Evaluating the Implementation and Use of a Standardized Screening Process to Increase Flu Vaccine Uptake in a Rural Health Primary Care Clinic

Author

• Mackenzie L. PierceFollow

Author ORCID Identifier

https://orcid.org/0000-0002-9549-794X

Date Available

4-28-2026

Year of Publication

2026

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

College

Nursing

Department/School/Program

Nursing

Faculty

Dr. Julianne Ewen

Committee Member

Dr. Julianne Ossege

Faculty

Dr. Morgan Chojnacki

Abstract

Background: Research has shown that an annual influenza vaccine is the most effective way to both prevent and reduce the risk of hospitalization and severe health complications of the flu. A yearly influenza vaccination is recommended for everyone age 6 moths and older.

Local Problem: Rural communities have lower rates of influenza vaccination which can be due in part to a lack of screening and education on vaccines and their importance. No process for influenza vaccine status screening existed at the project site prior to this project.

Methods: A quality-improvement project was conducted to evaluate the implementation of a standardized vaccination screening tool.

Interventions: A standardized screening tool was created and implemented with all patients who presented to the clinic to assess their current influenza vaccination status. Clinic completed a pre- and post-survey to evaluate current practices and feelings towards the use of the screening tool. The screening tool was then used at each clinic visit during the 12-week intervention period.

Results: A total of 261 patients were screened for vaccination status. Of the screened patients, 169 reported not having received an influenza vaccine and 12 of those received a vaccine during their visits. Staff reported positive feedback and indicated plans to continue screening in the future.

Conclusion: Vaccination screening is one component that can improve patient care. Additional interventions such as education are likely needed to see a significant change in vaccination rates and this project lays a foundation for future research and quality improvement.

Recommended Citation

Pierce, Mackenzie L., "Evaluating the Implementation and Use of a Standardized Screening Process to Increase Flu Vaccine Uptake in a Rural Health Primary Care Clinic" (2026). DNP Projects. 515.
https://uknowledge.uky.edu/dnp_etds/515