Influenza vaccination in Alberta long-term care facilities.
Identifieur interne : 000995 ( Main/Exploration ); précédent : 000994; suivant : 000996Influenza vaccination in Alberta long-term care facilities.
Auteurs : M L Russell [Canada]Source :
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne [ 0820-3946 ] ; 2001.
Descripteurs français
- KwdFr :
- Adhésion aux directives (), Alberta, Enquêtes et questionnaires, Foyers pour personnes agées (organisation et administration), Grippe humaine (), Guides de bonnes pratiques cliniques comme sujet, Humains, Lutte contre l'infection (), Personnel de santé (), Politique organisationnelle, Santé au travail (), Sujet âgé, Vaccination (), Établissements de soins qualifiés (organisation et administration).
- MESH :
- organisation et administration : Foyers pour personnes agées, Établissements de soins qualifiés.
- Adhésion aux directives, Alberta, Enquêtes et questionnaires, Grippe humaine, Guides de bonnes pratiques cliniques comme sujet, Humains, Lutte contre l'infection, Personnel de santé, Politique organisationnelle, Santé au travail, Sujet âgé, Vaccination.
English descriptors
- KwdEn :
- Aged, Alberta, Guideline Adherence (statistics & numerical data), Health Personnel (statistics & numerical data), Homes for the Aged (organization & administration), Humans, Infection Control (methods), Infection Control (statistics & numerical data), Influenza, Human (prevention & control), Occupational Health (statistics & numerical data), Organizational Policy, Practice Guidelines as Topic, Skilled Nursing Facilities (organization & administration), Surveys and Questionnaires, Vaccination (statistics & numerical data).
- MESH :
- geographic : Alberta.
- methods : Infection Control.
- organization & administration : Homes for the Aged, Skilled Nursing Facilities.
- prevention & control : Influenza, Human.
- statistics & numerical data : Guideline Adherence, Health Personnel, Infection Control, Occupational Health, Vaccination.
- Aged, Humans, Organizational Policy, Practice Guidelines as Topic, Surveys and Questionnaires.
Abstract
BACKGROUND
Canada's National Advisory Committee on Immunization recommends that both staff and residents of long-term care facilities be vaccinated against influenza. This paper describes the influenza vaccination policies and programs, as well as vaccination rates, for staff and residents of long-term care institutions in Alberta. Such data have not previously been reported.
METHODS
Data were collected by means of an anonymous mail survey (with 2 reminders) sent to Alberta nursing homes and auxiliary hospitals in spring 1999.
RESULTS
Of 160 facilities providing long-term care during the study period, 136 responded to the survey (85%). Of these, only 85 provided data on staff vaccination rates, whereas 118 provided data on resident vaccination rates. For institutions reporting this information, the median proportion of staff vaccinated was 29.9% and the median proportion of residents vaccinated was 91.0%. Only 2 facilities reported that staff vaccination was mandatory; however, only one of these had a written policy consistent with the self-report period. Using a travelling vaccination cart, offering vaccination on night shift, and monitoring and providing feedback about staff vaccination rates were infrequently employed as elements of staff vaccination programs, although all were positively correlated with staff vaccination rates. Standing orders for resident vaccination were reported by only 84 facilities. Fourteen institutions required written consent for vaccination from the resident or a relative. Facility requirements for consent to vaccinate from the resident or a relative were significantly associated with mean vaccine coverage: 90.5% coverage for institutions requiring verbal consent, 86.5% coverage for institutions requiring written consent and 95.0% for institutions not requiring written or verbal consent.
INTERPRETATION
Staff vaccination rates in Alberta long-term care facilities are unacceptably low. Changes in staff vaccination programs may improve the situation even in the absence of mandatory vaccination or work exclusion rules. Requirements for written consent for vaccination of residents of long-term care facilities may be a barrier to immunization.
PubMed: 11387914
Affiliations:
Links toward previous steps (curation, corpus...)
