Nace David A, Hoffman Erika L, Resnick Neil M, Handler Steven M
Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.
J Am Med Dir Assoc. 2007 Feb;8(2):128-33. doi: 10.1016/j.jamda.2006.09.014. Epub 2006 Dec 22.
Influenza 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.
To determine the feasibility of achieving and sustaining high rates of staff influenza immunization for a community-based long-term care facility.
A 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.
Organizational 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.
Achieving 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.
流感在长期护理机构中会导致严重的发病和死亡。医护人员接种疫苗已被证明可减少流感在此环境中的影响，但很少有研究涉及针对长期护理机构工作人员接种疫苗的改进措施。
确定在一个社区长期护理机构中实现并维持高工作人员流感疫苗接种率的可行性。
进行了一项需求分析，以确定工作人员流感疫苗接种的组织和个人层面障碍。根据障碍评估实施了系统变革、教育干预和提醒措施。计算了1996年至2006年10年间的工作人员疫苗接种率。
识别并针对了组织和个人障碍。以1996年和1997年的数据为基线，在过去4年中，工作人员疫苗接种率从54%提高到55%，再提高到74%至95%之间。
在一个有积极参与的质量改进团队和医疗主任的社区长期护理机构中，实现并维持高工作人员流感疫苗接种率是可能的。
