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WHDL - 00018642
A private Christian university in the Midwest is home to a full-service clinic staffed by nurse practitioners, registered nurses, and student nurses. The clinic offers services available at public clinics, including diagnosing and treating physical and mental ailments and referral for mental health counseling. However, undergraduate students underutilized the clinic services. There was a notable decline in clinic encounters over five years while the university enrollment remained consistent. The project aimed to increase the clinic encounter rate by decreasing students’ perceived barriers to access. The Perceived Barriers to Health Service Access at the University Clinic Survey was administered to undergraduate students 18-24 years. The survey results and Andersen’s behavioral model of health services use guided the development of interventions to address the most common barriers. The pre and post-implementation data collection included the monthly clinic encounter rate and STD test rate. Statistical analysis with Microsoft Excel revealed the t-test comparison of means did not show a statistically significant difference in the pre and post-implementation monthly encounter rates. However, the rate of STD tests tripled post-implementation, suggesting that the intervention to decrease the barrier of “I fear judgment from the student nurse” was potentially successful. Additional interventions are needed to address students' perceived barriers to access to increase undergraduate students’ use of health services at the university clinic.