Words could never adequately express my gratitude. You have truly taught me to think and look at things differently. Thank you! This research would not have been possible without the support of the NPs and adolescents who participated in this study as well as the agencies and school administrators who allowed the focus groups to be conducted. Mimi Snyder for being my fantastic research assistant. Dr. Mikki Meadows-Oliver for your constant encouragement and frequent reminders to stay under my research umbrella.
Adolescents often face hurdles that may interfere with accessing contraceptive services. School-based health centers (SBHCs) are available to many teens in the United States; however, only half of SBHCs that serve adolescents are permitted to provide contraception. The aim of this descriptive phenomenological study was to describe the lived experience of nurse practitioners (NPs) providing contraceptive care to teens in SBHCs. Twelve NPs were interviewed and Colaizzi's method of descriptive phenomenological analysis was used to describe the lived experience of NPs providing contraceptive care to adolescents in SBHCs. Three themes emerged: Contraception is an Essential Part of Care for Teens Using SBHCs; Frustration! There are so Many Hurdles to Negotiate; and Walking a Fine Line. Despite the restrictions on SBHC services and the hurdles the NPs encountered, they remained committed to providing contraceptive services and seized available opportunities to provide health education and support for the adolescents accessing the SBHCs.
Focus groups are an increasingly popular method of qualitative research; however, as with any research method, limitations emerge that were not anticipated. This article reviewed the limitations reported in 21 research studies, published between 2002 and 2012, to identify the common concerns of researchers in focus group studies with adolescents. Limitations focused on methodological concerns, recruitment challenges, and the potential influences of peers and the moderator on research results. Remedies are suggested for modifying the focus group method to address these potential challenges within the context of adolescent development and adolescent-friendly care.
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