Evidence map›Paper›PMID 27643974›Full record

ArticleThe Permanente journal2016

Physicians', Nurses', and Medical Assistants' Perceptions of the Human Papillomavirus Vaccine in a Large Integrated Health Care System.

Jordan Mills, Patrick Van Winkle, Macy Shen, Christina Hong, Sharon Hudson

Open access · bronzeAbstract read
In one paragraph

Article in The Permanente journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Identifying Healthcare Professionals With Lower Human Papillomavirus (HPV) Vaccine Recommendation Quality: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Pooled it
  2. Article
  3. Article
  4. Knowledge of Human Papillomavirus (HPV), Attitudes, and Practices Towards Anti-HPV Vaccination Among Israeli Nurses.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Jordan MillsAddiction Medicine Fellow in the Department of Family Medicine and Community Health at the University of Wisconsin School of Medicine and Public Health in Madison. millsdoc@gmail.com.
Patrick Van WinklePediatric Hospitalist at the Anaheim Medical Center and the Pediatric Area Research Chair for Kaiser Permanente Orange County in CA. patrick.j.vanwinkle@kp.org.
Macy ShenPostdoctoral Scholar in the Department of Oral Biology and Medicine at the University of California Los Angeles School of Dentistry. macy.macy@gmail.com.
Christina HongObstetrician/Gynecologist at the Orange County Medical Center in Irvine, CA. christina.x.hong@kp.org.
Sharon HudsonBehavioral Scientist in the Department of Research and Evaluation for Kaiser Permanente Southern California in Pasadena, CA. sharon.m.hudson@kp.org.
Kaiser Permanente · USKaiser Permanente Anaheim Medical Center · USUniversity of California, Irvine Medical Center · USUniversity of California, Los Angeles · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextVaccination against the human papillomavirus (HPV) decreases risks of cancer and genital warts and the need for gynecologic procedures, yet nationwide vaccination rates are low. Previous surveys exploring this phenomenon have not included input from nurses and medical assistants, who play integral roles in HPV vaccine delivery.

objectiveTo understand perceptions of HPV vaccine delivery among physicians, nurses, and medical assistants in a large integrated health care system in Southern California.

designOnline surveys were sent to 13 nurse administrators and 75 physicians. Physicians were instructed to forward the survey to nurses and medical assistants with whom they work.

resultsA total of 76 surveys were completed, consisting of 52 physicians, 16 clinical nurses and medical assistants, and 8 nurse administrators. Physicians' perceptions of vaccine safety or strength of recommendation did not differ by specialty department. Physicians reportedly perceived the HPV vaccine as safer than did clinical nurses and medical assistants (p < 0.001), who indicated they wanted more education on the safety and efficacy of the vaccine before being comfortable strongly recommending it. Respondents advised that all clinicians could improve in their roles as HPV vaccine advocates through patient counseling and providing informational literature and that workflow standardization was needed to minimize missed vaccination opportunities.

conclusionPhysicians reportedly perceive the HPV vaccine as safer compared with nurses and medical assistants. Both groups think that more education of nonphysician staff is needed. Having proper systems in place is also vital to improving vaccination compliance.

Indexed as

Attitude of Health PersonnelNursesPapillomavirus VaccinesPhysician AssistantsPhysiciansVaccinationCaliforniaClinical CompetenceDelivery of Health Care, IntegratedFemaleHumansMalePapillomavirus InfectionsPerceptionProfessional RoleSurveys and QuestionnairesPapillomavirus Vaccines

Identifiers

PMID27643974
PMCPMC5101081
OpenAlexW2519538376

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.