Increasing the HPV Vaccination Rate in a Family Practice: A quality improvement project

2.50
Hdl Handle:
http://hdl.handle.net/10755/621395
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Increasing the HPV Vaccination Rate in a Family Practice: A quality improvement project
Author(s):
Stroud, Jacqueline
Additional Author Information:
Jacqueline Stroud, DNP, RNC-OB, FNP-BC
Advisors:
Kelsey, Beth
Degree:
DNP
Degree Year:
2017
Grantor:
Ball State University
Abstract:

The purpose of this DNP project was to identify barriers in a family practice setting to recommending the HPV vaccine and to use this information to develop a practice protocol to enhance the delivery of the vaccine series.  The goal of the quality improvement project was to increase HPV vaccination rates for patients in this setting. The Stetler Model for Research Utilization was used as a framework to guide each step in the project.  

The Project Director/DNP student gave an educational presentation for the providers that addressed strategies for improving HPV vaccination rates and reducing barriers to recommending the vaccine.  A pre/post-education survey was used to evaluate changes in provider perceived confidence in and barriers to recommending the vaccine.  The information from the surveys identified barriers in practice to recommending the HPV vaccine and guided the development of a practice protocol to enhance the delivery of the vaccine series.  The protocol included steps for identification of patients needing the vaccine, patient/parent education, provision of the vaccine, and follow-up to ensure completion of the vaccine series.

Data from the pre and post-education surveys were analyzed to determine if perceived barriers decreased and confidence improved.  Data from chart audits were completed on the HPV vaccination rate prior to and five months after protocol implementation to determine if the HPV vaccination rate increased.  Pre-education survey data showed that providers had higher than expected confidence and lower perceived barriers with recommending the HPV vaccine and discussing HPV and HPV vaccine with patients prior to the presentation; nonetheless, post-education survey data showed a positive change regarding several confidence related items.   There was initially only a slight decrease in perception of barriers demonstrated with the post-education survey data; however, 5 months after implementation of the protocol assessment showed that perceived barriers continued to decrease over time.  A total of 1,052 charts were reviewed pre-protocol intervention (n = 565) and post-protocol implementation (n = 487).  There was a 10% overall increase in HPV vaccination rates.  Limitations of the project included a small sample size and short-time frame.  In conclusion, provider education to increase confidence and decrease barriers to recommending the HPV vaccine and developing an HPV vaccination protocol can lead to an increase in vaccination rates.  Additionally, it may take using the protocol over a period of time to overcome some perceived barriers.

Keywords:
HPV; HPV vaccination; Quality improvement; DNP Project
CINAHL Headings:
Immunization Programs; Nursing Practice, Evidence-Based; Papillomavirus Infections; Papillomavirus Infections--Prevention and Control; Papillomavirus Vaccine; Practice Guidelines; Primary Health Care; Program Development; Quality Improvement; Staff Development
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-05-19T18:34:50Z
Date of Publication:
2017-05-19

Full metadata record

DC FieldValue Language
dc.contributor.advisorKelsey, Bethen
dc.contributor.authorStroud, Jacquelineen
dc.date.accessioned2017-05-19T18:34:50Z-
dc.date.available2017-05-19T18:34:50Z-
dc.date.issued2017-05-19-
dc.identifier.urihttp://hdl.handle.net/10755/621395-
dc.description.abstract<p>The purpose of this DNP project was to identify barriers in a family practice setting to recommending the HPV vaccine and to use this information to develop a practice protocol to enhance the delivery of the vaccine series.  The goal of the quality improvement project was to increase HPV vaccination rates for patients in this setting. The Stetler Model for Research Utilization was used as a framework to guide each step in the project.  </p> <p>The Project Director/DNP student gave an educational presentation for the providers that addressed strategies for improving HPV vaccination rates and reducing barriers to recommending the vaccine.  A pre/post-education survey was used to evaluate changes in provider perceived confidence in and barriers to recommending the vaccine.  The information from the surveys identified barriers in practice to recommending the HPV vaccine and guided the development of a practice protocol to enhance the delivery of the vaccine series.  The protocol included steps for identification of patients needing the vaccine, patient/parent education, provision of the vaccine, and follow-up to ensure completion of the vaccine series.</p> <p>Data from the pre and post-education surveys were analyzed to determine if perceived barriers decreased and confidence improved.  Data from chart audits were completed on the HPV vaccination rate prior to and five months after protocol implementation to determine if the HPV vaccination rate increased.  Pre-education survey data showed that providers had higher than expected confidence and lower perceived barriers with recommending the HPV vaccine and discussing HPV and HPV vaccine with patients prior to the presentation; nonetheless, post-education survey data showed a positive change regarding several confidence related items.   There was initially only a slight decrease in perception of barriers demonstrated with the post-education survey data; however, 5 months after implementation of the protocol assessment showed that perceived barriers continued to decrease over time.  A total of 1,052 charts were reviewed pre-protocol intervention (n = 565) and post-protocol implementation (n = 487).  There was a 10% overall increase in HPV vaccination rates.  Limitations of the project included a small sample size and short-time frame.  In conclusion, provider education to increase confidence and decrease barriers to recommending the HPV vaccine and developing an HPV vaccination protocol can lead to an increase in vaccination rates.  Additionally, it may take using the protocol over a period of time to overcome some perceived barriers.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectHPVen
dc.subjectHPV vaccinationen
dc.subjectQuality improvementen
dc.subjectDNP Projecten
dc.titleIncreasing the HPV Vaccination Rate in a Family Practice: A quality improvement projecten_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorBall State Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsJacqueline Stroud, DNP, RNC-OB, FNP-BCen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlImmunization Programsen
dc.subject.cinahlNursing Practice, Evidence-Baseden
dc.subject.cinahlPapillomavirus Infectionsen
dc.subject.cinahlPapillomavirus Infections--Prevention and Controlen
dc.subject.cinahlPapillomavirus Vaccineen
dc.subject.cinahlPractice Guidelinesen
dc.subject.cinahlPrimary Health Careen
dc.subject.cinahlProgram Developmenten
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlStaff Developmenten
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