In Reply: Influenza Vaccination in Long-Term Care Facilities: More Than Standing Order Programs?

2011 ◽  
Vol 12 (4) ◽  
pp. 316-317
Author(s):  
Barbara H. Bardenheier ◽  
Abigail M. Shefer ◽  
Lance Rodewald ◽  
Faruque Ahmed ◽  
Stefan Gravenstein ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Long Term Care ◽  
Term Care ◽  
Standing Order ◽  
Care Facilities

Health Behavior Associated With Influenza Vaccination Among Healthcare Workers in Long-Term-Care Facilities

2002 ◽  
Vol 23 (10) ◽  
pp. 609-614 ◽  
Author(s):  
D. G. Manuel ◽  
B. Henry ◽  
J. Hockin ◽  
M. Naus
Keyword(s):  
Health Behavior ◽  
Focus Groups ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Long Term Care ◽  
Cross Sectional ◽  
Term Care ◽  
Staff Members ◽  
Care Facilities

Objective:To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term–care facilities.Design:A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination.Setting:Two long-term–care facilities participated in the survey. The focus groups were held at one of the two facilities.Participants:All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401).Results:Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. This was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff.Conclusions:This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff “wellness” program, may improve the credibility of influenza immunization programs and coverage rates.(Infect Control Hosp Epidemiol 2002;23:609-614).

Increasing Pneumococcal Vaccination Rates Among Residents of Long-Term–Care Facilities: Provider-Based Improvement Strategies Implemented by Peer-Review Organizations in Four Western States

2000 ◽  
Vol 21 (11) ◽  
pp. 705-710 ◽  
Author(s):  
Kurt B. Stevenson ◽  
John W. McMahon ◽  
Jan Harris ◽  
J. Richard Hillman ◽  
Steven D. Helgerson
Keyword(s):  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Vaccination Rate ◽  
Term Care ◽  
Improvement Project ◽  
Vaccination Rates ◽  
Standing Order ◽  
Care Facilities ◽  
Collaborative Efforts

AbstractObjective:To evaluate collaborative efforts and intervention strategies by peer-review organizations (PROs) and long-term-care facilities (LTCFs) for improving pneumococcal vaccination rates among residents of LTCFs.Design:Prospective, before-after quality improvement project.Setting:133 LTCFs in Alaska, Idaho, Montana, and Wyoming.Patients:All residents of participating LTCFs.Methods:Baseline pneumococcal vaccination rates were determined by medical-record review, self-reporting by patient or family members, and review of Medicare claims information. Remeasurement of vaccination rates was accomplished from documentation of vaccination of eligible residents by each LTCF.Results:133 LTCFs with 7,623 residents from Alaska, Idaho, Montana, and Wyoming participated in this quality-improvement project. This accounted for 41% (133/321) of the potential nursing homes and resident population in the participating states. Baseline overall vaccination rates were 40% (3,050/7,589). The overall vaccination rate improved to 75% (5,720/7,623, P<.001). The number of facilities meeting the Healthy People 2000 vaccination goal of 80% improved from 18% (24/133) to 62% (83/133, P<.001). Initial use of chart stickers and implementation of standing orders led to similar increases in vaccination rates, but the standing-order strategy required commitment of fewer PRO resources at a statewide level. Remeasurement of vaccination rates in a subset of participating Idaho LTCFs 1 year after initial vaccination efforts demonstrated a sustained vaccination rate of 70% in facilities enforcing a standing-order policy.Conclusions:Simple and straightforward vaccination strategies implemented in LTCFs over a short period of time can have a significant impact on vaccination rates. Collaborative efforts between state PROs and LTCFs enhance implementation of these strategies and can result in the achievement of national vaccination objectives. Standing orders appear to be one intervention effective in sustaining successful vaccination efforts. Regardless of the specific interventions employed, PROs played a significant role in facilitating vaccination program development and intervention implementation.

Prevalence and predictors of influenza vaccination among residents of long-term care facilities

Vaccine ◽  
2019 ◽  
Vol 37 (43) ◽  
pp. 6329-6335 ◽  
Author(s):  
Hao Yi Tan ◽  
Elisa Lai ◽  
Mohana Kunasekaran ◽  
Abrar A. Chughtai ◽  
Mallory Trent ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Cytomegalovirus infection and responsiveness to influenza vaccination in elderly residents of long-term care facilities

Vaccine ◽  
2011 ◽  
Vol 29 (29-30) ◽  
pp. 4869-4874 ◽  
Author(s):  
Wendy P.J. den Elzen ◽  
Ann C.M.T. Vossen ◽  
Herman J.M. Cools ◽  
Rudi G.J. Westendorp ◽  
Aloys C.M. Kroes ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Cytomegalovirus Infection ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Influenza and Pneumococcal Vaccination in Long Term Care Facilities in Two Regions of Quebec

1996 ◽  
Vol 7 (5) ◽  
pp. 296-300 ◽  
Author(s):  
Philippe De Wals ◽  
Michel Carbonneau ◽  
Hélène Payette ◽  
Théophile Niyonsenga
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Random Sample ◽  
Pneumococcal Vaccine ◽  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Vaccination Rate ◽  
Term Care ◽  
Care Facilities

OBJECTIVES: To evaluate the use of influenza and pneumococcal vaccines in long term care facilities.DESIGN: Cross-sectional survey in a random sample of 30 facilities in two regions of Quebec. Information was collected from the general manager or the chief of nursing, all consultant physicians and a random sample of 20 residents in each facility.RESULTS: Twenty-nine centres agreed to participate. The mean influenza vaccination rate was 70%, and was not influenced by differences in the types of facilities or the organization of the programs for immunization. The main obstacle to influenza vaccination reported by physicians was nonacceptance by a significant proportion of residents. Of the residents who did not initially request influenza vaccine, only 64% accepted vaccination when it was offered. The vast majority of residents were satisfied with the information they had received and the respect shown for their freedom of choice. Forty per cent of residents were unfit to provide a valid consent and the vaccination rate was 76% in this group. Only one-third of the physicians regularly obtained authorization from a relative or the legal guardian before prescribing vaccination for incompetent residents. None of the facilities studied had an effective program for pneumococcal vaccination, only 43% of the physicians reported any use of pneumococcal vaccine and 98% of residents had never heard of the vaccine.CONCLUSIONS: The national objective of 95% coverage with influenza vaccine will be difficult to achieve in long term care facilities, mainly because a minority of residents are not likely to be convinced of the benefit of immunization. Much remains to be done to promote and administer pneumococcal vaccine in this setting.

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