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Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings

BACKGROUND: Influenza transmitted by health care workers (HCWs) is a potential threat to frail patients in acute health care settings. Therefore, immunizing HCWs against influenza should receive high priority. Despite recommendations of the World Health Organization, vaccine coverage of HCWs remains...

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Autores principales: Riphagen-Dalhuisen, Josien, Frijstein, Gerard, van der Geest-Blankert, Nannet, Danhof-Pont, Marita, de Jager, Herbert, Bos, Nita, Smeets, Ed, de Vries, Marjan, Gallee, Pieter, Hak, Eelko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680164/
https://www.ncbi.nlm.nih.gov/pubmed/23701921
http://dx.doi.org/10.1186/1471-2334-13-235
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author Riphagen-Dalhuisen, Josien
Frijstein, Gerard
van der Geest-Blankert, Nannet
Danhof-Pont, Marita
de Jager, Herbert
Bos, Nita
Smeets, Ed
de Vries, Marjan
Gallee, Pieter
Hak, Eelko
author_facet Riphagen-Dalhuisen, Josien
Frijstein, Gerard
van der Geest-Blankert, Nannet
Danhof-Pont, Marita
de Jager, Herbert
Bos, Nita
Smeets, Ed
de Vries, Marjan
Gallee, Pieter
Hak, Eelko
author_sort Riphagen-Dalhuisen, Josien
collection PubMed
description BACKGROUND: Influenza transmitted by health care workers (HCWs) is a potential threat to frail patients in acute health care settings. Therefore, immunizing HCWs against influenza should receive high priority. Despite recommendations of the World Health Organization, vaccine coverage of HCWs remains low in all European countries. This study explores the use of intervention strategies and methods to improve influenza vaccination rates among HCWs in an acute care setting. METHODS: The Intervention Mapping (IM) method was used to systematically develop and implement an intervention strategy aimed at changing influenza vaccination behaviour among HCWs in Dutch University Medical Centres (UMCs). Carried out during the influenza seasons 2009/2010 and 2010/2011, the interventions were then qualitatively and quantitatively evaluated by way of feedback from participating UMCs and the completion of a web-based staff questionnaire in the following spring of each season. RESULTS: The IM method resulted in the development of a transparent influenza vaccination intervention implementation strategy. The intervention strategy was offered to six Dutch UMCs in a randomized in a clustered Randomized Controlled Trial (RCT), where three UMCs were chosen for intervention, and three UMCs acted as controls. A further two UMCs elected to have the intervention. The qualitative process evaluation showed that HCWs at four of the five intervention UMCs were responsive to the majority of the 11 relevant behavioural determinants resulting from the needs assessment in their intervention strategy compared with only one of three control UMCs. The quantitative evaluation among a sample of HCWs revealed that of all the developed communication materials, HCWs reported the posters as the most noticeable. CONCLUSIONS: Our study demonstrates that it is possible to develop a structured implementation strategy for increasing the rate of influenza vaccination by HCWs in acute health care settings. The evaluation also showed that it is impossible to expose all HCWs to all intervention methods (which would have been the best case scenario). Further study is needed to (1) improve HCW exposure to intervention methods; (2) determine the effect of such interventions on vaccine uptake among HCWs; and (3) assess the impact on clinical outcomes among patients when such interventions are enacted.
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spelling pubmed-36801642013-06-13 Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings Riphagen-Dalhuisen, Josien Frijstein, Gerard van der Geest-Blankert, Nannet Danhof-Pont, Marita de Jager, Herbert Bos, Nita Smeets, Ed de Vries, Marjan Gallee, Pieter Hak, Eelko BMC Infect Dis Research Article BACKGROUND: Influenza transmitted by health care workers (HCWs) is a potential threat to frail patients in acute health care settings. Therefore, immunizing HCWs against influenza should receive high priority. Despite recommendations of the World Health Organization, vaccine coverage of HCWs remains low in all European countries. This study explores the use of intervention strategies and methods to improve influenza vaccination rates among HCWs in an acute care setting. METHODS: The Intervention Mapping (IM) method was used to systematically develop and implement an intervention strategy aimed at changing influenza vaccination behaviour among HCWs in Dutch University Medical Centres (UMCs). Carried out during the influenza seasons 2009/2010 and 2010/2011, the interventions were then qualitatively and quantitatively evaluated by way of feedback from participating UMCs and the completion of a web-based staff questionnaire in the following spring of each season. RESULTS: The IM method resulted in the development of a transparent influenza vaccination intervention implementation strategy. The intervention strategy was offered to six Dutch UMCs in a randomized in a clustered Randomized Controlled Trial (RCT), where three UMCs were chosen for intervention, and three UMCs acted as controls. A further two UMCs elected to have the intervention. The qualitative process evaluation showed that HCWs at four of the five intervention UMCs were responsive to the majority of the 11 relevant behavioural determinants resulting from the needs assessment in their intervention strategy compared with only one of three control UMCs. The quantitative evaluation among a sample of HCWs revealed that of all the developed communication materials, HCWs reported the posters as the most noticeable. CONCLUSIONS: Our study demonstrates that it is possible to develop a structured implementation strategy for increasing the rate of influenza vaccination by HCWs in acute health care settings. The evaluation also showed that it is impossible to expose all HCWs to all intervention methods (which would have been the best case scenario). Further study is needed to (1) improve HCW exposure to intervention methods; (2) determine the effect of such interventions on vaccine uptake among HCWs; and (3) assess the impact on clinical outcomes among patients when such interventions are enacted. BioMed Central 2013-05-23 /pmc/articles/PMC3680164/ /pubmed/23701921 http://dx.doi.org/10.1186/1471-2334-13-235 Text en Copyright © 2013 Riphagen-Dalhuisen et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Riphagen-Dalhuisen, Josien
Frijstein, Gerard
van der Geest-Blankert, Nannet
Danhof-Pont, Marita
de Jager, Herbert
Bos, Nita
Smeets, Ed
de Vries, Marjan
Gallee, Pieter
Hak, Eelko
Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title_full Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title_fullStr Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title_full_unstemmed Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title_short Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
title_sort planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680164/
https://www.ncbi.nlm.nih.gov/pubmed/23701921
http://dx.doi.org/10.1186/1471-2334-13-235
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