Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Kimberly Lohr, DNP, RN, NNP-BC, PPCNP-BC

Second Advisor

Dianne Slager, DNP, FNP-BC


Background: Childhood vaccinations are critical to preventative care for the pediatric population. The goal for the clinic’s combination 10 insurance quality measure, which reflects the number of fully vaccinated children by 24 months of age, is to be greater than 68%.

Purpose: This quality improvement project sought to implement evidence-based interventions to improve childhood vaccine compliance by increasing the parent/caregiver’s knowledge about vaccines and increasing the communication with their healthcare provider.

Methods: A parent friendly vaccine schedule, information pamphlet, interactive video, and survey were given to parents/caregivers during well-child visits. A total of 117 parent/caregiver surveys were collected. Vaccine compliance was monitored using combination 10 percentages and the number of fully vaccinated children under 24 months old and analyzed via a chi-square test.

Results: Implementation of educational materials did not demonstrate a statistically significant improvement in vaccine compliance. The chi-square analysis comparing fully vaccinated children produced a p-value of 0.3677 > 0.05.

Conclusions: Although there was not a statistically significant change in vaccine compliance, parents/caregivers stated the educational materials helped improve communication about vaccines with their child’s provider.

Implications: Future projects should trial a longer implementation period or alternative evidence-based interventions to fully appreciate long term vaccine compliance.