The provision of reproductive health services by school-based health centers: Policy Implications

2.50
Hdl Handle:
http://hdl.handle.net/10755/308439
Category:
Abstract
Type:
Presentation
Title:
The provision of reproductive health services by school-based health centers: Policy Implications
Author(s):
Herrman, Judith
Lead Author STTI Affiliation:
Beta Xi
Author Details:
Judith Herrman, PhD, RN, jherrman@udel.edu
Abstract:

Session presented on: Monday, November 18, 2013

Despite declines in rates, an overwhelming number of teen pregnancies are unintended and selected cohorts of teens experience higher rates of births and the associated consequences.  One component of promoting responsible sexual behavior in teens, and thereby reduce pregnancy rates, is to ensure access to contraception, condoms, and comprehensive, medically accurate information.  The provision of reproductive health services (RHS) by school-based health centers (SBHC) in the United States is the subject of much controversy.  Ideological differences about the role of schools in health care, the sexuality and sexual activity of youth, and the accessibility of selected interventions within the school and community frame this debate.  The purpose of this study was to provide a glimpse into the perspectives of key stakeholders on access to RHS in SBHC.  Fifty key informants participated in semi-structured interviews designed to determine adult perceptions about how such services are viewed and how these perspectives may impact policy and practice.  Sample members were selected using purposive and snowball methods and included school board members, SBHC staff, nurses, nurse practitioners, members of school administrations, parents, teachers, reproductive experts, and interested advocates.  To maintain fidelity to the intent of the participants, the principal investigator took detailed notes in the form of clauses during the interviews, expanded the clauses after each interview, integrated observational notes into these data, and notes were transcribed verbatim. Data was analyzed using the interview guide as a template and themes were identified as they emerged through recursive revisiting of the data.  Findings yielded ten overarching themes and revealed broad support for RHS in SBHC.  Variables such as conservative perspectives of teen sexuality, adolescent development, consensus building, nursing implications, and future steps to inform local and national policy are explored.
Keywords:
Reproductive health services; School-based health centers; Teen sexual behavior
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe provision of reproductive health services by school-based health centers: Policy Implicationsen_GB
dc.contributor.authorHerrman, Judithen_GB
dc.contributor.departmentBeta Xien_GB
dc.author.detailsJudith Herrman, PhD, RN, jherrman@udel.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308439-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Despite declines in rates, an overwhelming number of teen pregnancies are unintended and selected cohorts of teens experience higher rates of births and the associated consequences.  One component of promoting responsible sexual behavior in teens, and thereby reduce pregnancy rates, is to ensure access to contraception, condoms, and comprehensive, medically accurate information.  The provision of reproductive health services (RHS) by school-based health centers (SBHC) in the United States is the subject of much controversy.  Ideological differences about the role of schools in health care, the sexuality and sexual activity of youth, and the accessibility of selected interventions within the school and community frame this debate.  The purpose of this study was to provide a glimpse into the perspectives of key stakeholders on access to RHS in SBHC.  Fifty key informants participated in semi-structured interviews designed to determine adult perceptions about how such services are viewed and how these perspectives may impact policy and practice.  Sample members were selected using purposive and snowball methods and included school board members, SBHC staff, nurses, nurse practitioners, members of school administrations, parents, teachers, reproductive experts, and interested advocates.  To maintain fidelity to the intent of the participants, the principal investigator took detailed notes in the form of clauses during the interviews, expanded the clauses after each interview, integrated observational notes into these data, and notes were transcribed verbatim. Data was analyzed using the interview guide as a template and themes were identified as they emerged through recursive revisiting of the data.  Findings yielded ten overarching themes and revealed broad support for RHS in SBHC.  Variables such as conservative perspectives of teen sexuality, adolescent development, consensus building, nursing implications, and future steps to inform local and national policy are explored.en_GB
dc.subjectReproductive health servicesen_GB
dc.subjectSchool-based health centersen_GB
dc.subjectTeen sexual behavioren_GB
dc.date.available2013-12-19T17:31:22Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:22Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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