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Material Information
- Title:
- Increasing primary care providers' recommendations for the human papillomavirus vaccine
- Abbreviated Title:
- Barry University Dissertations -- College of Nursing and Health Sciences
- Creator:
- Barrera, Denisse
- Place of Publication:
- Miami, Fla.
- Publisher:
- Barry University
- Publication Date:
- 2015
- Language:
- English
- Physical Description:
- xiii, 103 leaves : illustrations ; 28 cm
Notes
- Abstract:
- Background: The Human PapillomaVirus (HPV) is the most common sexually transmitted infection in the United States, causing many genital cancers and some head and neck cancers, as well as genital warts. The U.S. Food and Drug Administration approved two HPV vaccines in 2006. Vaccination uptake is suboptimal, with low rates of provider vaccine recommendation being a leading contributing factor. Vaccine recommendation rates are influenced by providers’ knowledge and beliefs about HPV and HPV vaccination, as well as ineffective communication between provider and parent or patient. Purpose: The purpose of this project was to promote awareness of the importance of the benefits of using the vaccine by addressing the knowledge deficits and concerns of providers as well as decreasing communication barriers to vaccine recommendation. Theoretical Framework: The Theory of Planned Behavior was utilized to guide this project. Methods: A quality improvement program was conducted with the aim of increasing HPV knowledge and improving communication between providers and patients or parents. A poster board presentation was conducted at the National Association of Pediatric Nurse Practitioners conference. A pre- and posttest were utilized to assess knowledge and knowledge acquisition. An evidence-based communication tool to improve communication between parents and providers was introduced, and intent to utilize it was assessed. Results: A total of 27 completed surveys were included in the statistical analysis. A nine-item questionnaire presented on the pretest showed a lack of general HPV knowledge within this group of participants. Additionally, some parental and provider barriers were identified for vaccination, such as concerns about vaccine safety and efficacy. Provider practices regarding vaccination also showed lack of guideline utilization. Only 33% of participants always recommend HPV vaccination to 11-12 year old girls. Conclusion: The study revealed lack of general HPV knowledge and parental and provider barriers regarding HPV vaccination, underutilization of HPV clinical guidelines, and low provider vaccine recommendations. A targeted educational intervention addressing general HPV knowledge, clinical guidelines, vaccine safety and efficacy, and a communication tool to improve communication barriers between providers and parents/patients proved to increase intent to recommend vaccination.
- Thesis:
- Thesis (D.N.P.)--Barry University, 2015.
- Bibliography:
- Includes bibliographical references (leaves 81-87).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Denisse Barrera. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- QR189.5.P36 B37 2015_BarreraDenisse ( BU-Local )
- Classification:
- QR189.5.P36 B37 2015 ( lcc )
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