Abstract

The objective of this Doctor of Nursing Practice (DNP) scholarly project was to implement an evidence-based intervention, the clinical decision support system (CDSS), and include education to promote increased routine chlamydia screening practices in an outpatient clinic. An additional objective was to assess CDSS usability using the System Usability Scale (SUS) to evaluate for project sustainability. The project design was a quasi-experimental study with post-implementation data collection with a comparison of norms of baseline chlamydia screening from the prior year. The project was completed over eight weeks. The project was implemented at a family health clinic located in a southcentral state. The project impacted sexually active young females aged 18 to 24 years old who presented for routine care in the outpatient clinic. Project participants included four clinic providers, four medical assistants, lab technician, and the office manager. A chi-square test of independence was utilized to evaluate the difference in chlamydia screening rates baseline and post-implementation. Chlamydia screening rates were significantly higher than baseline at χ2(1) = 15.36, p < 0.0001 with an overall 18.88% increase. The odds ratio determined that the odds of screening were 3.6 times greater post-implementation as compared to the baseline rate without intervention. The evaluation of CDSS usability was assessed using the SUS, which concluded about average usability.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28030363; ProQuest document ID: 2443565776. The author still retains copyright.

Author Details

Raine Martin, DNP, MSN, FNP-BC

Sigma Membership

Beta Chi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Chlamydia, Clinical Decision Support Systems, Nursing Intervention, Quality Improvement, Young Women

Advisor

LeahAnn Young

Second Advisor

Ann Deshotels

Third Advisor

Joseph Andary

Degree

DNP

Degree Grantor

Northwestern State University of Louisiana

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-04

Full Text of Presentation

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