Graduation Semester and Year
Spring 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Sharon Blackerby, DNP, RN, CNE, NI-BC, NPD-BC, CPHQ
Abstract
Abstract
Introduction
During the 2023–2024 academic year, measles, mumps, and rubella (MMR) vaccination coverage among kindergarten students in this school district did not meet the Healthy People 2030 target, thereby elevating the risk of disease outbreaks. This quality improvement project aimed to improve MMR vaccination initiation and completion through coordinated, school-based interventions.
Methods
Guided by the Plan-Do-Study-Act framework, an eight-week immunization bundle was implemented across 14 elementary schools in South Texas. Interventions included reminder calls, multilingual education, districtwide communication, and a partnership with a nonprofit clinic that provides free or reduced-cost vaccines through on-site and community clinics. Pre- and post-intervention data were extracted from the district’s electronic health record and analyzed using descriptive and chi-square tests (N = 1,789).
Results
Significant improvements were observed in MMR Dose 1 and Dose 2 uptake (p < .001), whereas exemption rates did not change significantly (p = .116).
Conclusion/Discussion
A collaborative, access-focused school-based bundle improved vaccination coverage and supported health equity.
Keywords
MMR vaccine, kindergarten immunization, school-based clinics, vaccine compliance, quality improvement, vaccine exemption, health equity.
Keywords
Immunization, Vaccination, Exemptions, Compliance, Children, Students, Schools, and School-based
Disciplines
Nursing | Pediatric Nursing | Public Health and Community Nursing
License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Bryan, Regina, "Starting Strong: Improving MMR Vaccination Rates in Kindergartners" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects-Archive. 125.
https://mavmatrix.uta.edu/nursing_dnpprojects/125