Graduation Semester and Year
Spring 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Dr. Ceil Flores, PhD, RN, CNE
Second Advisor
Dr. Deborah Behan, PhD, RN
Third Advisor
Dr. Rhonda Winegar, PhD, DNP, RN, FNP-BC, CCRN, CPN
Fourth Advisor
Dr. Yungfei Kao, PhD
Abstract
Background: With sexually transmitted diseases on the rise in central Texas, advance practice providers were not following evidence-based practice recommendations for sexually transmitted infection screening, treatment, and follow-up. Screening for sexually transmitted diseases occurred at a rate of less than one patient every 7.75 days.
Objective: The objective of this project was to develop and implement an advanced practice provider training tool to educate the clinic providers on sexually transmitted infections, collect pre- and post-data for the educational sexually transmitted infection bundle, and collect sexually transmitted infection screening, identification, treatment, and follow-up data generated by the clinic advanced practice providers during the term of the project.
Methods: Following an intensive literature review, the Iowa Model was chosen to guide this project. The Iowa Model provided structure, feedback loops, and the opportunity to utilize a nurse led, interdisciplinary team. Advanced practice providers took a pre-test for sexually transmitted infection knowledge and then were educated on sexually transmitted infections. Patients were screened, diagnosed, and treated for sexually transmitted infections by the clinic advanced practice provider. A post-test was administered to advanced practice providers at the end of the project to assess change in knowledge.
Results: The sexually transmitted infection screening rate more than doubled in the clinic after the intervention, increasing from one screening every 7.75 days to one screening every three days. Providers consistently tested for gonorrhea and chlamydia.
Conclusions: Advanced practice provider educational training had a positive effect on the rate of sexually transmitted infection screening. Patients received educational material and those with sexually transmitted infections were treated in a timely manner.
Keywords
chlamydia, gonorrhea, syphilis, sexually transmitted infections, STI, advanced practice provider, APP
Disciplines
Female Urogenital Diseases and Pregnancy Complications | Male Urogenital Diseases | Medical Education | Nursing | Public Health and Community Nursing | Quality Improvement | Rural Health | Women's Health
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
White, Misty D., "Sexually Transmitted Infections and Screening: An Educational, Evidence-Based, Quality Improvement Bundle" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects-Archive. 126.
https://mavmatrix.uta.edu/nursing_dnpprojects/126
Included in
Female Urogenital Diseases and Pregnancy Complications Commons, Male Urogenital Diseases Commons, Medical Education Commons, Public Health and Community Nursing Commons, Quality Improvement Commons, Rural Health Commons, Women's Health Commons