Award Date

May 2023

Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Jennifer Vanderlaan

Second Committee Member

Jennifer Pfannes

Third Committee Member

Brian Labus

Number of Pages



In March 2020, the entire world was placed into lockdown due to the COVID-19 virus, which impacted everyday life, including healthcare. People were scared to leave their homes and obtain preventative services, including vaccinations from birth to adulthood. There was a significant decrease in childhood vaccinations due to the COVID-19 pandemic. A strategy mix is defined as an intervention utilized for vaccination improvement. Strategy mixes were implemented to improve vaccination administration, and ultimately, vaccination rates. However, due to the COVID-19 pandemic, these strategy mixes or interventions were placed on hold causing immunization administration to decrease which could cause vaccine-preventable diseases to rise. For children 2-years-old and under in Clark County, Nevada, how did the strategy mixes to promote vaccine completion during the COVID-19 pandemic compare to the strategy mixes to promote vaccine completion prior to the COVID-19 pandemic change (increased or decrease) in children’s primary vaccine series completion? There are multiple strategies mixes or interventions that have been reviewed to increase vaccination rates, including reminder recall, multi-component interventions with education, vaccination requirements for childcare, school and college attendance, community-based education, standing orders, assessment and feedback for providers and reduction of out-of-pocket costs. Strategy mixes or interventions have been proven to improve vaccine rates; however, multi-component strategy mixes or interventions continue to have the highest impact on increasing vaccine rates.


Childhood Immunization; Childhood Immunization Completion; Childhood Vaccination; Childhood Vaccine Completion; Interventions to Improve Immunization; Interventions to Improve Vaccination


Nursing | Public Health

File Format


Degree Grantor

University of Nevada, Las Vegas




IN COPYRIGHT. For more information about this rights statement, please visit