Title: Sexually Transmitted Infection (STI) screening on an inpatient pediatric behavioral health unit
Abstract:
Sexually transmitted infections (STIs) continue to be a major health issue among adolescents, particularly those aged 15-24, who account for 53% of new infections in the U.S., despite making up only 27% of the sexually active population. Adolescents with mental health disorders face even greater risks due to their higher likelihood of engaging in risky behaviors, such as unprotected sex. Many also have a history of sexual abuse, which often leads to underutilization of healthcare services, exacerbating their vulnerability. Within the inpatient behavioral health setting, the collection of sexual health histories during admissions is inconsistent, leading to missed opportunities for STI screening and sexual health education. This Doctor of Nursing Practice (DNP) project aims to address this gap by improving sexual health history documentation and increasing the number of adolescents screened for STI risk on an inpatient behavioral health unit. The project focuses on enhancing nurse participation in taking sexual health histories during patient admissions. Guided by the Johns Hopkins Evidence-Based Practice Model, this quality improvement initiative works to ensure better adherence to national guidelines that recommend routine STI screening for adolescents. The project has involved a comprehensive assessment of current practices and barriers to sexual health history collection. A standardized script was developed for nurses to use during admissions, accompanied by an educational session to highlight the importance of STI screening and strategies for overcoming barriers to these conversations. Ongoing support is provided through biweekly check-ins with nursing staff, ensuring the script is effective and addressing any concerns. Post-implementation evaluation includes chart reviews and nurse surveys to assess improvements in documentation, STI screening rates, and staff satisfaction with the process. This project is expected to significantly increase STI screening rates for a vulnerable adolescent population, while also empowering nurses to engage in critical discussions about sexual health. The outcomes from this initiative are poised to inform future practice changes, contributing to improved sexual health outcomes for adolescents in behavioral health settings.
