Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Mollie Aleshire

Clinical Mentor

Dr. Kathy Wheeler

Committee Member

Dr. Leslie Scott


Background: Among all of the pediatric vaccinations recommended by the CDC, the HPV vaccination has consistently had lower adherence rates than the goal set by Healthy People 2020. The CDC recommends that adolescents start receiving the human papillomavirus (HPV) vaccine at the ages 9-11 to provide protection against certain strains of HPV that can cause cancer. The goal is to administer the HPV vaccine before the adolescent would be exposed to the virus. However, there has been much resistance and non-adherence to the HPV vaccination. Purpose: The purpose of this study was to identify the current rates of HPV vaccination in children ages 11 to 14 in the selected pediatric primary care clinic and examine provider-identified facilitators and barriers to HPV vaccination. Methods: This study incorporated a retrospective chart review and the use of an online survey sent to pediatric primary care providers that included qualitative and quantitative questions that pertained to HPV vaccination barriers and facilitators. Results: There were 100 randomly selected charts included in the retrospective chart review and 9 pediatric primary care providers voluntarily participated in the survey. Discussion: HPV vaccine rates have risen within the last decade, but there are still some improvements needed to achieve the goal rates of Healthy People 2020.