scholarly journals A Successful Strategy for Increasing the Influenza Vaccination Rate of Healthcare Workers without a Mandatory Policy Outside of the United States: A Multifaceted Intervention in a Japanese Tertiary Care Center

2013 ◽  
Vol 34 (11) ◽  
pp. 1194-1200 ◽  
Author(s):  
Hitoshi Honda ◽  
Yumiko Sato ◽  
Akinori Yamazaki ◽  
Simi Padival ◽  
Akira Kumagai ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Vaccination Rate ◽  
Multifaceted Intervention ◽  
Tertiary Care Center ◽  
Vaccination Programs ◽  
Mandatory Vaccination ◽  
Vaccination Period

Objective.Although mandatory vaccination programs have been effective in improving the vaccination rate among healthcare workers, implementing this type of program can be challenging because of varied reasons for vaccine refusal. The purpose of our study is to measure improvement in the influenza vaccination rate from a multifaceted intervention at a Japanese tertiary care center where implementing a mandatory vaccination program is difficult.Design.Before-and-after trial.Participants and Setting.Healthcare workers at a 550-bed, tertiary care, academic medical center in Sapporo, Japan.Interventions.We performed a multifaceted intervention including (1) use of a declination form, (2) free vaccination, (3) hospital-wide announcements during the vaccination period, (4) prospective audit and real-time telephone interview for healthcare workers who did not receive the vaccine, (5) medical interview with the hospital executive for noncompliant (no vaccine, no declination form) healthcare workers during the vaccination period, and (6) mandatory submission of a vaccination document if vaccinated outside of the study institution.Results.With the new multifaceted intervention, the vaccination rate in the 2012-2013 season increased substantially, up to 97%. This rate is similar to that reported in studies with a mandatory vaccination program. Improved vaccination acceptance, particularly among physicians, likely contributed to the overall increase in the vaccination rate reported in the study.Conclusions.Implementation of comprehensive strategies with strong leadership can lead to substantial improvements in vaccine uptake among healthcare workers even without a mandatory vaccination policy. The concept is especially important for institutions where implementing mandatory vaccination programs is challenging.

scholarly journals Promoting COVID-19 vaccination among healthcare personnel: a multifaceted intervention at a tertiary care center in Japan

2021 ◽  
pp. 1-26
Author(s):  
Akane Takamatsu ◽  
Hitoshi Honda ◽  
Tomoya Kojima ◽  
Kengo Murata ◽  
Hilary Babcock
Keyword(s):  
Medical Center ◽  
Care Center ◽  
Tertiary Care ◽  
Vaccination Rate ◽  
Multifaceted Intervention ◽  
Vaccine Hesitancy ◽  
Healthcare Personnel ◽  
Tertiary Care Center ◽  
Post Intervention ◽  
Post Vaccination

Abstract Objective The COVID-19 vaccine may hold the key to ending the pandemic, but vaccine hesitancy is hindering the vaccination of healthcare personnel (HCP). Design Before-after trial Participants and setting Healthcare personnel at a 790-bed tertiary care center in Tokyo, Japan. Interventions A pre-vaccination questionnaire was administered to HCP to examine their perceptions of the COVID-19 vaccine. Then, a multifaceted intervention involving (1) distribution of informational leaflets to all HCP, (2) hospital-wide announcements encouraging vaccination, (3) a mandatory lecture, (4) an educational session about the vaccine for pregnant or breastfeeding HCP, and (5) allergy testing for HCP at risk of allergic reactions to the vaccine was implemented. A post-vaccination survey was also performed. Results Of 1,575 HCP eligible for enrollment, 1,224 (77.7%) responded to the questionnaire, 43.5% (n =533) expressed willingness to be vaccinated, 48.4% (n = 593) were uncertain, and 8.0% (n=98) expressed unwillingness to be vaccinated. The latter two groups were concerned about the vaccine’s safety rather than its efficacy. Post-intervention, the overall vaccination rate reached 89.7% (1,413/1,575), with 88.9% (614/691) of the pre-vaccination survey respondents who answered “unwilling” or “unsure” eventually receiving a vaccination. In the post-vaccination questionnaire, factors contributing to increased COVID-19 vaccination included information and endorsement of vaccination at the medical center (26.4%; 274/1,037). Conclusions The present, multifaceted intervention increased COVID-19 vaccinations among HCP at a Japanese hospital. Frequent support and provision of information were crucial for increasing the vaccination rate and may be applicable to the general population as well.

Should influenza vaccination be mandatory for healthcare workers?

2018 ◽  
Vol 31 (5) ◽  
pp. 214-217 ◽  
Author(s):  
Nikolija Lukich ◽  
Michael Kekewich ◽  
Virginia Roth
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Healthcare Organizations ◽  
Medical Field ◽  
Public Health Perspective ◽  
Vaccination Programs ◽  
The Past ◽  
Immunization Rates ◽  
Mandatory Vaccination ◽  
Personal Interests

Each year, many healthcare organizations deal with low influenza immunization rates among staff. Mandatory influenza vaccination programs may be considered in order to address this issue. These types of programs have caused controversy in the past, as staff has argued that they infringe upon their liberties and right to autonomy. However, if viewed from a public health perspective, mandatory vaccination programs are beneficial for both employees and patients and can be justified. When individuals make the decision to work in the medical field, it is assumed that their values align with those of the organization for which they work. This overrides their right to autonomy, since they are expected to put the safety of their patients ahead of their own personal interests. Although some may argue that receiving a flu shot is unsafe, evidence has demonstrated the opposite, and the minimal discomfort that may result from a vaccine is not enough to negate the responsibilities that healthcare workers have toward the patients they serve.

