Implementation of a Vaccines for Children Project for Underserved Children in Shawnee County, Kansas
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Author
Heusi, Michelle
Miller, Christopher
Publisher
Washburn University
Sponsor
School of Nursing
Issue Date
Rights
Alternative Title
Abstract
Introduction and Purpose: The project was conducted to improve access to immunizations and increase the
number of recommended vaccines received by children residing in a rural Shawnee County, Kansas
community. Framework: The Health Belief Model (Becker, 1974) and PDSA (IHI, 2021) QI method guided
the project. Critical Appraisal and Synthesis of Literature: One Level I study and 18 Level II-V studies
identified education and access as barriers to immunization in pediatric populations. Solutions included
mobile health clinics, pharmacy-based clinics, and school-based clinics. Methods: (Plan) A first PDSA cycle
involved formation of a focus group, and development of a parent survey to understand community
barriers to pediatric immunization. (Do) A focus group of stakeholders was conducted that included
Washburn University School of Nursing, county health department representatives, school officials,
community librarian, and pharmacist. Surveys were distributed to two local schools and the local library.
(Study) Focus group output was thematically analyzed, and survey data analyzed using SPSS to determine
descriptive statistics. Results were shared with a second focus group and interventions were developed.
(Act) Selected interventions to reduce vaccination barriers were implemented. Results: Sixty-four surveys
were returned, representing 134 children, with a return rate of approximately 22%. A synthesis of focus
group and survey findings identified barriers to be education and access. Completion of the first PDSA cycle
resulted in distribution of an educational flyer and provision of a cost-effective school-based influenza clinic.
Thirty influenza vaccines were administered to community members. Process Improvements: The
infrastructure for subsequent PDSA cycles was established, and plans were made for expanding the impact
of the project through continued stakeholder engagement and DNP leadership. Conclusions and
Recommendations: One team member will continue future cycles to include provision of both required and
recommended childhood vaccines, and potential expansion into surrounding communities.