Date of Award

Spring 5-28-2022

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Razel Bacuetes Milo PhD, DNP, MSN, FNP-C, RN

Second Advisor

Joseph Burkard, DNSc, CRNA


COVID-19 disproportionally affected Hispanic/Latinx populations exacerbating systemic health inequities. In San Diego County, 44.7% of COVID-19 cases are among Hispanic/Latinxs compared to 31.1% Whites. Community-centered, culturally tailored vaccine programs are essential to close the gap in COVID-19 disparities. This health policy project aimed to explore barriers to COVID-19 vaccination across Hispanics/Latinx in San Diego, communicate findings and seek assistance from elected officials, and collaborate with a community-based organization to provide vaccines utilizing the PRECEDE-PROCEED model. Our project utilized a multicomponent approach. We conducted a screening of 200 participants to identify common barriers for vaccine hesitancy among Hispanics/Latinx individuals across San Diego. We also sought additional assistance from local elected officials and community organizations to disseminate educational brochures to the public. Finally, we designed and furnished educational pamphlets at four community vaccination events where participants received a COVID-19 vaccine. Questionnaires revealed that 36% of participants were vaccinated, while 36% were unvaccinated. Among unvaccinated individuals, 36% reported a knowledge deficit, 19% expressed misinformation, and 7% identified other reasons as barriers to vaccination. We distributed 412 educational pamphlets at four vaccine events, with 57% of individuals outreached receiving a COVID-19 vaccine.

Available for download on Saturday, May 06, 2023