Date on Paper

8-2024

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Aleshire, Mollie

Committee Member

Martens, Sally

Author's Keywords

human papillomavirus vaccine; vaccination; consent; adolescent; child; vaccine rate

Abstract

Background: The Centers for Disease Control and Prevention (CDC) estimates that more than 42 million Americans are presently infected with the Human Papillomavirus (HPV). The nurse practitioner (NP), who provided primary care to children at the residential facility, reported that only 60-70% of children were consented for HPV vaccination.

Purpose: The purpose of this evidence-based intervention was to have 90% of newly admitted children consented and vaccinated for HPV. The specific aims of this project were to (1) increase staff HPV/HPV vaccine knowledge, (2) implement an updated evidence-based consent form, and (3) increase the HPV consent and vaccination rates.

Methods: This descriptive longitudinal project assessed the effectiveness of an educational presentation on staff HPV knowledge by comparing pre-and post-test scores. A retrospective chart review determined the pre- and post-intervention HPV consent and vaccination rates.

Interventions: The CDC presentation, You Are the Key to HPV Cancer Prevention, educated staff on making an effective recommendation for the HPV vaccine. The second area for targeted improvement was the lack of an evidence-based HPV consent form.

Results: There was an increase in the mean pre/post-test scores from 68% to 82% (t=-2.75; p=0.052). There was an increase in HPV vaccine consent rates from 66.67% to 81.8%; there was a decrease in children vaccinated for the HPV vaccine from 50% to 44% post-intervention.

Discussion: After the HPV/HPV vaccine education and the new evidence-based consent, consent rates increased. While consent rates increased, vaccination rates decreased due to unforeseen factors with the vaccine administration.

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