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Published on: March 8, 2012
Implementation Strategies to Enhance Confidence in a Whole Team Approach to Human Papillomavirus Vaccine
Mallory K Ellingson1, Benjamin Z Kahn1, Katherine I Kritikos2
1Department of Health Behavior (MK Ellingson, BZ Kahn, KI Kritikos, K Goddard, TL Queen, MB Gilkey, and NT Brewer), Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC; Lineberger Comprehensive Cancer Center (MK Ellingson, BZ Kahn, KI Kritikos, MB Gilkey, and NT Brewer), University of North Carolina, Chapel Hill, NC.
Objective:
To extend providers' human papillomavirus (HPV) vaccine communication, we sought to understand confidence in nursing staff as vaccine communicators and identify implementation strategies associated with confidence.
Methods:
In 2022, we surveyed 2527 US providers and nursing staff with a role in adolescent HPV vaccination. Topics included perceptions of nursing staff effectiveness at HPV vaccine communication and experiences with vaccine implementation strategies.
Results:
A majority of respondents believed that nursing staff could effectively announce to children that they are due for the HPV vaccine (81%), counsel parents (64%), and recommend the vaccine (51%). Nursing staff were more likely than providers to believe nurses could effectively communicate about HPV vaccine (announce: AOR = 2.7, 95% CI = 1.9, 3.7; counsel: AOR = 7.1, 95% CI = 5.4, 9.3; recommend: AOR = 2.5, 95% CI = 1.9, 3.2). Believing nurses could effectively counsel parents was more common among respondents whose clinics frequently used HPV vaccine standing orders (OR = 1.5, 95% CI = 1.3, 1.9), those who worked most closely with a nurse vaccine champion (AOR = 2.1, 95% CI = 1.6, 2.7), or those who had received HPV vaccine communication training (AOR = 1.4, 95% CI = 1.2, 1.7). The same pattern of findings held for belief about other communication roles (announce and recommend).
Conclusions:
Implementation strategies to improve HPV vaccine uptake, including standing orders and vaccine champions, may improve confidence in nursing staff as vaccine communicators. These findings provide opportunities to build capacity for vaccine communication in pediatric primary care.
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