Importance of a team approach to recommending the human papillomavirus vaccination.
Holly B Fontenot, Melanie L Kornides, Annie-Laurie McRee and 1 others
PMID 29979294WHAT IT FOUND
Parents who talked with more than one team member about HPV vaccination were more likely to report their child started vaccination.
Mixed or against messages were linked with lower uptake.
Key findings
01About half of parents (52%, n = 410) discussed HPV vaccination with more than one health care team member during the initial discussion.
02Parents who spoke with multiple team members had 2.34 times the adjusted odds of HPV vaccine initiation compared with parents who spoke with one team member.
03Parents who received only recommendations against HPV vaccination or mixed recommendations had lower odds of initiation (OR = 0.56 and OR = 0.44) than parents who received only recommendations for vaccination.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The design is cross-sectional, so it cannot show that talking with multiple team members caused HPV vaccine initiation. The study relied on parents' reports of team communication and vaccination status. The survey did not identify which provider type spoke, so it cannot separate the roles of nurses, nurse practitioners, physicians, physician assistants, or medical assistants. The sample included only parents who had already discussed HPV vaccination, so it may not represent families with no vaccine discussion. The survey response rate was 59%.
The easy way to misread this
Do not read the higher odds as proof that adding team members causes vaccination. The study is cross-sectional, uses parental report, and does not identify which provider type spoke.