Implementing a province-wide mandatory vaccinate-or-mask policy at healthcare facilities in British Columbia, Canada

Nunn, Alexandra; Campbell, Audrey; Naus, Monika; Kwong, Jeffrey C.; Puddicombe, David; Quach, Susan; Henry, Bonnie

doi:10.1016/j.vaccine.2017.11.072

Cited by 5 publications

(16 citation statements)

References 14 publications

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“…The mean quality score was 18.1; five studies scored > 16 (Block et al, 2014; Hopman et al, 2011; Leask et al, 2010; Nunn et al, 2018; Riphagen-Dalhuisen et al, 2012). Of these, one received a score of 20 (Block et al, 2014) and four achieved a score of 19 (Hopman et al, 2011; Leask et al, 2010; Nunn et al, 2018; Riphagen-Dalhuisen et al, 2012). The use of verification procedures to establish accountability was the poorest performing criterion while all articles clearly articulated their objective.…”

Section: Resultsmentioning

confidence: 99%

“…Five articles focused on ethical and legal considerations while four focused on healthcare burden, i.e. non-funded vaccination programmes or costs of providing clinics (Block et al, 2014; Gruben et al, 2014; Hopman et al, 2011; Jackson-Lee et al, 2016; Leask et al, 2010; Nunn et al, 2018; Riphagen-Dalhuisen et al, 2012). Papers that reviewed ethical and legal considerations also covered healthcare burden; all except one suggested that both should be considered in unison.…”

Section: Resultsmentioning

confidence: 99%

“…Papers that reviewed ethical and legal considerations also covered healthcare burden; all except one suggested that both should be considered in unison. Three articles focused on leadership/management considerations (Leask et al, 2010; Nunn et al, 2018; Riphagen-Dalhusien et al, 2012). Three studies identified logistics as a barrier to effective implementation; all except one considered healthcare burden also (Hopman et al, 2011; Leask et al, 2010; Nunn et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Significant change requires effective communication to ensure that HCWs remain informed of the requirements (Nunn et al, 2018). Communication should focus on mandatory vaccination processes, as well as patient safety, and current data on successes and benefits to the individual and organisation should be shared with staff (Leask et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

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Barriers associated with mandatory influenza vaccination policies for healthcare workers: an integrative review

Short

Zimmerman

Mortel

2020

Journal of Infection Prevention

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Background: Uptake of influenza vaccination reduces staff absenteeism as well as mortality of patients and healthcare workers (HCWs); however, adherence of HCWs to annual influenza vaccination is poor and some healthcare facilities are now considering mandatory influenza vaccination policies. Aim: The purpose of this study was to identify the perceived and reported barriers to the implementation of a mandatory influenza vaccination policy for HCWs. Methods: An integrative review of the literature was conducted. Databases including CINAHL, Cochrane Library, Medline and PubMed were searched using key terms. The quality of papers was assessed utilising the Standard Quality Assessment Criteria for Evaluating Primary Research papers for a Variety of Fields which consisted of 10 questions with a possible total score of 20. PRISMA guidelines were used to report the search outcomes. Results: A total of 68 papers were identified from the database search. Seven papers were relevant, following screening. The quality scores of these were in the range of 15–20. A number of barriers are reported to prevent the effective implementation of mandatory influenza vaccination policies including ethical and legal considerations, logistics, healthcare burden, leadership and management, and human factors such as HCWs’ perspectives. Conclusions: By comprehensively identifying these, barriers can be addressed to allow effective implementation of such policies in healthcare facilities to ensure improved outcomes. The results of the review indicated the need for further research to ensure that barriers are addressed cohesively.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers associated with mandatory influenza vaccination policies for healthcare workers: an integrative review

Short

Zimmerman

Mortel

2020

Journal of Infection Prevention

View full text Add to dashboard Cite

show abstract

“…There are many prevention measures that could be employed, including staff and patient vaccination for influenza (including increasingly common mandatory employee vaccination programs); respiratory hygiene stations and enforcement/encouragement of respiratory etiquette, including masking for symptomatic patients; declining visitation by symptomatic visitors; and sending ill staff home under a working well policy. [25][26][27][28][29][30] As a practical approach, a period of nursing home epidemicity indicated by publicly reported CDC measures could instigate more stringent adherence to policies during a window of high risk. Although a collective group of prevention strategies is important, vaccination may be particularly impactful because influenza can be mild and even asymptomatic but still transmissible.…”

Section: Discussionmentioning

confidence: 99%

Hospital Influenza Admissions as a Harbinger for Nursing Home Influenza Cases

McConeghy

Huang

Miller

et al. 2020

Journal of the American Medical Directors Association

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Objectives: To determine temporal associations of local measures of influenza morbidity and mortality by the Centers for Disease Control and Prevention (CDC) with influenza hospitalizations in nursing home residents. Design: Retrospective, longitudinal panel study. Setting and participants: Long-stay nursing home residents, aged 65 years or older in 823 nursing homes from 2011 to 2015. Measures: CDC-reported rates of influenza and pneumonia mortality and laboratory-confirmed influenza hospitalizations. We compared the CDC measures to nursing home resident hospitalizations due to (1) all-cause, (2) a primary diagnosis of respiratory or circulatory illness, and (3) a primary diagnosis of pneumonia or influenza based on Medicare Part A Claims data. Results: Our final sample included 273,743 unique residents in 819 nursing homes in 108 cities. National laboratory-confirmed influenza-associated hospitalizations for the group aged 65 and older occurred 0 to 1 week prior to nursing home resident influenza-related hospitalizations (Spearman r ¼ 0.54). CDCreported influenza hospitalizations occurred 3 weeks prior to CDC-reported influenza deaths (r ¼ 0.59). Nursing home resident influenza hospitalizations occurred 2 weeks before local CDC-reported pneumonia and influenza deaths occurred (r ¼ 0.44). Conclusions/implications: Publicly reported CDC measures correlate well with nursing home hospitalizations for pneumonia and influenza. Rates of laboratory-confirmed influenza hospitalizations (as reported by the CDC) may be a useful surrogate for nursing home influenza outbreaks but should be considered along with local indicators of disease outbreaks. Early community signals could be clinically leveraged as a trigger for increased infection control measures in nursing homes.

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Influenza immunization of healthcare personnel in the post-COVID-19 pandemic era: Still a lot to do!

Ledda,

Motta,

Rapisarda

et al. 2023

Vaccine: X

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Implementing a province-wide mandatory vaccinate-or-mask policy at healthcare facilities in British Columbia, Canada

Cited by 5 publications

References 14 publications

Barriers associated with mandatory influenza vaccination policies for healthcare workers: an integrative review

Barriers associated with mandatory influenza vaccination policies for healthcare workers: an integrative review

Hospital Influenza Admissions as a Harbinger for Nursing Home Influenza Cases

Influenza immunization of healthcare personnel in the post-COVID-19 pandemic era: Still a lot to do!

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