Publication Date

Spring 2023

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Tamara Mckinnon

Second Advisor

Denise Dawkins

Third Advisor

Joan Edelstein


structural competency, school nursing, social determinants of health, cultural competency, health equity, social justice


The aim of this quality improvement project was to use structural competency as a tool to highlight the broad social, political, and economic structures that influence health and subsequent inequities and disparities. A one group, pre-and post-design quality improvement project was used to determine whether the Structural Competency Working Group curriculum influenced school nurses’ thought processes regarding the factors that influence health outcomes. The curriculum was adapted to a 1.5-hour training and delivered to a group of school nurses from a highly populated and socially, economically, and culturally diverse urban county in northern California. The results showed that after the training the school nurses had an increased awareness of the broader structures that impact student health. Teaching structural competency to school nurses offers the skills and tools they require to ensure students are able to reach their full academic potential.

Included in

Other Nursing Commons


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