Brown University, Providence, RI, USA.
Providence VA Medical Center, RI, USA.
Med Care Res Rev. 2023 Dec;80(6):608-618. doi: 10.1177/10775587231168435. Epub 2023 May 12.
COVID-19 vaccinations are critical for mitigating outbreaks and reducing mortality for skilled nursing facility (SNF) residents and staff, yet uptake among SNF staff varies widely and remains suboptimal. Understanding which strategies are successful for promoting staff vaccination, and examining the relationship between vaccination policies and staff retention/turnover is key for identifying best practices. We conducted repeated interviews with SNF administrators at 3-month intervals between July 2020 and December 2021 ( = 156 interviews). We found that COVID-19 vaccines were initially met with both enthusiasm and skepticism by SNF staff. Administrators reported strategies to increase staff vaccine acceptance, including incentives, one-on-one education, and less stringent personal protective equipment requirements. Federal and state vaccination mandates further promoted vaccine uptake. This combination of mandates with prioritization of the vaccine by SNFs and their leadership was successful at increasing staff vaccination acceptance, which may be critical to increase staff booster uptake from its current suboptimal levels.
COVID-19 疫苗接种对于减轻暴发和降低熟练护理机构（SNF）居民和工作人员的死亡率至关重要，但 SNF 工作人员的接种率差异很大，仍然不理想。了解哪些策略对于促进员工接种疫苗是成功的，并研究疫苗接种政策与员工保留/离职之间的关系，对于确定最佳实践是关键。我们在 2020 年 7 月至 2021 年 12 月期间每 3 个月对 SNF 管理人员进行了重复访谈（=156 次访谈）。我们发现，COVID-19 疫苗最初受到 SNF 工作人员的热情和怀疑。管理人员报告了一些策略来提高员工对疫苗的接受程度，包括激励措施、一对一的教育和放宽个人防护设备要求。联邦和州的疫苗接种授权进一步促进了疫苗接种率的提高。SNF 及其领导层将疫苗接种作为优先事项，并与授权相结合，这对于提高员工接种疫苗的接受程度是成功的，这对于提高员工加强针接种率从目前不理想的水平可能是至关重要的。
