Date of Graduation

Spring 5-17-2019

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Dr. Jo Loomis


Section I: Abstract

Problem: California’s adolescents carry a significant burden of newly acquired sexually transmitted infections (STIs) and gaps in adolescent sexual and reproductive health (SRH) knowledge have led to poor adolescent health outcomes. (CDE, 2019). Context: The California Healthy Youth Act (AB 329) was enacted on January 1, 2016, calling all school districts to ensure that all pupils receive comprehensive sexual health education, and HIV prevention education (CDE, 2019). In a proactive motion, parents from a northern California middle school approached a university to provide a Doctor of Nursing Practice (DNP) student to instruct its sixth grade’s SRH course. Intervention: A DNP student agreed to teach a SRH course with a mixed media method rather than a traditional lecture series to meet the requirements of this bill and the need of the community. Measures: This Quality Improvement (QI) project utilized a pre/post-test design to evaluate how effective the lessons are at influencing student SRH knowledge retention over five lessons in the spring school semester. Results: This teaching mixed media SRH course resulted in a 11.36% increase in adolescent SRH knowledge retention, built community bonds between the adolescent school and local university, and showcased that a DNP student is an ideal SHR instructor. Conclusion: To effectively engage adolescents and increase SRH knowledge retention, a mixed media teaching curriculum is effective. Additionally, a DNP student can help build knowledge within the community and improve adolescent health outcomes in community-based settings.