Date of Conferral



Doctor of Nursing Practice (DNP)




Mary T. Verklan


Human Papillomavirus (HPV) was the most common sexually transmitted disease in the United States in 2018 according to the Centers for Disease Control and Prevention (CDC). The CDC established the Healthy People 2020 initiative for HPV vaccination uptake of 80% to effectively eliminate HPV associated cancers. The project site, a rural multispecialty clinic in the Mid-Atlantic United States reported a 3% vaccination compliance rate, well under the national average and the benchmark of 80% recommended by the CDC. The practice-focused question for this project was to determine how education of primary providers will increase recommendation rates for vaccination of HPV. Pender’s health promotion model provided key elements to evaluating barriers to vaccination and developing strategies to overcome barriers to recommendation. The search engines and databases used for the educational framework on the vaccination recommendation improvement project included CINAHL, MEDLINE, ProQuest, and OVID Nursing Journal review. Search terms included HPV vaccination, adherence, vaccination surveys, education, primary provider, health promotion, advocacy, and immunization barriers. An urgency statement was developed as a 1-page significant information sheet on the facts about HPV, vaccination risks and benefits, and barriers to vaccination. The vaccination data report obtained from the DNP project multi-specialty site revealed that post urgency recommendation had improved from a 3% baseline recommendation rate to 100% for the in-office clinic visits. Vast positive social changes can be made to promote health as it relates to HPV infection and elimination of HPV associated cancers globally.