Adverse effects of using masks, sanitizer, and gloves among healthcare workers in a tertiary care center during the COVID-19 pandemic: A questionnaire-based study

2021 ◽  
Vol 17 (3) ◽  
pp. 99
Author(s):  
NamrathaK Narayanan ◽  
Anju Anand ◽  
Midhuna Pradeep ◽  
Nandana Shanavas ◽  
Anuvinda Anil ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Healthcare Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals Prevalence of Hepatitis B and C Among Healthcare Workers in a Tertiary Care Center in Monrovia Liberia

2021 ◽  
Vol 87 (1) ◽  
Author(s):  
Whitney Lieb ◽  
Yassah Moracious Barclay-Korboi ◽  
Christopher Dike ◽  
Amrin Khander ◽  
Samantha Raymond ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Healthcare Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals BACTERIAL CONTAMINATION OF HEALTHCARE WORKERS’ MOBILE PHONES IN A TERTIARY CARE CENTER IN SAUDI ARABIA.

2017 ◽  
Vol 5 (1) ◽  
pp. 1179-1183
Author(s):  
Fares. Almeshal. ◽  
◽  
Feras. Asiri. ◽  
Anas. Alyamani. ◽  
Mohammed. Altuwaijri. ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Mobile Phones ◽  
Healthcare Workers ◽  
Bacterial Contamination ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals 2024. A Multifaceted Intervention to Improve Oral Antimicrobial Prescription at the Emergency Department at a Japanese Tertiary Care Center

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S679-S679
Author(s):  
Yasuaki Tagashira ◽  
Hitoshi Honda
Keyword(s):  
Emergency Department ◽  
Care Center ◽  
Tertiary Care ◽  
Developed Countries ◽  
Multifaceted Intervention ◽  
Evidence Based ◽  
Antimicrobial Use ◽  
Tertiary Care Center ◽  
Appropriate Prescription ◽  
Antimicrobial Prescription

Abstract Background The emergency department (ED) is one of the most important settings where antimicrobials are frequently prescribed in developed countries, and at least 30% of antimicrobials prescribed at the ED are inappropriate. Some studies revealed that various factors, especially the physician-related factors were associated with inappropriate antimicrobial use. Implementing effective strategies to modify prescribing practice is needed to optimize antimicrobial therapy at the ED. Methods We implemented a multifaceted intervention to patients discharged with oral antimicrobial agents in the ED at a Japanese tertiary care center from October 2018 to March 2019. The intervention included (1) an educational didactic session to physicians, (2) an evidence-based tool book regarding antimicrobial use for common diagnoses, (3) antimicrobial order sets for common diagnoses, (4) monthly reports of the appropriateness of antimicrobial use, and (5) post-prescription review and feedback by an infectious diseases physician. The proportion of appropriate discharge antimicrobial prescription at ED, and changes in the prescription density, measured as the number of prescription per 1,000 patient visits between pre- and post-intervention were evaluated. Results The total number of patient visits at the ED during the study period was 52,274. With the intervention, the mean monthly discharge antimicrobial prescription decreased from 42.7 to 34.2 per 1,000 visits (proportional reduction 0.20; P < 0.01). Overall, appropriate prescription rate significantly increased from 47.7% (742/1,555) to 77.4% (421/544) (P < 0.01). The rate of unnecessary and inappropriate discharge antimicrobial prescription accounted from 27.5% (428/1,555) and 21.7% (337/1,555) to 8.5% (46/544) and 10.7% (58/544), respectively. A substantial improvement in discharge antimicrobial prescription against intra-abdominal infections and odontogenic infections during the intervention period was observed (changes in the proportion of appropriate prescription was 0.37 [P < 0.01] and 0.51 [P < 0.01], respectively. Conclusion An evidence-based, multifaceted intervention led to decreasing unnecessary prescription and optimizing physicians’ antimicrobial prescriptions at the ED. Disclosures All authors: No reported disclosures.

scholarly journals A Time Off Incentive Was Not Associated with Influenza Vaccination Acceptance among Healthcare Workers

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Saima Cheema ◽  
Christopher Vinnard ◽  
Sarah Foster-Chang ◽  
Darren R. Linkin
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Medical Center ◽  
Vaccination Rate ◽  
Web Based ◽  
Vaccination Rates ◽  
Vaccination Acceptance ◽  
Survey Responses ◽  
Mandatory Vaccination ◽  
Relationship Of

Objectives. The national influenza vaccination rate among healthcare workers (HCWs) remains low despite clear benefits to patients, coworkers, and families. We sought to evaluate formally the effect of a one-hour time off incentive on attitudes towards influenza vaccination during the 2011-2012 influenza season. Methods. All HCWs at the Philadelphia Veterans Affairs (VA) Medical Center were invited to complete an anonymous web-based survey. We described respondents’ characteristics and attitudes toward influenza vaccination and determined the relationship of specific attitudes with respondents’ acceptance of influenza vaccination, using a 5-point Likert scale. Results. We analyzed survey responses from 154 HCWs employed at the Philadelphia VA Medical Center, with a response rate of 8%. Among 121 respondents who reported receiving influenza vaccination, 34 (28%, 95% CI 20–37%) reported agreement with the statement that the time off incentive made a difference in their decision to accept influenza vaccination. Conclusions. Our study provides evidence that modest incentives such as one-hour paid time off will be unlikely to promote influenza vaccination rates within medical facilities. More potent interventions that include mandatory vaccination combined with penalties for noncompliance will likely provide the only means to achieve near-universal influenza vaccination among HCWs.

Sign in / Sign up

Export Citation Format

Share Document