Graduation Semester and Year
Spring 2025
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Thomas Dombrowsky, PhD, RN
Abstract
Abstract
Introduction
Despite the recommendations of the United States Advisory Committee on Immunization Practices, HPV immunization lags behind other routine vaccines by up to 31%. Although there are many reasons for the low vaccine rate, provider hesitancy and lack of confidence significantly contribute to suboptimal HPV vaccine uptake.
Objectives
This project aimed to utilize evidence-driven interventions to increase family nurse practitioners' (FNPs) knowledge and confidence in offering the HPV vaccine.
Methods
Participants were given pre- and post-questionnaire surveys. The Wilcoxon Rank Test was used to compare, quantify, and measure the results of the eight-week data collection.
Results
The subjects were 19 FNPs, aged 36-45 (n = 9, 47.4%), female (n = 16, 84.2%), with a Master's level education (n = 17, 89.5%), and with experience ranging from 0 to 5 years (n = 13, 68.4%). The handouts were most utilized, followed by scripted messages, shared decision-making, and consultation with the HPV vaccine champion. There was a statistically significant increase in HPV vaccination from pre-intervention (M= 1.00) to post-intervention (M = 3.00, Z = -3.76, p < 0.001), a significant increase in confidence from pre-intervention (M= 2.67) to post-intervention (M= 5.00, Z = -3.95, p < 0.001), and a significant increase in knowledge from pre-intervention (M= 2.67) to post-intervention (M = 4.67, Z = -3.74, p < 0.001).
Conclusion
The HPV interventions effectively increased FNPs' knowledge and confidence in offering the HPV vaccine. All the interventions complement each other, making the provider more ready to direct patients and parents toward acceptance of the HPV vaccine.
Keywords
HPV vaccine, improving nurse practitioner knowledge and confidence, human papillomavirus infection prevention, cancer prevention, scripted messaging, hpv handouts, hpv vaccine champion, shared decision making, provider education to parents and patients, hpv related cancers
Disciplines
Community Health and Preventive Medicine | Diagnosis | Family Practice Nursing | Female Urogenital Diseases and Pregnancy Complications | Infectious Disease | International Public Health | Interprofessional Education | Medical Immunology | Obstetrics and Gynecology | Oncology | Other Nursing | Public Health and Community Nursing | Public Health Education and Promotion | Quality Improvement | Virus Diseases | Women's Health
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
FISHER, LENI TERANO, "Improving Knowledge and Confidence of Family Nurse Practitioners in Offering the HPV Vaccine" (2025). Doctor of Nursing Practice (DNP) Scholarly Projects. 101.
https://mavmatrix.uta.edu/nursing_dnpprojects/101
Included in
Community Health and Preventive Medicine Commons, Diagnosis Commons, Family Practice Nursing Commons, Female Urogenital Diseases and Pregnancy Complications Commons, Infectious Disease Commons, International Public Health Commons, Interprofessional Education Commons, Medical Immunology Commons, Obstetrics and Gynecology Commons, Oncology Commons, Other Nursing Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Quality Improvement Commons, Virus Diseases Commons, Women's Health Commons
Comments
Acknowledgements:
Thomas Dombrowsky, PhD, RN – Faculty Project Adviser
Robert Heidel, PhD – Statistician
Daniel Fisher - Husband and best friend