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Date of Award

4-1-2016

Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Julie M. Brandy

Abstract

Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States and is the most common cause of cervical cancer worldwide (Centers for Disease Control [CDC], 2013). In 2013, only 36.9% of women ages 19–26 years reported receipt of ≥1 dose of HPV vaccine (CDC, 2015). While there is no known cure for HPV, prophylactic vaccines provide an efficacious method for protecting against HPV related diseases. The purpose of this evidence-based practice (EBP) project was to provide a HPV educational intervention to collegiate females and examine the effects on HPV knowledge and intent to receive the vaccine. The Health Belief model was selected to provide the foundation and guidance for this project, and the Stetler model was utilized as the basis for implementation. The project took place at a private Midwestern university and utilized a longitudinal pre-test and post-test design. Sorority females were followed to assess the impact of an in-service HPV educational intervention. The intervention consisted of a slideshow presentation guided by the CDC, group discussion, and CDC-based informational take-home materials. Awareness of HPV and Cervical Cancer Questionnaire was administered pre- and one month post-intervention to measure HVP knowledge and intent to receive the HPV vaccine. Knowledge, perceived susceptibility, and perceived seriousness were assessed utilizing paired samples t- tests with significance determined as p < .05. The total knowledge results significantly increased (t(157) = -10.309, p < .001), as well as the secondary outcome of perceived susceptibility (t(156) = -3.719, p < .001). Interestingly, perceived seriousness significantly decreased (t(156) = 2.785, p = 006). Intent to vaccinate was analyzed utilizing a paired sample McNemar test, which demonstrated a significant increase from pre-test to post-test (p < .05). Overall, results of this EBP demonstrated that a HPV educational intervention increased knowledge and intent to vaccinate in collegiate females.

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