Implementing a declination form programme to improve influenza vaccine uptake by staff in Department of Veterans Affairs spinal cord injury centres: a pilot study
Implementing a declination form programme to improve influenza vaccine uptake by staff in Department of Veterans Affairs spinal cord injury centres: a pilot study
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DOI：
10.1016/j.jhin.2015.05.015
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发表时间：
2015-10-01
影响因子：
6.9
通讯作者：
LaVela, S. L.
中科院分区：
文献类型：
--
作者：
Hill, J. N.;Smith, B. M.;LaVela, S. L.
背景资料：患有脊髓损伤和疾病的人在患流感后患呼吸道和流感相关并发症的风险很高。这些人经常与医疗保健系统接触。几年来，退伍军人事务部（VA）脊髓损伤（SCI）中心的医护人员的疫苗接种率一直在50%左右。需要努力提高SCI医务工作者的疫苗接种率。December form programmes（DFP）与其他策略相结合，显著提高了HCWs.Aim的流感疫苗接种率：使用外部和内部促进，包括当地团队和共识流程，在两个VA SCI中心试点DFP，并评估影响实施的因素。方法：与领导层和执行小组成员举行了执行会议和建立共识进程，沿着与每个实施团队成员的半结构化实施后访谈（N = 7）。结果：DFP被广泛接受，易于使用。领导作用是执行部门筹资计划的一个关键促进因素。障碍包括难以与在早班/晚班工作的医务工作者沟通。参与率为100%，在网站1和48%，在网站2.Conclusion：使用当地团队和共识，以确定战略，以实现在该计划的参与程度从中到高是可行和有效的。由Elsevier Ltd代表Healthcare Infection Society出版。
Background: Individuals with spinal cord injuries and disorders are at high risk for respiratory and influenza-related complications after developing influenza. These individuals often have frequent contact with the healthcare system. Vaccination rates in healthcare workers at Department of Veterans Affairs (VA) spinal cord injury (SCI) centres have been approximately 50% for several years. Efforts are needed to increase vaccination uptake among SCI HCWs. Declination form programmes (DFPs) in combination with other strategies have resulted in significant increases in influenza vaccination uptake in HCWs.Aim: Use of external and internal facilitation including local teams and consensus processes to pilot a DFP in two VA SCI centres and evaluate factors influencing implementation.Methods: Implementation meetings and a consensus-building process with leadership and implementation team members were conducted, along with semi-structured post-implementation interviews with members of each implementation team (N = 7).Findings: The DFP was well accepted and easy to use. Leadership was a key facilitator for DFP implementation. Barriers included difficulty communicating with HCWs working during early/late shifts. Participation was 100% at Site 1 and 48% at Site 2.Conclusion: Use of local teams and consensus to identify strategies to implement a DFP is feasible and effective for achieving moderate-to-high levels of participation in the programme. Published by Elsevier Ltd on behalf of the Healthcare Infection Society.