Graduation Semester and Year
Fall 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Cathy Brown
Abstract
This quality improvement project addressed the compliance rate of HPV vaccination among pediatric patients ages 9-18 within a rural pediatric health clinic in Texas. The purpose of the project was to implement an HPV bundle intervention to improve HPV vaccination rates. A systematic search of the literature was conducted to identify current evidence supporting the practice change. Exclusion criteria included publication outside the 2020–2025 date range, lack of full-text availability, and publication in a language other than English. Using a Plan-Do-Study-Act design, the intervention was implemented over eight weeks, and outcomes were evaluated using “Provider Knowledge on HPV Tool”, “Levels of attitude toward HPV”, IQIP Reports, and benchmarks set by the Texas Department of State Health Services. Data was analyzed using paired sample t-tests and descriptive analyses to determine the effect of the intervention on the identified outcome. Findings demonstrated that initiation of HPV vaccine increased from 51% to 53%, the percentage of patients up to date on the HPV series increased from 29% to 32%, and provider knowledge about the HPV vaccine significantly improved following one of the interventions, t(6) = 2.97, p = .012, Cohen’s d = 1.123. These findings suggest that a bundled intervention approach may help increase HPV vaccinations among eligible patients.
Keywords
Human papillomavirus, HPV vaccine, human papillomavirus vaccine, adolescent vaccines, vaccine hesitancy
Disciplines
Female Urogenital Diseases and Pregnancy Complications | Maternal, Child Health and Neonatal Nursing | Pediatric Nursing | Quality Improvement
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Morgan, Alyson M., "Improving HPV Vaccine Rates in a Rural Underserved Community" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects. 44.
https://mavmatrix.uta.edu/nursing_dnpprojects2/44
Included in
Female Urogenital Diseases and Pregnancy Complications Commons, Maternal, Child Health and Neonatal Nursing Commons, Pediatric Nursing Commons, Quality Improvement Commons