Year of Publication

2018

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Sharon Lock

Clinical Mentor

Dr. Michelle Pendleton

Committee Member

Dr. Kathy Wheeler

Abstract

Background: The HPV vaccination has consistently had lower adherence rates than the goal set by Healthy People 2020. The Advisory Committee on Immunizations Practices (ACIP) now recommends that children (both male and female) 11 to 12 years of age should start to receive the HPV vaccine before exposure to the virus. However, even with the change in the new guidelines, the HPV vaccine administration rates still trail other adolescent vaccinations.

Purpose: The purpose of this project is to identify pediatric and family practice provider adherence to ACIP/CDC recommendations on HPV vaccinations in a Southeastern United States health system in pre-teens and adolescents from ages 11 to 18 years of age.

Methods: A retrospective chart review was performed and 100 charts were randomly selected from electronic health records from both a family practice and pediatric practice who were seen from January 1, 2017 through December 31, 2017

Results: There were no significant differences in HPV vaccination rates between the family and pediatric clinics, number of vaccination doses given, and provider adherence to ACIP/CDC guidelines. The only statistically significant difference was that the pediatric practice saw a younger patient population (SD 1.9) compared to the family practice (SD 2.4) (p=0.036).

Conclusion: Even with similar comparisons on provider adherence, both the pediatric and family practice failed to obtain Healthy Peoples 2020 80% goal for HPV vaccinations. The pediatric practice was at 68.6 % while family practice was at 55.6%.

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