Contraceptive Care for Adolescents in School-Based Health Centers Is Essential!: The Lived Experience of Nurse Practitioners

Adolescents often face hurdles that may interfere with accessing contraceptive services. School-based health centers (SBHCs) are available to many teens in the United States; however, only half of SBHCs that serve adolescents are permitted to provide contraception. The aim of this descriptive phenom...

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Bibliographic Details
Published in:The Journal of school nursing 2018-10, Vol.34 (5), p.367-379
Main Authors: Moriarty Daley, Alison, Polifroni, E. Carol
Format: Article
Language:English
Subjects:
Access to Health Care
Adolescent
Adolescents
Barriers
Contraception
Contraception - nursing
Experience
Female
Females
Health Education
Health Education - methods
Health Promotion
Health Promotion - methods
High School Students
Humans
Male
Nursing
Pregnancy
Pregnancy in Adolescence - prevention & control
Role
School Health Services
School Health Services - organization & administration
School Nurses
School Nursing - methods
Sexuality
United States
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Description
Summary:Adolescents often face hurdles that may interfere with accessing contraceptive services. School-based health centers (SBHCs) are available to many teens in the United States; however, only half of SBHCs that serve adolescents are permitted to provide contraception. The aim of this descriptive phenomenological study was to describe the lived experience of nurse practitioners (NPs) providing contraceptive care to teens in SBHCs. Twelve NPs were interviewed and Colaizzi’s method of descriptive phenomenological analysis was used to describe the lived experience of NPs providing contraceptive care to adolescents in SBHCs. Three themes emerged: Contraception is an Essential Part of Care for Teens Using SBHCs; Frustration! There are so Many Hurdles to Negotiate; and Walking a Fine Line. Despite the restrictions on SBHC services and the hurdles the NPs encountered, they remained committed to providing contraceptive services and seized available opportunities to provide health education and support for the adolescents accessing the SBHCs.
ISSN:1059-8405
1546-8364
DOI:10.1177/1059840517709503