IMPROVING SCHOOL-BASED HEALTHCARE WORKER’S COMFORT AND CONFIDENCE IN DELIVERING ADOLESCENT SEXUAL HEALTH RESOURCES

Date
2024
Authors
Tani, Chaelyn
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Fontenot, Holly
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Nursing
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Background/significance: School nurses play a crucial role in delivering sexual health education to adolescents. Their involvement is instrumental in improving targeted reproductive health teachings, particularly concerning risky sexual behaviors. Aligned with the Healthy People 2030 objectives aiming to expand sexual education for youth before they reach 18 years of age, this project is designed to meet both national goals and address the specific needs of high school-based nurses in Hawai‘i. Purpose/Aim: The purpose of this quality improvement project was to create an online resource for community-specific sexual health referrals intended for school nurses and nurse practitioners. The project aims to improve behavioral intention, attitude, subjective norm, and behavioral control among nurses who provide sexual health education to students and make appropriate referrals for sexual health community resources. Methods: Utilizing the Iowa Model-revised, this project implemented an educational intervention targeting school nurses and nurse practitioners in O‘ahu's high school settings. Employing a pre-post design, the project assessed attitudinal and behavioral changes among school nurses before, immediately after, and one month following an educational intervention. Nurses received an educational presentation and continuous access to location-specific, tailored online and in-person referral resource documents for students at each participating high school. Pre- and post-test online surveys measured nurses' comfort, confidence, and behaviors in sexual health education and community referral. Results. Analysis of pre- and post-intervention data revealed significant improvements. Participants showed increased likelihood and positive attitudes towards providing quality sexual health education, with substantial improvements in perceived confidence and comfort levels. There was also a notable improvement in the perceived ability to make community referrals and increased perceptions of having the necessary resources and tools. Conclusion: This project demonstrates the effectiveness of an intervention in enhancing provider's readiness and capability to deliver comprehensive sexual health education and facilitate appropriate community referrals. Participants exhibited increased confidence and comfort for both sexual health education and community referrals. These findings emphasize the significance of targeted interventions in promoting comprehensive sexual health education and access to community resources. Implications/Recommendations: Future efforts should focus on expanding similar interventions to other islands to strengthen sexual health education initiatives and support systems further.
Description
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Nursing, Reproductive health teachings, School nurses, Sexual health education, Sexual health resources
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48 pages
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