Conducting a DNP project to measure the implementation of Chlamydia screening on a university campus

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Diejomaoh_Okiemute_Dissertation.pdf (2.37 MB)

Date

2023-8

Authors

Diejomaoh, Okiemute

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https://hdl.handle.net/1969.6/97211

Abstract

Background: Chlamydia is the most reported bacterial sexually transmitted infection in the United States. The disease is mainly asymptomatic, and university aged individuals have rates of chlamydia infections higher than the general population. Despite recommendations for regular screenings in young adults, routine screenings were not performed at the university health center (UHC). Purpose: To determine if providing education to UHC staff and implementing a standardized chlamydia screening (SCSQ) process for students visiting the UHC increased chlamydia screening and testing rates across a university campus. Methods: A 45-minutes chlamydia educational in-service and pre- and post-assessments were provided to UHC staff. The SCSQ was administered to all students who presented to the UHC for provider visit. Results: There was statistically significant increase in staff chlamydia knowledge pretest to posttest t(9) = 5.35, 95% CI [ 3.29 – 8.12], p < .001, d = 1.69. There was a statistically significant difference in proportion of students screened in the pre-intervention group vs. intervention group X2 = 488, p < .001. There was also a statistically significant difference in testing from the pre-intervention group vs. intervention group X2 = 32.95, p < .001. However, there was not a statistically significant difference in those who tested positive in the pre-intervention group when compared to the intervention group X2 = .881, p = .386. Implications: The findings of this project are clinically significant as it reinforces the need to screen routinely for this asymptomatic disease particularly in the vulnerable populations to detect and treat the disease early.

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A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

Keywords

chlamydia, screening, sexually transmitted infection, STD/STI, testing, university health center

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This material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher., This material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.

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