Davis Wendy S, Varni Susan E, Barry Sara E, Frankowski Barbara L, Harder Valerie S
Department of Pediatrics, University of Vermont, Burlington, VT, USA.
Department of Pediatrics, University of Vermont, Burlington, VT, USA
J Sch Nurs. 2016 Aug;32(4):246-57. doi: 10.1177/1059840515622528. Epub 2015 Dec 23.
Students in Vermont with incomplete or undocumented immunization status are provisionally admitted to schools and historically had a calendar year to resolve their immunization status. The process of resolving these students' immunization status was challenging for school nurses. We conducted a school-based quality improvement effort to increase student compliance with Vermont immunization regulations using a collaborative learning approach with public health school liaisons and school nurses from public schools to reduce provisional admittance in 2011-2012. Strategies included using a tracking system, accessing the immunization registry, promoting immunization importance, tracking immunization plans, and working with medical homes to update records. Participating school nurses observed decreases in the number of provisionally admitted students, although this reduction was not significantly different than matched comparison schools. We also found the number of provisionally admitted students fluctuated throughout the year and resolving the immunization status of New Americans and exchange students required special attention. Our approach supports the coordinated school health model and demonstrates the critical role school nurses play in improving population health outcomes.
佛蒙特州免疫接种状态不完整或无记录的学生可被学校临时录取，并且在过去一直有一整年的时间来解决他们的免疫接种状态问题。解决这些学生免疫接种状态的过程对学校护士来说具有挑战性。我们开展了一项基于学校的质量改进工作，在2011 - 2012年期间，通过与公立学校的公共卫生学校联络人员和学校护士采用合作学习方法，来提高学生对佛蒙特州免疫接种规定的遵守情况，以减少临时录取情况。策略包括使用跟踪系统、访问免疫接种登记处、宣传免疫接种的重要性、跟踪免疫接种计划以及与医疗之家合作更新记录。参与的学校护士观察到临时录取学生的数量有所减少，尽管这一减少与匹配的对照学校相比没有显著差异。我们还发现，临时录取学生的数量全年都有波动，解决新移民和交换学生的免疫接种状态需要特别关注。我们的方法支持学校健康协调模式，并证明了学校护士在改善人群健康结果中所起的关键作用。
