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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Sheryl Marckstadt


condom negotiation, condom use self-efficacy (CUSE), perceived risk, sexually transmitted infections (STIs), multi-factor attitude toward condom scale (MFACS), condom use, and face-to-face (FTF)


Condom use among college students is inconsistent. This can be related to high risk taking behaviors and lack of self-efficacy with condom use. Self-efficacy is defined as one’s self-belief in accomplishing a task or goal. Risk taking behaviors include binge drinking, drug use, having multiple sex partners, or being in a monogamous relationship. Risk taking behaviors increases inconsistent condom use, an increase risk for college students to contract a sexually transmitted infection (STI), and unwanted pregnancies. Condom negotiation and condom use self-efficacy (CUSE) are behavioral skills designed to increase condom use among college students. Condom negotiation is communicating with a partner about condom use, what will happen if condoms are not used, and negotiating the use of condoms even if a partner does not want to use one. CUSE is having confidence in using and applying condoms. Those with a higher self-efficacy had a greater consistency with condom use (Peterson & Gabany, 2001). A Doctor of Nursing Practice (DNP) project was developed based on a review of the literature indicating a need for college students to be educated on general STI knowledge, perceived risk, and condom use intent. A face-to-face (FTF) interaction occurred between the college students and the project manager. The purpose of this project was to educate college students with a 15 minute FTF Power Point assisted lecture followed up by two weekly e-mails with educational content about STI general knowledge, perceived risk, and condom use. The results did show statistical significance in regards to three questions on the General STI knowledge survey. The pre and posttest data did not have statistical significance between Perceived Risk and Condom Use Intent. When comparing how students rated perceived risk in comparison to condom use there was some statistical significance indicating students feel comfortable asking their partner to use a condom and feeling comfortable buying condoms that their perceived risk is low in regards to contracting an STI.

Library of Congress Subject Headings

Condom use
College students -- Sexual behavior


Includes bibliographical references (pages 79-84)



Number of Pages



South Dakota State University


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