2.50
Hdl Handle:
http://hdl.handle.net/10755/622060
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Improve Competency With Evidence-Based Immunization Practice Education
Other Titles:
Promoting Health Through Immunizations
Author(s):
Strohfus, Pamela K.
Lead Author STTI Affiliation:
Mu Gamma
Author Details:
Pamela K. Strohfus, DNP, MA, RN, CNE, Professional Experience: Over the last 15 years, Dr. Strohfus’ research focus has been threefold: one, insure effective vaccine delivery, two, influence immunization policy changes, and three, increase immunization rates in Idaho. She spent 20 years at Kaiser Permanente in Colorado and California in nursing, quality programs, management and administration. Prior to her career at Kaiser Permanente, her nursing background included medical/surgical, neonatal intensive care, pediatrics and primary care. Dr. Strohfus currently serves on the Board of the Idaho Immunization Coalition. Author Summary: Pamela Strohfus is an Associate Professor at Boise State University in Idaho. She coordinates the Doctor of Nursing Practice program. Over 15 years, her research has been to insure effective vaccine delivery, influence immunization policy changes, and increase immunization rates. She spent 20 years at Kaiser Permanente in nursing, quality programs, management, and administration. Prior to her career at Kaiser Permanente, her nursing background included medical/surgical, neonatal intensive care, pediatrics and primary care.
Abstract:

Aim: To improve competency of health care personnel and increase vaccine effectiveness and medical office immunization rates, an evidence-based immunization educational program was implemented and analyzed. The goals of the program were to develop fiscal responsibility of resources, improve internal processes, enhance learning and education, and increase patient safety through effective vaccination.

Background:

Vaccines may be compromised partly due to educational deficits of inter professional healthcare personnel in vaccine administration and storage (Nikula, Nohynek, Puukka, & Leino-Kilpi, 2011; Yeung, Goodman, & Fedorak, 2012). These knowledge deficits could further compromise vaccine efficacy decreasing immunization rates among populations (McCollister & Valbona, 2011). Disease outbreaks could occur when herd immunity is not achieved (Centers for Disease Control and Prevention (CDC) 2016).

Evidence based resources are available to ensure quality immunization practices through the use of standing orders, documentation into immunization registries, utilization of data and thermoregulation guidelines (Darden, et al., 2011; LeClaire-Smith, 2016). Yet several studies reveal errors in administration and storage of vaccines which affect the vaccine efficacy (Lang, et al., 2014; Merhekar, et al., 2013).

Methods: Twenty-seven medical offices participated in an educational program in a rural/urban area in the United States. Knowledge-based testing of immunization practices was conducted pre-education, post-education, and 12-months post-education of medical assistants, licensed practical nurses, registered nurses, nurse practitioners, and physicians. Immunization rates were assessed before-education and 18-months post-education.

Results: There were several significant findings when education was provided including: 1. Immunization rates increased by 10.3%, 2. Knowledge overall increased by 7.8%, 3. Under-educated personnel did not pass the test before or after education, 4. Registered nurses and pediatric medical offices passed the test before and after education, 5. Use of standing orders increased by 84%, and 6. Knowledge did not improve overall in ‘storage’ category.

Conclusion: Managing immunization practices is very complex. Registered nurses are well suited to manage, administer, and handle vaccines. Unlicensed personnel are less able to appropriately manage, administer, and handle vaccines without formal and continuous education and administrative support. Storage and handling education must be reviewed intermittently to assure compliance. Education saves resources, decreases errors, & increases immunization rates.

Keywords:
Immunization Rates; Healthcare Personnel Knowledge; Immunization Practices
Repository Posting Date:
24-Jul-2017
Date of Publication:
24-Jul-2017
Other Identifiers:
INRC17B04
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleImprove Competency With Evidence-Based Immunization Practice Educationen_US
dc.title.alternativePromoting Health Through Immunizationsen
dc.contributor.authorStrohfus, Pamela K.en
dc.contributor.departmentMu Gammaen
dc.author.detailsPamela K. Strohfus, DNP, MA, RN, CNE, Professional Experience: Over the last 15 years, Dr. Strohfus’ research focus has been threefold: one, insure effective vaccine delivery, two, influence immunization policy changes, and three, increase immunization rates in Idaho. She spent 20 years at Kaiser Permanente in Colorado and California in nursing, quality programs, management and administration. Prior to her career at Kaiser Permanente, her nursing background included medical/surgical, neonatal intensive care, pediatrics and primary care. Dr. Strohfus currently serves on the Board of the Idaho Immunization Coalition. Author Summary: Pamela Strohfus is an Associate Professor at Boise State University in Idaho. She coordinates the Doctor of Nursing Practice program. Over 15 years, her research has been to insure effective vaccine delivery, influence immunization policy changes, and increase immunization rates. She spent 20 years at Kaiser Permanente in nursing, quality programs, management, and administration. Prior to her career at Kaiser Permanente, her nursing background included medical/surgical, neonatal intensive care, pediatrics and primary care.en
dc.identifier.urihttp://hdl.handle.net/10755/622060-
dc.description.abstract<p><span>Aim: To improve competency of health care personnel and increase vaccine effectiveness and medical office immunization rates, an evidence-based immunization educational program was implemented and analyzed. The goals of the program were to develop fiscal responsibility of resources, improve internal processes, enhance learning and education, and increase patient safety through effective vaccination.</span></p> <p>Background:</p> <p>Vaccines may be compromised partly due to educational deficits of inter professional healthcare personnel in vaccine administration and storage (Nikula, Nohynek, Puukka, & Leino-Kilpi, 2011; Yeung, Goodman, & Fedorak, 2012). These knowledge deficits could further compromise vaccine efficacy decreasing immunization rates among populations (McCollister & Valbona, 2011). Disease outbreaks could occur when herd immunity is not achieved (Centers for Disease Control and Prevention (CDC) 2016).</p> <p>Evidence based resources are available to ensure quality immunization practices through the use of standing orders, documentation into immunization registries, utilization of data and thermoregulation guidelines (Darden, et al., 2011; LeClaire-Smith, 2016). Yet several studies reveal errors in administration and storage of vaccines which affect the vaccine efficacy (Lang, et al., 2014; Merhekar, et al., 2013).</p> <p>Methods: Twenty-seven medical offices participated in an educational program in a rural/urban area in the United States. Knowledge-based testing of immunization practices was conducted pre-education, post-education, and 12-months post-education of medical assistants, licensed practical nurses, registered nurses, nurse practitioners, and physicians. Immunization rates were assessed before-education and 18-months post-education.</p> <p>Results: There were several significant findings when education was provided including: 1. Immunization rates increased by 10.3%, 2. Knowledge overall increased by 7.8%, 3. Under-educated personnel did not pass the test before or after education, 4. Registered nurses and pediatric medical offices passed the test before and after education, 5. Use of standing orders increased by 84%, and 6. Knowledge did not improve overall in ‘storage’ category.</p> <p>Conclusion: Managing immunization practices is very complex. Registered nurses are well suited to manage, administer, and handle vaccines. Unlicensed personnel are less able to appropriately manage, administer, and handle vaccines without formal and continuous education and administrative support. Storage and handling education must be reviewed intermittently to assure compliance. Education saves resources, decreases errors, & increases immunization rates.</p>en
dc.subjectImmunization Ratesen
dc.subjectHealthcare Personnel Knowledgeen
dc.subjectImmunization Practicesen
dc.date.available2017-07-24T15:17:52Z-
dc.date.issued2017-07-24-
dc.date.accessioned2017-07-24T15:17:52Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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