Date of Graduation

Spring 5-15-2025

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Psychiatric Mental Health Nurse Practitioner Executive Summary

First Advisor

Dr. Alicia Kletter

Second Advisor

Dr. Jo Loomis

Abstract

Abstract

Background: The COVID-19 pandemic sharply increased the prevalence of eating disorders (EDs) among youth. These conditions are associated with high treatment costs and have the second-highest mortality rate among mental illnesses, surpassed only by opioid overdose, making them a critical concern for school communities.

Local Problem: A learning needs assessment conducted by the Alameda County School Nurses Network identified gaps in school nurses’ knowledge and confidence regarding ED identification, referral, and care coordination. Methods: In response, a Doctor of Nursing Practice (DNP) student scholar developed and implemented an evidence-based, virtual professional development training focused on EDs. The module was delivered to school nurses across 17 school districts in Alameda County and aimed to build capacity in ED knowledge, identification, and supportive interventions. Interventions: The 90-minute session covered ED types, signs and symptoms, contributing factors, common stereotypes, treatment options, school-based planning recommendations, and evidence-based toolkits. Pre- and post-training surveys measured knowledge and self-rated confidence in identification, planning, and referral.

Results: Thirty-five nurses completed the pre-survey; 28 completed the post-survey. All five targeted learning outcomes demonstrated improvement, particularly in general ED knowledge and confidence in developing health plans. Gains were also noted in understanding ED-related stereotypes, contributing factors, and treatment strategies.

Conclusion: The training meaningfully improved school nurses’ preparedness to identify and support students with EDs and reinforced their role in early intervention. The program offers a replicable model for enhancing school-based mental health services through nurse-led professional development.

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