Increasing Recommended Vaccines in School Based Health Centers
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Problem: Despite the availability of vaccines, over 45% of students in a SBHC were lacking ACIP recommended vaccines. Purpose: To implement a two-step intervention in a SBHC to increase the number of returned vaccine consents and ascertain parental perceptions on SBHC immunization practices. Background: SBHCs are an ideal setting to provide easily accessible, cost-effective immunizations for students. In a SBHC, the biggest obstacle to providing immunizations is obtaining consent because most children are unaccompanied by their parents. Theory: The Model for Change to Evidence-Based Practice guided this project. Methods: Mixed methods design. Descriptive, cross tabulations and chi-square analyses were utilized for quantitative data. Structured interviews were analyzed through an inductive content process. For purposes of this study, a returned consent indicated a completed immunization. Results: A significant relationship between the two-step intervention and an increased number of returned immunization consents was found (χ2 = 5.143, p = .023). No other statistically significant relationships were noted in whether the student was fully immunized or who immunized the student. Three themes emerged from the structured interviews. Implications: APNs are needed to provide the leadership to advocate for the improvement of evidence-based patient outcomes, especially in racial and economic disparate populations.