Gahunia Jasmeen, Bigham Mark, Konrad Stephanie, Snow M Elizabeth
Fraser Health Authority.
Can Nurse. 2013 Feb;109(2):16-20.
Maintaining confidence in vaccine safety is critical to successful public health immunization programs. Surveillance and assessment of adverse events following immunization (AEFIs) are important for maintaining vaccine safety. The authors describe the evaluation of an initiative at Fraser Health Authority designed to enhance the role of a communicable disease nurse coordinator (CDNC) in assessing AEFI reports, in collaboration with a designated medical health officer (MHO) as required, and providing recommendations to clients and immunization providers. Previously, only MHOs performed this role. This evaluation project demonstrates this initiative's feasibility and provides a roadmap for health authorities interested in pursuing a similar model. MHOs, public health nurses and public health management expressed satisfaction with the process and the quality of the CDNC's recommendations. There was no statistically significant difference in median turnaround time for AEFI reporting date and date of recommendation, indicating this work is completed in as timely a manner by the CDNC as by the MHO. This role provides opportunity for professional growth, facilitates nursing practice to full scope, enables acquisition of specialized knowledge and provides a platform to share nursing expertise at a provincial level.
保持对疫苗安全性的信心对于成功开展公共卫生免疫计划至关重要。免疫后不良事件（AEFI）的监测和评估对于维持疫苗安全性很重要。作者描述了对弗雷泽卫生局一项举措的评估，该举措旨在加强传染病护士协调员（CDNC）在评估AEFI报告方面的作用，根据要求与指定的医疗卫生官员（MHO）合作，并向客户和免疫接种提供者提供建议。以前，只有医疗卫生官员履行这一职责。该评估项目证明了这一举措的可行性，并为有兴趣采用类似模式的卫生当局提供了路线图。医疗卫生官员、公共卫生护士和公共卫生管理人员对该过程以及传染病护士协调员建议的质量表示满意。AEFI报告日期与建议日期之间的中位周转时间在统计学上没有显著差异，这表明传染病护士协调员完成这项工作的及时性与医疗卫生官员相同。这一角色为职业发展提供了机会，促进了全面的护理实践，使护士能够获得专业知识，并提供了一个在省级层面分享护理专业知识的平台。
