PUBLIC HEALTH NURSE SURVEY
1. Estimate the % of time you spend on sexual health promotion for children and adolescents ###.##
2. Estimate the % of time you spend on working with schools on sexual health promotion ###.##
3. Estimate how many schools you work with on sexual health promotion ###.## of schools
I do not work directly with any schools <Y>
4. Estimate how many days/hours per month that you spend on average in these schools on a regular basis. I spend on average ###.## hours per month in each of these schools <Y>
I spend on average ###.## hours per month in schools but I do not have scheduled times in each schools <Y>
I do not spend time in schools on a regular basis <Y>
5. Do you anticipate a change in that assignment of time?
The HU is currently reviewing that assignment of time.
The outcome is not certain. <Y>
The HU has reviewed that assignment of time <Y> and the change is anticipated for
<dd/mm/yy>
The anticipated change will likely decrease <Y>, increase <Y> my time on youth
sexual health promotion.
Change to these assignments is not anticipated at this time <Y>
6. Please describe the number of years of experience you have in:
a) health promotion/prevention ### years
b) youth health promotion/prevention ### years
c) sexual health promotion ### years
7. Describe your preservice education related to youth sexual health promotion.
a) degree in: health promotion <Y> sexuality <Y> nursing <Y> child/youth health <Y> Other <Y>
b) Major/minor in: health promotion <Y> sexuality <Y> nursing <Y> child/youth health <Y> Other <Y>
c) At least one course in: health promotion <Y> sexuality <Y> nursing <Y> child/youth health <Y> Other <Y>
8. Please describe the inservice training that you have received in:
a) youth health promotion informal exchanges with colleagues <Y> at least one workshop in <Y> at least three workshops in <Y> course (credit or non-credit) <Y> other <Y>
b) sexuality informal exchanges with colleagues <Y> at least one workshop in <Y> at least three workshops in <Y> course (credit or non-credit) <Y> other <Y>
c) HIV/AIDS/STDs informal exchanges with colleagues <Y> at least one workshop in <Y> at least three workshops in <Y> course (credit or non-credit) <Y> other <Y>
9. Do you have a written explicit Action Plan that you are to follow in working with
schools on: HIV Prevention
Yes <Y> In part <Y> Explain <A > No <Y> DK <Y>
STDs Prevention Yes <Y> In part <Y> Explain <A > No <Y> DK <Y>
Sexual Health Promotion Yes <Y> In part <Y> Explain <A > No <Y> DK <Y>
10. How much of a priority does your HU assign to sexual health promotion when working with schools?
Tobacco: higher <Y> lower <Y> same <Y> DK <Y>
Nutrition/Eating Disorders: higher <Y> lower <Y> same <Y> DK <Y>
Alcohol & Drugs: higher <Y> lower <Y> same <Y> DK <Y>
Violence: higher <Y> lower <Y> same <Y> DK <Y>
Injuries: higher <Y> lower <Y> same <Y> DK <Y>
Cancer: higher <Y> lower <Y> same <Y> DK <Y>
Cardiovascular Disease: higher <Y> lower <Y> same <Y> DK <Y>
Other ____________________ higher <Y> lower <Y> same <Y> DK <Y>
11. How much of a priority does your HU assign to adolescent health relative to other age groups.
young children: higher <Y> lower <Y> same <Y> DK <Y>
middle age: higher <Y> lower <Y> same <Y> DK <Y>
seniors: higher <Y> lower <Y> same <Y> DK <Y>
12. Do you follow a longterm sexual health community awareness program that is coordinated with school programs and services?
a) media messages have been aimed at youth planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
b) media messages, content and timing of messages has been coordinated with school curricula planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
c) awareness program are coordinated with public health units and clinics having information resources consistent with the media messages planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
d) awareness programs have segmented the adolescent audience using psychographic marketing research planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
e) AIDS, sexuality, school and youth organizations are consulted on the design, timing and evaluation of the awareness programs and campaigns planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
f) the awareness program includes messages that will persuade youth, parents and professionals to advocate for sexual health services and sex education programs planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
g) the awareness program includes messages to the business community to persuade them to support sexual health promotion among youth planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
h) We cooperate with local service clubs and encourage them to promote sexual health planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
i) We try to persuade selected businesses, to encourage responsible sexual health practices among youth planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
13. Have you had meetings or workshops with school personnel on guidelines, mandatory programs or directives on these topics:
a) universal precautions to avoid HIV: Yes <Y> No <Y> DK <Y>
b) steroid use among youth: Yes <Y> No <Y> DK <Y>
c) sexual harassment among youth: Yes <Y> No <Y> DK <Y>
d) injection drug use: Yes <Y> No <Y> DK <Y>
e) workplace polices on AIDS/HIV: Yes <Y> No <Y> DK <Y>
f) discrimination based on sexual orientation: Yes <Y> No <Y> DK <Y>
14. How do you monitor compliance with these guidelines concerning the physical environments in schools.
a) universal precautions to avoid HIV:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
b) steroid use among youth:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
c) sexual harassment among youth:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
d) injection drug use:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
e) workplace polices on AIDS/HIV:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
f) discrimination based on sexual orientation:
school authorities are required to report regularly <Y>
public health inspectors visit schools regularly <Y>
Other: <Y> Describe: <A >
15. Have you worked with school personnel to install condom dispensers in or near schools? Yes <Y> No <Y>
16. Does your local health clinic offer sexual health information, referral and counseling services to adolescents? Yes <Y> No <Y> DK <Y> In part <Y> Explain: <A >
17. Do you participate in designated Advisory Committees on the health curriculum within the schools that you have been assigned?
The schools do not have such an advisory committee <Y> Yes <Y> Partly <Y> Explain: <A > No <Y> DK <Y>
18. How do you support teachers and schools in offering sexuality education programs?
a) distributed sexuality education learning materials, resources planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
b) organized or supported workshops for teachers on education strategies and/or teaching methods planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
c) organized activities or programs to reach youth at higher risk planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
d) disseminated learning materials for gay, lesbian or bisexual youth planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
e) disseminated learning materials for females, the disabled, cultural minorities planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
f) disseminated exemplary school instruction programs planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
g) worked with community-based AIDS or sexuality organizations to deliver workshops or presentations planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
19. Do you make presentations to students/classes on sexuality. planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
20. Do you coordinate/use sexuality related events in the community in conjunction with school programs/activities. planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
21. Do you use AIDS Awareness Week materials in promoting youth sexual health? planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
22. Do you use materials recommended by the Ministry of Education or Health in your youth sexual health promotion activities? planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>
23. Have you worked with the schools in your community to develop or adapt a sexuality education program that covers more than the Ministry of Education prescribed curriculum? planned to occur in next 2 years <Y> regularly <Y> has happened at least once in last 3 years <Y> has happened at least once in last 4-10 years <Y> has never happened <Y> Not PHNs role <Y> DK <Y>`