Attitudes Toward Influenza Vaccination Administration in the Emergency Department Among Health Care Providers: A Cross-Sectional Survey

Ozog, Noelle; Steenbeek, Audrey; Curran, Janet; Kelly, Nikki; Campbell, Samuel

doi:10.1016/j.jen.2020.04.009

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…Our survey results showed that key barriers to sustaining compliance with the vaccine initiative included (a) lack of time and (b) the perception that the screening tool is too low yield for ED use. Some studies have shown that other major barriers for physicians in ED-based-vaccination initiatives include difficulty with changing workflow to accommodate the vaccination effort and uncertainty about indications for the vaccine 26. One study evaluating nursing perceptions about the influenza vaccination in the ED revealed similar barriers to use including the concern that the extra screening was burdensome and the perception that the ED is not the appropriate place for vaccine administration 27…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have shown that other major barriers for physicians in ED-based-vaccination initiatives include difficulty with changing workflow to accommodate the vaccination effort and uncertainty about indications for the vaccine. 26 One study evaluating nursing perceptions about the influenza vaccination in the ED revealed similar barriers to use including the concern that the extra screening was burdensome and the perception that the ED is not the appropriate place for vaccine administration. 27 To address these perceived barriers, we must identify specific workflow obstacles.…”

Section: Barriers and Suggestions For Upholding Compliancementioning

confidence: 99%

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An electronic medical record-based intervention to improve hepatitis A vaccination rates in the emergency department during a regional outbreak

et al. 2022

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BackgroundIn response to the severe hepatitis A outbreak that occurred in Michigan between August 2016 and September 2019, our multihospital health system implemented an electronic medical record (EMR)-based vaccination intervention across its nine emergency departments (EDs). The objectives were to explore the impact of this intervention on increasing vaccination rates among high-risk individuals and to assess the barriers to use of a computerised vaccine reminder system.MethodsAll patients who were 18 years or older were screened using an electronic nursing questionnaire. If a patient was at high risk based on the questionnaire, an electronic best practice advisory (BPA) would trigger and give the physician or advanced practice provider the option to order the hepatitis A vaccine. We explored the vaccination rates in the 24-month preintervention and the 18-month intervention periods. We then administered a survey to physicians, advanced practice providers and nurses evaluating their perceptions and barriers to use of the EMR intervention.ResultsDuring the preintervention period, 49 vaccines were ordered (5.5 per 100 000 patient visits) and 32 were administered (3.6 per 100 000 patient visits). During the intervention period, 574 865 patient visits (74.3%) were screened. 2494 vaccines (322 per 100 000 patient visits) were ordered, and 1205 vaccines (155 per 100 000 patients visits) were administered. Physicians and advanced practice providers were initially compliant with the BPA’s use, but compliance declined over time. Surveys revealed that the major barrier to use was lack of time.ConclusionsEMR screening tools and BPAs can be used in the ED as an effective strategy to vaccinate high-risk individuals. This may be translatable to outbreaks of other vaccine-preventable illnesses like influenza, measles or SARS-CoV-2. Providing ongoing education about the public health initiative and giving feedback to physicians, advanced practice providers and nurses about tool compliance are needed to sustain the improvement over time.

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Section: Discussionmentioning

confidence: 99%

Section: Barriers and Suggestions For Upholding Compliancementioning

confidence: 99%

An electronic medical record-based intervention to improve hepatitis A vaccination rates in the emergency department during a regional outbreak

et al. 2022

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“…Furthermore, pandemic planning must include the potential to administer COVID-19 vaccines in the emergency department, once a vaccine is available. Although Ozog et al 18 did not study attitudes toward COVID vaccination, their study on health care provider attitudes toward an influenza vaccination in the emergency department has important and timely implications for the current pandemic. Most clinicians supported nurse-initiated protocols to enhance the efficiency of vaccine administration, as most were vaccinated themselves (91%) and were in favor of providing vaccination interventions (86%) when staffing and resources were sufficient for overall ED flow and function.…”

Section: In This Issuementioning

confidence: 99%

Special Disaster Issue

Castner¹

2020

Journal of Emergency Nursing

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Operationalizing influenza vaccination in an urban safety-net emergency department

Farrell

Lamb

Baker

et al. 2022

The American Journal of Emergency Medicine

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Attitudes Toward Influenza Vaccination Administration in the Emergency Department Among Health Care Providers: A Cross-Sectional Survey

Cited by 5 publications

References 11 publications

An electronic medical record-based intervention to improve hepatitis A vaccination rates in the emergency department during a regional outbreak

An electronic medical record-based intervention to improve hepatitis A vaccination rates in the emergency department during a regional outbreak

Special Disaster Issue

Operationalizing influenza vaccination in an urban safety-net emergency department

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