Type of Document	Thesis
Author	Spice, Elizabeth
URN	etd-07092004-185126
Title	A Comparison Study of Immunization Adherence and Case Management
Degree	Master of Science
Department	Nursing, School of
Advisory Committee	Advisor Name Title Jeanne Flannery Committee Chair Denise Tucker Committee Member Laurie Grubbs Committee Member
Keywords	Knolwes adult learner assumptions King goal attainment theory primary care nurse case management
Date of Defense	2004-07-06
Availability	unrestricted
Abstract ABSTRACT This study compared immunization adherence rates of 440 two-year-old children receiving two different types Medicaid managed care services in a nine county area in North Florida. Of particular interest was the primary care nurse case management one group of children received. This study examined whether the group which received primary care nurse case management had greater immunization adherence. The study showed that the children receiving Medicaid MediPass with primary care nurse case management had significantly higher immunization adherence rates than the children receiving Medicaid Health Maintenance services. King’s Theory of Goal Attainment and Knowles’ Adult Learner Assumptions were used as the Conceptual Framework to guide this study. In this study, parents are engaged and reinforced as they work with their nurse case manager to identify and meet mutual goals for immunization adherence.
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