Healthcare worker influenza declination form program - 31/05/15
, Jennifer N. Hill, MA a, Bridget M. Smith, PhD a, c, Charlesnika T. Evans, PhD, MPH a, d, Barry Goldstein, MD, PhD a, e, f, Richard Martinello, MD g, h, iAbstract |
Background |
Health care worker (HCW) vaccination rates have been low for many years (approximately 50%). Our goal was to implement an influenza declination form program (DFP) to assess feasibility, participation, HCW vaccination, and costs.
Methods |
This was a prospective interventional pilot study using mixed methods to evaluate the DFP implementation processes and outcomes. We conducted a formative evaluation and interviews; data were transcribed and coded into themes. Secondary outcomes included self-reported HCW influenza vaccine uptake (pre-/postsurvey) and program costs; data were evaluated using descriptive and bivariate analyses.
Results |
The DFP was compatible with ongoing strategies and unit culture. Barriers included multiple hospital shifts and competing demands. Facilitators included complementary ongoing strategies and leadership engagement. HCW vaccination rates were higher post- versus preimplementation (77.4% vs 53.5%, P =.01). To implement the DFP at site 1, using a mobile flu cart, 100% of declination forms were completed in 42.5 staff hours over <2 months. At site 2, using a vaccination table on all staff meeting days, 49% of forms were completed in 26.5 staff hours over 4.5 months. Average cost of staff time was $2,093 per site.
Conclusion |
DFP implementation required limited resources and resulted in increased HCW influenza vaccine rates; this may have positive clinical implications for influenza infection control/prevention.
Le texte complet de cet article est disponible en PDF.Highlights |
• | • The declination form program was compatible, flexible, easy to use, and supported by leadership. |
• | • Declination form program facilitators included complementary ongoing strategies and leadership engagement. |
• | • One-on-one attention and education at the time of vaccination led to health care worker accountability. |
• | • An influenza declination form program is of minimal cost, but it requires some dedicated staff and resources. |
• | • Vaccination rate improved from 53.5% to 77.4% pre- to postdeclination form program implementation. |
Key Words : Health care workers, Declination forms, Influenza vaccination, Implementation science
Plan
| Funding/Support: This work was supported by the Department of Veterans Affairs, Office of Research and Development, Health Services Research and Development Service, Quality Enhancement Research Initiative (QUERI) Rapid Response Project (no. 12-515). |
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| Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. |
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| Conflicts of interest: None to report. |
Vol 43 - N° 6
P. 624-628 - juin 2015 Retour au numéro
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