date of Issue | 2023-07-19 | |
Identifier (Citation) | Godette, Danyiel. (July 2022). Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. | en_US |
Identifier (URI) | http://hdl.handle.net/10342/13016 | |
Description | 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. | en_US |
Language | en_US | en_US |
Subject | extra-genital screening, college health setting, sexually transmitted infections, gonorrhea and chlamydia | en_US |
Title | Increasing Extra-genital Gonorrhea and Chlamydia Screening in the College Health Setting | en_US |
Type | DNP Scholarly Project | en_US |
Department | Graduate Nursing Science | en_US |
Degree | D.N.P. | en_US |
xmlui.metadata.ecu.campusonly | Open Access | en_US |