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dc.contributor.authorLuthy, Karlen E.en
dc.contributor.authorMacintosh, Janelle L. B.en
dc.contributor.authorBeckstrand, Reneaen
dc.contributor.authorEden, Lacey M.en
dc.date.accessioned2016-03-17T12:55:17Zen
dc.date.available2016-03-17T12:55:17Zen
dc.date.issued2016-03-17
dc.identifierINRC15I05
dc.identifier.urihttp://hdl.handle.net/10755/601778
dc.description<p>Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.</p>en
dc.description.abstract<p>Session presented on Sunday, July 26, 2015:</p> <p><strong>Purpose:</strong> The purpose of this study was to explore vaccination rates of health care workers (HCW) employed in the outpatient clinic setting in Utah. It was hypothesized that Utah outpatient clinic settings (namely pediatric clinics, family practice clinics, and oncology clinics) mirrored the established vaccination policies of Utah HCWs employed in the in-patient hospital setting and the recommendations of the Utah Department of Health.</p> <p><strong>Methods:</strong> Institutional Review Board approval was granted for this study prior to data collection. The study included a convenience sample of 178 clinic managers of Utah pediatric, family practice, and oncology outpatient clinics. On the initial encounter, clinic managers in the state of Utah were contacted via telephone at which time the study was explained. One month following the initial contact, participating clinic managers were sent a study packet via mail. Each packet included an informed consent document, questionnaire, self-addressed and postage-paid return envelope, and a $1.00 compensation for participation. One month following the distribution of the questionnaires, non-responders were sent a reminder packet that included another copy of the informed consent document, questionnaire, and self-addressed and postage-paid return envelope. The $1.00 incentive was not included on the follow-up mailing. Return of the questionnaire implied the subject's consent. Clinic managers retained the $1.00 incentive regardless of participation in the study. Questionnaire items were selected based on current literature regarding HCW vaccination mandates in the United States and was reviewed by a panel of public health experts. The finalized, two-page questionnaire included five demographic items, five multiple choice items, two yes/no, and three open-ended items. Frequencies, measures of central tendency and dispersion statistics were calculated for all quantitative items. Two independent researchers conducted a content analysis for open-ended items from the open-ended responses.</p> <p><strong>Results:</strong> All data are collected, although what is reported here are preliminary results. A total of 178 participants completed questionnaires. Surprisingly, 50% of the outpatient Utah clinics described their vaccination policy as recommending employee vaccination, although employees were allowed to refuse without any consequence. Employees working in the back office (83%) were most often included in the clinic's vaccination policy. Of clinics with an active vaccination policy, influenza was included as part of the policies 66% of the time. Hepatitis B was also commonly included in the vaccination policies (63.8%), as well as tetanus and pertussis (59.6%) and varicella (34%). HCWs were allowed to refuse vaccinations for medical and religious reasons, additionally 48.9% of clinics allowed HCWs to refuse vaccinations for philosophical beliefs. When an inadequately vaccinated HCW became ill with a cough, rash, or fever, 36.2% of clinics required him/her to wear a mask. Surprisingly 27.7% of clinics took no action with inadequately vaccinated HCWs when they arrived at work ill. When asked to identify the greatest barrier to implementing and maintaining a clinic vaccination policy, the prevailing theme was a lack of manpower.</p> <p><strong>Conclusions: </strong>The hypothesis was not supported and while the majority of in-patient HCWs in Utah are adequately vaccinated, this is not the case in the outpatient clinic setting even though the two groups of HCWs have similar vaccination guidelines as recommended by the Utah Department of Health and the Centers for Disease Control and Prevention. As influential leaders in the delivery of health care services, nurses have an ethical responsibility to promote vaccination compliance among themselves and in their places of employment. Currently, pharmacists and physicians have the highest vaccination rates, 89.9% and 84.3% respectively. Nurses, on the other hand, generally have lower vaccination rates at 77.8%. The lowest vaccination rates are medical assistants or aides at 49.2%. Therefore, there is room for improvement. Nurses can be instrumental in promoting HCW vaccination policies in all health care settings, especially the outpatient clinic setting.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectHealth Care Workersen
dc.subjectVaccinationsen
dc.subjectPoliciesen
dc.titleEvaluation of health care worker vaccination rates in Utah outpatient clinicsen
dc.title.alternativePromoting Health through Cessation and Vaccinationen
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentEpsilon Phien
dc.author.detailsKarlen E. Luthy, FNP; Janelle L. B. Macintosh, RN; Renea Beckstrand, RN, CCRN, CNE; Lacey M. Eden, FNPen
dc.conference.name26th international Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationSan Juan, Puerto Ricoen
dc.date.conferenceyear2015
dc.contributor.affiliationBrigham Young University, Provo, Utah, USAen
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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