School of Nursing
Doctor of Nursing Practice (DNP)
Pneumococcal Vaccine, Older Adults, Chart Audit, Provider Feedback
Medicine and Health Sciences | Nursing
Dominguez, Mara J., "Increase in Pneumococcal Immunization in Adults over 65 Years of Age in a Federally Qualified Health Center" (2019). Doctoral Dissertations and Projects. 1992.
Pneumococcal disease is a healthcare concern with increasing financial and societal burden for adults over the age of 65 years and their caretakers. The Center for Disease Control and Prevention (CDC) recommends the use of pneumococcal vaccines in this population as a preventive measure helping minimize the mortality and morbidity. This project aimed at increasing the rate of pneumococcal vaccines in a Federally Qualified Health Center (FQHC). The interventions implemented included the use of audit, feedback and provider educational intervention aimed at increasing the knowledge and the intent to change and improve their practice. The key results indicated an increase in aggregate pneumococcal vaccines in the organization as well as an increase in individual and historical vaccination rates for the organization and individual providers. The implications for practice include the improvement in vaccination rates significantly impacting the health of the community, as well as an increase in education provided regarding vaccination. The questionnaire provided positive feedback on the intervention. Further research to determine vaccination availability and re-vaccination should be considered.