Date of Doctor of Nursing Practice Project Completion

Summer 8-8-2025

Faculty Advisor

Dr Francine Snow

Abstract

Purpose: The Centers for Disease Control and Prevention (CDC) states the best way to prevent the flu is through vaccination recommended for everyone 6 months and older. Clinic flu vaccination rates are low, and effective strategies are needed to improve rates and promote knowledge on the benefits of the vaccine. This can be achieved by educational intervention, provider recommendation, improved screening, and obtaining consents for teens and young adults in the teen clinic.

Background: Every year, the influenza virus is responsible for thousands of deaths and billions of dollars in spending in the United States, however immunization rates remain below the Healthy People 2030 target especially among teens (Aguolu, et. al 2022). The CDC states the best way to prevent the flu is through vaccination and that recommendation by a provider is a critical factor.

Methodology: A presumptive communication approach was adopted by providers. Additional interventions included educational interventions for parents and patients, as well as consent and adequate screening of patients ages 13 -24 years in a teen/school-based clinic for the 3-month period.

Results: During the 3-month implementation phase, an increase in flu vaccinations was observed from 0 per month to 8 per month. The perception of the flu vaccine effectiveness in providing protection among parents improved from 50% to 58%.

Implications: Providers who implement a presumptive communication approach and educate on vaccine effectiveness can help improve the vaccination rates among teens and young adults in a clinic setting.

Keywords

Influenza, flu, vaccination rates, teen/school-based clinic

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