Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Alison Moriarty Daley


School nurses play a critical role in promoting student health and supporting academic success. The goal of this project was to develop a school nurse self-assessment tool (SN-SAT) for school nurses to evaluate their school nursing practice. The self-assessment tool was constructed based on the Framework for 21st Century School Nursing Practice. A panel of school nurse experts (n=5) was asked to rate the tool on two dimensions, Importance and Relevance, on a Likert Scale for the selected chronic health condition asthma. Content Validity Indexes for each item (I-CVI), and for the overall scale (S-CVI), were computed. The final SN-SAT consisted of 51 items that yielded overall S-CVI scores of 0.99 for both Importance and Relevance, respectively, after the second round of review. The self-assessment process will allow school nurses to enhance their quality of practice by identifying the gaps in practice, improving student health outcomes, and facilitating learning.

Open Access

This Article is Open Access