Achieving and sustaining high rates of influenza immunization among long-term care staff.
Achieving and sustaining high rates of influenza immunization among long-term care staff.
复制标题
在长期护理人员中实现并维持高流感免疫接种率。
DOI：
10.1016/j.jamda.2006.09.014
复制
发表时间：
2007
影响因子：
7.6
通讯作者：
Handler,StevenM
中科院分区：
文献类型：
--
作者：
Nace,DavidA;Hoffman,ErikaL;Resnick,NeilM;Handler,StevenM
背景：流感在长期护理机构中引起显著的发病率和死亡率。在这种情况下，卫生保健工作者的免疫接种已被证明可以减少流感的影响，但很少有研究涉及针对长期护理人员免疫接种的改进工作。目的确定社区长期护理机构实现和维持高工作人员流感免疫接种率的可行性。方法通过需求分析，确定工作人员接种流感疫苗的组织和个人障碍。在障碍评估的基础上实施了系统改革、教育干预和提醒措施。工作人员免疫接种率是在1996年至2006年的10年期间计算的。结果发现了组织和个人障碍并进行了针对性分析。以1996年和1997年的数据为基准，工作人员免疫接种率在过去4年中从54%至55%提高到74%至95%。结论在社区长期护理机构中，有质量改进团队和医疗主任的参与，实现和维持较高的工作人员流感免疫接种率是可能的。
BACKGROUNDInfluenza causes significant morbidity and mortality in long-term care facilities. Immunization of health care workers has been shown to reduce the impact of influenza in this setting, yet few studies address improvement efforts aimed at long-term care staff immunization.OBJECTIVETo determine the feasibility of achieving and sustaining high rates of staff influenza immunization for a community-based long-term care facility.METHODSA needs analysis was conducted to determine the organizational and individual level barriers to influenza vaccination of staff. Systems changes, educational interventions, and reminders were implemented based on the barriers assessment. Staff immunization rates were calculated over a 10-year period from 1996 to 2006.RESULTSOrganizational and individual barriers were identified and targeted. Using data from 1996 and 1997 as a baseline, staff immunization rates improved from 54% to 55% to between 74% and 95% over the past 4 years.CONCLUSIONSAchieving and sustaining high staff influenza immunization rates is possible in a community-based long-term care facility with an involved quality improvement team and medical director.