Take a Shot: the Effect of a Multicomponent Strategy to Increase Meningitis B Vaccination Rates

Author

Valerie Cline, Valparaiso University

Date of Award

5-2020

Degree Type

Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Jamie Bump

Abstract

Neisseria meningitidis is the major cause of invasive meningococcal disease (IMD) (Peterson et al, 2018). Approximately 10-15 percent of IMD cases result in debility including neurological impairment, amputation, and death (Peterson et al, 2018). Outbreaks of IMD are sporadic and unpredictable. The incidence of IMD varies geographically, but serogroup B has become more prevalent in recent years. Meningitis-B (Men-B) has been the cause of several university outbreaks on different US college campuses since 2013.The purpose of this project was to implement an intervention at a midwestern university student health center to help students understand the risk of the disease and the importance of receiving the Meningococcal vaccination. A determination was made that the health center needed an intervention for education of these students to assist in vaccination uptake. Best practice recommendation from the literature included implementation of a provider reminder to screen and offer the Men-B vaccination, educational efforts, and the initiation of a poster campaign around campus regarding the disease and importance of vaccination. The project implementation included screening eligible participants over 13 weeks at a midwestern university health center. A brightly colored reminder was placed on each of the staff laptops to screen and offer the vaccination to those who met criteria. Posters were placed around campus in areas that students frequently attend. Educational brochures were given to eligible students at the time of their visit and a template in the electronic health record was created to flag patients that have received the vaccine and when they will be due for their second dose. A compliance tracking form was created for the clinic staff (N=5) to fill out daily in order to evaluate project intervention compliance. Data were collected from student charts to determine eligibility as well as vaccine administration post intervention. A chi-square analysis was performed (X2 (1)=26.112, p<0.05), indicating statistical significance.

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Recommended Citation

Cline, Valerie, "Take a Shot: the Effect of a Multicomponent Strategy to Increase Meningitis B Vaccination Rates" (2020). Evidence-Based Practice Project Reports. 150.
https://scholar.valpo.edu/ebpr/150