title: School Nurses' Professional Practice in the HPV Vaccine Decision-Making Process.
abstract: Because U.S. human papillomavirus (HPV) vaccination rates remain low, we evaluated school nurses' knowledge, attitudes, perceptions of their role as opinion leaders, self-efficacy, intention, and professional practice regarding the HPV vaccine and determined if these variables influenced their professional practice concerning the HPV vaccine. We utilized a cross-sectional design by recruiting Ohio Association of School Nurses (OASN) members. Participants (n = 145) completed a paper survey during the OASN annual conference. Structural equation modeling was used to examine the proposed model. Our model yielded a well-fitting solution, χ2 = 1.118 (degrees of freedom = 2, p = .57). Knowledge had positive effects on intention and self-efficacy. Attitude had a positive effect on perception of role as opinion leaders. Intention to provide HPV vaccine education had a positive effect on professional practice. To develop school nurses' practice, interventions should center on increasing knowledge, attitudes, and intention toward providing HPV vaccine education.
authors.affiliation: University of Cincinnati, Cincinnati, OH, USA brittany.rosen@uc.edu.
authors.forename: Brittany L
authors.initials: BL
authors.lastname: Rosen
authors.affiliation: College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ashwood
authors.affiliation: University of Cincinnati, Cincinnati, OH, USA.
authors.forename: George B
authors.initials: GB
authors.lastname: Richardson
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000706:statistics & numerical data*; D009820:Ohio; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D011364:Professional Practice / Q000706:statistics & numerical data*; D012573:School Nursing / Q000379:methods*
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV vaccine; opinion leader; school nurse; shared decision making; structural equation modeling