Recommendation for an Evidence-Based Practice Change
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Chamberlain University College of Nursing *
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Course
505NP
Subject
Health Science
Date
Feb 20, 2024
Type
pptx
Pages
14
Uploaded by BaronCoyote1034
Recommendation for an Evidence-
Based Practice Change
SARAH MAGUIRE
08/22/21
CHAMBERLAIN UNIVERSITY
NR505NP-60643
Introduction
The importance of research within healthcare
breakdown of specific practice issue using a PICOT question
Summery of literature review
Recommendation for practice
Practice Issue
51% of adolescents have not been vaccinated against HPV (Centers for Disease Control and Prevention, 2018).
Current Pandemic creating even more strain on childhood vaccinations.
What are we missing?
Lack of recommendations and personalized information from adolescents' primary providers.
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PICOT Question
Do HPV vaccination rates increase in adolescent children when their parents receive personalized communication/ recommendation from a healthcare provider verse routine vaccine recommendation within a years’ time.
P- Parents of adolescent children
I- promoting personalized communication and recommendations
C- Routine vaccination reminders
O- HPV vaccination rates
T- One year's time
Literature Review
Special Concerns
Why were parents hesitant?
What can providers do?
Themes
HPV vaccination rates
Subjective data collection
Perspectives
Two different viewpoints
Providers about parents' perceptions
Parents perceptions of providers
.
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Recommendations Take very opportunity to provider a recommendation 1
Make sure that quality communications methods are used
•
Open communication •
Factual information 2
Provide adequate time for parents to voice questions and concerns
3
Key
Stake
h
olders
Public health professionals
Health care providers
Quality improvement professionals
Patients
Recommendation
All of the articles that were reviewed and all evidence points to the fact that my recommendation will be effective.
Frequent HPV vaccine recommendation and quality communication can be implemented immediately throughout all of healthcare.
Increasing HPV vaccination rates decrease the chance of disease resulting in decreased healthcare costs.
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Conclusion
Research allows healthcare professionals to assess a problem and experiment with solution to achieve the best outcome.
HPV vaccination rates are not currently optimal
We as healthcare providers can make a difference in this statistic by:
Using our communication skills
Implementing frequent recommendations
Opening to parents for questions and concerns
References Amereican Cancer Society. (2020). HPV Vaccines. https://www.cancer.org/cancer/cancer-causes/infectious-agents/hpv/hpv-vac
cines.html
Cates, J. R., Crandell, J. L., Diehl, S. J., & Coyne-Beasley, T. (2018). Immunization effects of a communication intervention to promote preteen HPV vaccination in primary care practices. Vaccine. 36(1), 122–127. https://doi.org/10.1016/j.vaccine.2017.11.025
Centers for Disease Control and Prevention. (2018). https://www.cdc.gov/hpv/partners/outreach-hcp/hpv-coverage.html
References cont. Centers or Disease Control and Prevention. (2019). Talking to Parents about the HPV Vaccine. https://www.cdc.gov/hpv/hcp/for-hcp-tipsheet-hpv.pdf Facciolà, A., Visalli, G., Orlando, A., Bertuccio, M. P., Spataro, P., Squeri, R., Picerno, I., & Di Pietro, A. (2019). Vaccine hesitancy: An overview on parents' opinions about vaccination and possible reasons of vaccine refusal. Journal of public health research, 8(1), 1436. https://doi.org/10.4081/jphr.2019.1436 Gilkey, M. B., & McRee, A.-L. (2016). Provider communication about HPV vaccination: A systematic review. Human Vaccines & Immunotherapeutics, 12(6), 1454–1468. https://doi.org/10.1080/21645515.2015.1129090
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Reference Cont. Hasnan, S., Tan, N. C. (2021). Multi-Domain Narrative Review of Vaccine Hesitancy in Childhood. ScienceDirect. 39 (14), 1910-1920. https://doi.org/10.1016/j.vaccine.2021.02.057
Kornides, M. L., Fontenot, H. B., McRee, A. L., Panozzo, C. A., Gilkey, M. B. (2018). Associations Between Parents’ Satisfaction with Provider Communication and HPV Vaccination Behaviors. Vaccine. 36(19), 2637-2642. https://doi.org/10.1016/j.vaccine.2018.03.060 Vollrath, K., Thul, S., Holcombe, J., (2018). Meaningful Methods for Increasing Human Papillomavirus Vaccination Rates: An Integrative Literature Review. Journal of Pediatric health Care. 32(2), 119-132. https://doi.org/10.1016/j.pedhc.2017.07.005
Reference Cont. Warner, E. L., Ding, Q., Pappas, L., Bodson, J., Fowler, B., Mooney, R., Kirchhoff, A. C., Kepka, D. (2017). Health Care Providers’ Knowledge of HPV Vaccination, Barriers, and Strategies in a State With Low HPV Vaccine Receipt: Mixed-Methods Study. JMIR Cancer. 3(2). https://doi.org/10.2196/cancer.7345 World Health Organization. (2020). WHO and UNICEF Warn of a Decline in Vaccinations During COVID-19. https://www.who.int/news/item/15-07-
2020-who-and-unicef-warn-of-a-decline-in-vaccinations-during-covid-19