Original ArticlesHuman Papilloma Virus Vaccination After Pediatric Sexual Abuse Evaluations in the Outpatient Child Sexual Abuse Subspecialty Clinic A Quality Improvement ProjectGoodman, Elizabeth A. DNP, MSN, BSN, RN, FNP-C, AFN-BC, CEN, SANE-A, SANE-P1,2; Goodpasture, Meggan MD2Author Information Author Affiliations:1East Carolina University 2Department of Pediatrics, Wake Forest Baptist Medical Center. The authors declare no conflict of interest. Correspondence: Elizabeth A. Goodman, DNP, MSN, BSN, RN, FNP-C, AFN-BC, CEN, SANE-A, SANE-P, Department of Pediatrics, Wake Forest Baptist Medical Center, 3rd Floor Meads, Medical Center Blvd., Winston Salem, NC 27157. E-mail: firstname.lastname@example.org. Received February 13, 2019; Accepted May 31, 2019 Journal of Forensic Nursing: January/March 2020 - Volume 16 - Issue 1 - p 16-21 doi: 10.1097/JFN.0000000000000251 Buy Metrics Abstract The nonavalent human papilloma virus (HPV) vaccination prophylactically contributes to the prevention of nine types of HPV-associated oral and genital cancers. HPV vaccination rates remain lower than the national Healthy People 2020 goal of 80%. Victims of pediatric sexual abuse are at a higher risk for acquiring and developing HPV-related outcomes. Current research supports vaccination after sexual abuse as soon as eligible and suggests utilizing multiple types of medical encounters to increase vaccination rates. An institutional-review-board-approved quality improvement project was developed to determine the impact of promoting and providing HPV vaccination during the medical encounter after pediatric sexual abuse in a child protection team (CPT) clinic. Twenty percent of the 111 total clinic patients evaluated in the preintervention period and 21% of the 99 patients evaluated in the postintervention period were HPV vaccine eligible, illustrating a significant opportunity for impact. During the intervention period, 62% of patients who were vaccine eligible and presented for their CPT clinic visit received HPV vaccine. Barriers to vaccination in the outpatient CPT clinic setting included high appointment no-show rates, high social and medical visit complexity, and absence of an appropriate consenting caretaker. Implications for forensic nursing practice are discussed. © 2020 by the International Association of Forensic Nurses. All rights reserved.