Gadbois Emily A, Meehan Amy, Uth Rebecca, Baier Rosa R, Gravenstein Stefan, Zullo Andrew R, Kabler Heidi, Loiacono Matthew M, Bardenheier Barbara H
Brown University School of Public Health, 121 S. Main St., Providence, RI 02903, United States.
Brown University School of Public Health, 121 S. Main St., Providence, RI 02903, United States.
Geriatr Nurs. 2023 Nov-Dec;54:205-210. doi: 10.1016/j.gerinurse.2023.09.006. Epub 2023 Oct 14.
Resident and staff influenza and COVID-19 vaccination are critical components of infection prevention in nursing homes. Our study sought to characterize strategies that nursing home staff use to promote vaccination. Twenty-six telephone/videoconference interviews were conducted with administrators, directors of nursing, infection preventionists, and Minimum Data Set coordinators at 14 nursing homes across the US. Transcripts were analyzed using content analysis and a detailed audit trail was maintained. Staff described resident and staff influenza and COVID-19 vaccine hesitancy and confidence as well as varying approaches to promote vaccination. These included incentives, education efforts, and having a "vaccine champion" responsible for vaccine promotion. While many strategies had been in place prior to COVID-19 in support of improving influenza vaccination, participants reported implementing additional approaches to promote COVID-19 vaccination. Findings may inform future efforts to promote vaccination, which will be critical to mitigate the burden of influenza and COVID-19 in nursing homes.
养老院的住院患者和工作人员接种流感疫苗和新冠疫苗是预防感染的关键组成部分。我们的研究旨在描述养老院工作人员用于促进疫苗接种的策略。我们对美国14家养老院的管理人员、护理主任、感染预防专家和最低数据集协调员进行了26次电话/视频会议访谈。使用内容分析法对访谈记录进行了分析，并保留了详细的审计跟踪。工作人员描述了住院患者和工作人员对流感疫苗和新冠疫苗的犹豫和信心，以及促进疫苗接种的不同方法。这些方法包括激励措施、教育努力，以及让一名“疫苗倡导者”负责疫苗推广。虽然在新冠疫情之前就已经有许多策略来支持提高流感疫苗接种率，但参与者报告称实施了额外的方法来促进新冠疫苗接种。研究结果可能为未来促进疫苗接种的努力提供参考，这对于减轻养老院流感和新冠疫情的负担至关重要。
