Award Date


Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Mary Bondmass

Second Committee Member

Reimund Serafica

Third Committee Member

Marya Shegog

Number of Pages



The overall purpose of this project is to ensure that school nurses and health assistants are knowledgeable and have the resources to care for pregnant adolescents in the public school system. New Mexico has consistently ranked in the top 10 in the United States for teen births to women aged 15-19 years. The New Mexico School Health Manual is currently used to guide school nurses and health assistants in the care of pregnant adolescents, but it is vague and addresses emergencies such as labor and bleeding.

From this author’s experience as a school nurse in the public school system, it is imperative to gain a better understanding of how to utilize a guideline to provide safe, quality care. This Doctor of Nursing Practice (DNP) project will develop a clinical guideline, for school nurses and health assistants, which provides them with a resource to guide the care of pregnant adolescents. The clinical guideline will be designed to increase the school nurses’ and health assistants’ confidence in effectively providing care to this population of students.

This DNP project identified guidelines currently being utilized by other institutions to provide a template for development of this clinical guideline. The guidelines were given an evidence rating using Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. Although, after much review, the literature provided little guidance for care of pregnant adolescents by school nurses or health assistants. This project will serve as the groundwork for future guideline development to better meet the needs of school nurses and health assistants.


adolescent; clinical; guideline; pregnancy



File Format


Degree Grantor

University of Nevada, Las Vegas




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Nursing Commons