Retail Clinic Nurse Practitioner Knowledge, Barriers, and Practice Recommendations: Human Papillomavirus Vaccine

Deupree, Joy; Okeani, Ngozi; Moore, Justin Xavier; Nagaddya, Lillian; Gakumo, C. Ann

doi:10.1016/j.nurpra.2016.12.013

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Most studies based on provider reports also found HPV vaccine recommendation to be less common for male versus female adolescents, including for adolescents aged 11-12 who are the target for routine HPV vaccination (39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49). Among 3 national studies (40,45,46), the percentage of providers routinely delivering recommendation at ages 11-12 was 1 to 13 points lower for males than for females (45,46), and 2 of these studies conducted tests to assess and report statistically significant differences (40,46).…”

Section: Provider Reportsmentioning

confidence: 99%

“…Among 3 national studies (40,45,46), the percentage of providers routinely delivering recommendation at ages 11-12 was 1 to 13 points lower for males than for females (45,46), and 2 of these studies conducted tests to assess and report statistically significant differences (40,46). Among an additional 8 regional studies (39,(41)(42)(43)(44)(47)(48)(49), 7 reported sex differences in the percentage of providers delivering recommendation, which ranged from 1 to 30 points lower for males than females (41,47). Of these regional studies, 3 tested and reported the difference as significant (42,44,47), while the other 4 did not formally test the differences (41,43,48,49).…”

Section: Provider Reportsmentioning

confidence: 99%

“…Among an additional 8 regional studies (39,(41)(42)(43)(44)(47)(48)(49), 7 reported sex differences in the percentage of providers delivering recommendation, which ranged from 1 to 30 points lower for males than females (41,47). Of these regional studies, 3 tested and reported the difference as significant (42,44,47), while the other 4 did not formally test the differences (41,43,48,49).…”

Section: Provider Reportsmentioning

confidence: 99%

See 2 more Smart Citations

Disparities in Healthcare Providers' Recommendation of HPV Vaccination for U.S. Adolescents: A Systematic Review

Bustamante

Pallotto

Margolis

et al. 2021

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Infrequent provider recommendations continue to be a key barrier to human papillomavirus (HPV) vaccination, including among adolescents at higher risk for future HPV cancers. To inform future interventions, we sought to characterize disparities in health care providers' HPV vaccine recommendation for U.S. adolescents. We systematically reviewed studies published in 2012–2019 that assessed provider HPV vaccine recommendations for adolescents aged 9–17. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we identified 52 eligible studies and used a standardized abstraction form to assess recommendation prevalence by adolescent demographic characteristics. Studies consistently found that fewer parents of boys than girls reported receiving HPV vaccine recommendations (14 studies, range of difference: −11 to −35 percentage points). Studies also found fewer recommendations for adolescents who were younger (2 studies, −3% to −12% points), non-White (3 studies, −5% to −7% points, females only), lower income (3 studies, −1% to −8% points), or uninsured (1 study, −21% points, males only). Studies identified geographic disparities in southern and rural areas. In conclusion, findings from this systematic review identify disparities in HPV vaccine recommendation that may contribute to suboptimal vaccine uptake. Efforts to improve providers’ HPV vaccine communication should focus on increasing recommendation consistency, especially for lower-income, non-White, and rural adolescents.

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Section: Provider Reportsmentioning

confidence: 99%

Section: Provider Reportsmentioning

confidence: 99%

Section: Provider Reportsmentioning

confidence: 99%

See 1 more Smart Citation

Disparities in Healthcare Providers' Recommendation of HPV Vaccination for U.S. Adolescents: A Systematic Review

Bustamante

Pallotto

Margolis

et al. 2021

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…One study within the past 5 years identified barriers and facilitators of nurse practitioners' adherence to human papilloma vaccine administration among adolescents at one company's retail clinics in Georgia. That study identified parental refusal of the vaccine as a barrier to vaccination guideline adherence and providers' attendance at grand rounds or lectures regarding the vaccine as a facilitator of implementation (Deupree et al, 2017). No other studies evaluating nurse practitioners' barriers and facilitators of guideline implementation were identified in a review of the past 5 years of literature.…”

mentioning

confidence: 99%

Factors affecting nurse practitioners' integration of evidence into practice

Hamilton

Jones

Gardner

2021

J Am Assoc Nurse Pract

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Background: Evidence-based clinical practice guidelines bridge the gap between clinical practice and research, improve patient outcomes, promote consistency of care, and enhance quality of care. However, guideline adherence varies widely among individual providers and organizations. Purpose: To identify factors that facilitate or impede nurse practitioners' integration of guideline recommendations into practice. Methods: Every nurse practitioner in Alabama was invited to complete an online 45-question survey evaluating beliefs and attitudes regarding evidence-based guidelines, facilitators and barriers to implementation, and utilization of information resources in patient care. Results: The five most commonly identified barriers to evidence-based guideline implementation in participants' current work settings are patients with multiple comorbidities, time constraints, pressure from patients to provide nonrecommended care, insufficient staffing, and inadequate financial resources. The five most commonly identified facilitators in participants' current work settings are easy access to guidelines, support from leadership, free access to guidelines, in-person education regarding a guideline, and clinical decision support software programs. Participants expressed a desire for free and easy access to evidence-based practice (EBP) guidelines and clinical decision support programs, as well as education regarding guidelines and opportunities to discuss evidence with colleagues. Implications for practice: The barriers and facilitators of guideline implementation that were identified in this study should be useful in the development and refinement of future studies and interventions to enhance guideline implementation among individuals and organizations.

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Identifying and supporting vaccine champions in pediatric primary care: a qualitative interview study

Kong,

Heisler-MacKinnon,

et al. 2024

Translational Behavioral Medicine

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Implementation science research identifies clinical champions as instrumental in aligning healthcare professionals’ (HCPs) behavior with practice guidelines for delivering health services, including vaccinations. However, we know relatively little about identifying or supporting champions. To characterize who vaccine champions are, what they do, and how to support their work in pediatric primary care. In 2022, we interviewed a purposive sample of peer-nominated or self-identified vaccine champions (n=20) and HCPs who worked with vaccine champions (n=4). We thematically analyzed qualitative data. Vaccine champions’ defining characteristics were firsthand primary care experience, whether as providers or nursing staff, and a strong belief in vaccinations as uniquely effective tools for primary prevention. Participants noted these beliefs were “part of the DNA” of specialties like pediatrics and infectious disease, where they perceived champions as especially common. Being “insatiable in their quest for knowledge,” champions primarily conceptualized their role as understanding and sharing complex information and performance metric data related to vaccine administration. Champions’ role in leading other implementation strategies, such as communication training, was more peripheral. Champions reported that dedicated time and staff support helped them “go above and beyond” to improve vaccination rates. Our findings suggest that vaccine champions can be found among providers and nursing staff with deep clinical experience and commitment to primary prevention through vaccination, including through providing vaccine education to colleagues. Healthcare systems can allocate resources to support champions as educators, while exploring opportunities to extend their role in other implementation strategies to improve vaccination rates.

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Retail Clinic Nurse Practitioner Knowledge, Barriers, and Practice Recommendations: Human Papillomavirus Vaccine

Cited by 3 publications

References 9 publications

Disparities in Healthcare Providers' Recommendation of HPV Vaccination for U.S. Adolescents: A Systematic Review

Disparities in Healthcare Providers' Recommendation of HPV Vaccination for U.S. Adolescents: A Systematic Review

Factors affecting nurse practitioners' integration of evidence into practice

Identifying and supporting vaccine champions in pediatric primary care: a qualitative interview study

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