Date

Summer 2024

Document Type

Scholarly Project

Department

College of Nursing

First Advisor

Christy Jeffcoat

Abstract

Problem Statement: Among adolescents 11-17 years of age in South Carolina, low rates of human papillomavirus (HPV) vaccination can negatively impact health outcomes through increased risk of acquiring HPV-associated cancers.

Purpose: To determine if the 4 Pillars™ Immunization Toolkit increased HPV vaccination rates among adolescent patients.

Methods: The 4 Pillars™ Immunization Toolkit was the framework for this bundled intervention. Pillar 1, convenience and easy access, included after-school HPV express clinics. Pillar 2, communication, utilized staff motivational interviewing skills, campaign promotion materials, documentation of declination, and second-dose callback appointments. Pillar 3, enhanced vaccination systems, was designed to use the state immunization information system (IIS) to assess vaccination data and identify adolescents for second dose callback. Pillar 4, motivation, aimed to track the progress of vaccination rate improvement and promoted a clinic immunization champion.

Inclusion Criteria: Patients 11-17 years of age who received vaccination services at a health clinic in the southeastern United States. Nursing staff included nurses employed at the clinic.

Analysis: Due to the denial of a data-sharing agreement, data was not released for analysis and evaluation of this project. Chi-square testing was intended to compare aggregated HPV coverage rates at baseline to intervals throughout the project and post-intervention. The clinics were well-attended and successful through informal communication, even though specific data could not be shared.

Implications for Practice: Implementing a multi-strategy vaccination toolkit may significantly improve adolescent HPV vaccination coverage rates and positively affect health outcomes.

Rights

© 2024, Rebecca Jane Morrison

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