Graduation Semester and Year
Spring 2025
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Christi Nguyen
Abstract
Introduction: Human papillomavirus (HPV) is a major cause of several cancers, and vaccination is a highly effective preventive measure. However, HPV vaccination rates remain suboptimal, particularly in rural pediatric populations. This quality improvement (QI) project aims to enhance HPV vaccination rates through the implementation of a comprehensive vaccination bundle targeting provider education, patient and parent education, appointment reminders, and the use of a vaccine waiver when needed.
Method: This QI project was conducted over twelve weeks in a rural pediatric clinic with approximately 130 patients seen daily. The intervention bundle included provider education on effective communication regarding HPV vaccination, educational materials presented in layperson’s terms, phone reminders for well-child appointments, and a vaccine waiver for those who declined vaccination. Data were collected before and after the intervention on vaccination status, appointment adherence, and waiver usage and compared to the same time the previous year.
Results: The intervention resulted in a measurable increase in HPV vaccination rates, with a higher percentage of patients showing up for appointments post-reminder calls. The use of appointment reminders and education significantly reduced the number patients that refused the vaccine along with the increasing the use of the waiver when the vaccine is refused.
Conclusion/Discussion: This project demonstrates that a multi-faceted intervention bundle can successfully improve HPV vaccination rates in a rural pediatric clinic. Provider education, patient/parent education in layperson’s terms, and appointment reminders are effective strategies for overcoming barriers to vaccination.
Key Words: HPV vaccination, quality improvement, pediatric healthcare, rural health, provider education, patient education, vaccination rates
Keywords
HPV vaccination, quality improvement, pediatric healthcare, rural health, provider education, patient education, vaccination rates
Disciplines
Pediatric Nursing | Quality Improvement
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Jenschke, Macalah, "Improvement of HPV Vaccination Rate in Pediatric Patients in a Clinic Through Implementation of a Bundle" (2025). Doctor of Nursing Practice (DNP) Scholarly Projects. 91.
https://mavmatrix.uta.edu/nursing_dnpprojects/91