Increasing the HPV Vaccination Rate in a Family Practice: A quality improvement project
Jacqueline Stroud, DNP, RNC-OB, FNP-BC
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Stroud, Jacqueline by View
Popular Works for Stroud, Jacqueline by Download
The purpose of this DNP project was to identify barriers in a family practice setting to recommending the HPV vaccine and to use this information to develop a practice protocol to enhance the delivery of the vaccine series. The goal of the quality improvement project was to increase HPV vaccination rates for patients in this setting. The Stetler Model for Research Utilization was used as a framework to guide each step in the project.
The Project Director/DNP student gave an educational presentation for the providers that addressed strategies for improving HPV vaccination rates and reducing barriers to recommending the vaccine. A pre/post-education survey was used to evaluate changes in provider perceived confidence in and barriers to recommending the vaccine. The information from the surveys identified barriers in practice to recommending the HPV vaccine and guided the development of a practice protocol to enhance the delivery of the vaccine series. The protocol included steps for identification of patients needing the vaccine, patient/parent education, provision of the vaccine, and follow-up to ensure completion of the vaccine series.
Data from the pre and post-education surveys were analyzed to determine if perceived barriers decreased and confidence improved. Data from chart audits were completed on the HPV vaccination rate prior to and five months after protocol implementation to determine if the HPV vaccination rate increased. Pre-education survey data showed that providers had higher than expected confidence and lower perceived barriers with recommending the HPV vaccine and discussing HPV and HPV vaccine with patients prior to the presentation; nonetheless, post-education survey data showed a positive change regarding several confidence related items. There was initially only a slight decrease in perception of barriers demonstrated with the post-education survey data; however, 5 months after implementation of the protocol assessment showed that perceived barriers continued to decrease over time. A total of 1,052 charts were reviewed pre-protocol intervention (n = 565) and post-protocol implementation (n = 487). There was a 10% overall increase in HPV vaccination rates. Limitations of the project included a small sample size and short-time frame. In conclusion, provider education to increase confidence and decrease barriers to recommending the HPV vaccine and developing an HPV vaccination protocol can lead to an increase in vaccination rates. Additionally, it may take using the protocol over a period of time to overcome some perceived barriers.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|CINAHL Subject(s)||Immunization Programs;
Nursing Practice, Evidence-Based;
Papillomavirus Infections--Prevention and Control;
Primary Health Care;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
The following license files are associated with this item:
Showing items related by title, author, creator and subjects.
Promoting human papilloma virus immunization among adolescents: An evidence-based practice project proposal Cheung, Wing Yee (2017-10-18)Despite CDC recommendations, adolescent uptake of cancer-preventing HPV vaccine remains suboptimal. Research suggests that provider's recommendations are able to increase vaccination rates. The project proposal will provide ...
Evidence-based clinical guidelines and their impact on prevention of catheter related blood stream infections McCauley, Paula S.The growing concern for hospital-acquired infections in healthcare has stimulated the development of evidence based practice guidelines. Healthcare institutions across the United States are increasing their focus on the ...
An evidence-based protocol to improve HPV vaccine initiation rates at a county immunization clinic Steiner, Claire Renee; Cassidy, Brenda L.; Dechant, Jason; Brungo, LaurenHuman Papillomavirus (HPV) is responsible for 26,900 cancer cases each year in the USA, but not all teenagers are vaccinated against it. This project examines vaccine initiation rates before and after implementation of a ...
Ibrom, DestinyThe purpose of this planned quality improvement project is to improve the implementation of the CDC guidelines of standard of care regarding the HPV immunization. This will increase the immunization rate of the HPV vaccination ...
A community-based educational interventions to increase HPV vaccination and cervical cancer screening in Nigeria Nkwonta, Chigozie AnastaciaThe uptake of HPV vaccination and cervical screening are low in Nigeria. Evidence suggests lack of awareness, limited knowledge, lack of spousal support and stigma are common barriers. Gender-focused and context-specific ...