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There was also a statistically significant differences in significant for the attitude sub-scale measuring school
mean scores on the scale measuring perception as an nurses’ attitudes towards the HPV vaccine (p = 0.033). The
opinion leader for the HPV vaccine between school nurses mean score for school nurses serving metropolitan
that served different grade levels (p = 0.005). The mean populations (500,000 or more people; M = 130.2, SD =
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score for school nurses serving 9 through 12 grade (M = 25.7) was higher than the mean score for those serving rural
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27.5, SD = 8.9) was higher than the mean for school nurses populations (M = 120.4, SD = 28.0). There was also a
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serving PreK through 5 grade (M = 24.1, SD = 7.0). There statistically significant difference in mean scores on the
was a statistically significant difference in mean scores on scale measuring perception as an opinion leader for the
the professional practice sub-scale of utilizing HPV HPV vaccine (p = 0.044) with the mean score for those
resources between school nurses that served different grade serving metropolitan areas (M = 28.7, SD = 9.0) being
levels (p = 0.000). The mean score for school nurses higher than those serving urban areas (M = 25.9, SD = 7.5).
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serving 9 through 12 grade (M = 13.3, SD = 5.3) was There was a statistically significant difference in mean
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higher than those serving both 6 through 8 grade (M = scores on the attitudes sub-scale measuring school nurses’
11.0, SD = 4.0) and PreK through 5 grade (M = 9.2, SD = attitudes toward HPV for school nurses in different
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3.1). Additionally, school nurses serving 6 through 8 geographic regions (p = 0.019). The mean score for school
grade had a mean score that was statistically significant nurses in the West (M = 28.3, SD = 9.5) was higher than
when compared to the mean score of school nurses serving those in the Northeast (M=24.2, SD=8.8). There was also
PreK through 5 grade.
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a statistically significant difference in mean scores on the
Geographic population was found to be statistically professional practice sub-scale measuring HPV resources
4 THE HEALTH EDUCATION MONOGRAPH SERIES, Volume 34, Number 1, 2017