Date of Award

Winter 2024

Project Type

Clinical Doctorate

College or School

CHHS

Department

Nursing

Program or Major

Doctor of Nursing Practice

Degree Name

Other

First Advisor

Courtney Coffey

Second Advisor

Patricia E. Endsley

Third Advisor

Emily C. Messerli

Abstract

Background Vaccine hesitancy among students and caregivers is a pervasive challenge for educational leadership and school health staff, leaving the school community at risk for vaccine preventable disease. The human papillomavirus (HPV) vaccine is an underutilized primary prevention strategy against six HPV related cancers.

Purpose The purpose of this quality improvement (QI) project was to measure the effect of an evidence-based educational intervention and facilitated role play on the knowledge and confidence of school nurses (SNs) when discussing HPV vaccination.

Methods This QI project was performed using a brief educational presentation with facilitated role play and a pre/post survey design. Twenty one SN participants attended a live brief educational presentation, followed by an interactive, facilitated role play activity. Data were analyzed using descriptive statistics, the paired t-test function in Excel, and thematic analysis of qualitative data to identify themes and subthemes.

Results Analysis of both quantitative and qualitative data demonstrated statistically significant change in participants knowledge and confidence in HPV vaccination recommendations.

Conclusion This QI project has important implications and suggests the use of a brief education presentation and facilitated role play is an effective strategy to increase SNs’ knowledge and confidence when engaging in discussion with vaccine hesitant students, families, and caregivers. The results of this activity demonstrated an increase in knowledge and confidence which supports the previously published results, however further investigation is needed due to varied responses and the lack of demographic diversity.

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