Date of Graduation

Fall 12-18-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Danijela Pavlic


Influenza vaccinations are recommended yearly as part of a primary care performance measure to prevent and control seasonal influenza. Rates of influenza are steadily increasing and can lead to severe negative impacts and even fatalities with patients. According to the Center for Disease Control (CDC)’s Morbidity and Mortality Weekly Report (MMWR), less than 40 percent of the U.S. population receives the flu vaccine yearly. It is suggested by the CDC that Annual vaccination is the most effective method for preventing influenza virus infection and its complications. The Department of Health and Human Services’ Healthy People 2020 includes a goal of reaching 90 percent vaccination rates for both influenza and pneumococcal vaccinations for persons 65 and older, however this should stand for the rest of the population as well. Research suggests that inpatient vaccination is a method of improving overall vaccination rates, especially in the population that is 65 and older. It is imperative that compliance rates and policies be reviewed in order to utilize best practice. This quality improvement project was designed to find the best practice to implement a solution to improving the existing low compliance rates on a step-down unit in a city centered Level 1 Trauma hospital. After interviews with both nurses and patients and review of best practice literature, the conclusion was made that a Standing Orders Program should be implemented. Taking into consideration resources, timing and staff compliance of a new policy, the use of Standing Orders can help improve compliance rates at the trauma center in the San Francisco Bay Area.