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Influenza vaccination in Alberta long-term care facilities.</title><author><name sortKey="Russell, M L" sort="Russell, M L" uniqKey="Russell M" first="M L" last="Russell">M L Russell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alta. mlrussel@ucalgary.ca</nlm:affiliation><country wicri:rule="url">Canada</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11387914</idno><idno type="pmid">11387914</idno><idno type="wicri:Area/Main/Corpus">000A76</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A76</idno><idno type="wicri:Area/Main/Curation">000A76</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000A76</idno><idno type="wicri:Area/Main/Exploration">000A76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Influenza vaccination in Alberta long-term care facilities.</title><author><name sortKey="Russell, M L" sort="Russell, M L" uniqKey="Russell M" first="M L" last="Russell">M L Russell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alta. mlrussel@ucalgary.ca</nlm:affiliation><country wicri:rule="url">Canada</country></affiliation></author></analytic><series><title level="j">CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne</title><idno type="ISSN">0820-3946</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alberta</term><term>Guideline Adherence (statistics & numerical data)</term><term>Health Personnel (statistics & numerical data)</term><term>Homes for the Aged (organization & administration)</term><term>Humans</term><term>Infection Control (methods)</term><term>Infection Control (statistics & numerical data)</term><term>Influenza, Human (prevention & control)</term><term>Occupational Health (statistics & numerical data)</term><term>Organizational Policy</term><term>Practice Guidelines as Topic</term><term>Skilled Nursing Facilities (organization & administration)</term><term>Surveys and Questionnaires</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives ()</term><term>Alberta</term><term>Enquêtes et questionnaires</term><term>Foyers pour personnes agées (organisation et administration)</term><term>Grippe humaine ()</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Lutte contre l'infection ()</term><term>Personnel de santé ()</term><term>Politique organisationnelle</term><term>Santé au travail ()</term><term>Sujet âgé</term><term>Vaccination ()</term><term>Établissements de soins qualifiés (organisation et administration)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Alberta</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Foyers pour personnes agées</term><term>Établissements de soins qualifiés</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Homes for the Aged</term><term>Skilled Nursing Facilities</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Guideline Adherence</term><term>Health Personnel</term><term>Infection Control</term><term>Occupational Health</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Humans</term><term>Organizational Policy</term><term>Practice Guidelines as Topic</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adhésion aux directives</term><term>Alberta</term><term>Enquêtes et questionnaires</term><term>Grippe humaine</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Lutte contre l'infection</term><term>Personnel de santé</term><term>Politique organisationnelle</term><term>Santé au travail</term><term>Sujet âgé</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Canada's National Advisory Committee on Immunization recommends that both staff and residents of long-term care facilities be vaccinated against influenza. This paper describes the influenza vaccination policies and programs, as well as vaccination rates, for staff and residents of long-term care institutions in Alberta. Such data have not previously been reported.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data were collected by means of an anonymous mail survey (with 2 reminders) sent to Alberta nursing homes and auxiliary hospitals in spring 1999.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of 160 facilities providing long-term care during the study period, 136 responded to the survey (85%). Of these, only 85 provided data on staff vaccination rates, whereas 118 provided data on resident vaccination rates. For institutions reporting this information, the median proportion of staff vaccinated was 29.9% and the median proportion of residents vaccinated was 91.0%. Only 2 facilities reported that staff vaccination was mandatory; however, only one of these had a written policy consistent with the self-report period. Using a travelling vaccination cart, offering vaccination on night shift, and monitoring and providing feedback about staff vaccination rates were infrequently employed as elements of staff vaccination programs, although all were positively correlated with staff vaccination rates. Standing orders for resident vaccination were reported by only 84 facilities. Fourteen institutions required written consent for vaccination from the resident or a relative. Facility requirements for consent to vaccinate from the resident or a relative were significantly associated with mean vaccine coverage: 90.5% coverage for institutions requiring verbal consent, 86.5% coverage for institutions requiring written consent and 95.0% for institutions not requiring written or verbal consent.</p></div><div type="abstract" xml:lang="en"><p><b>INTERPRETATION</b></p><p>Staff vaccination rates in Alberta long-term care facilities are unacceptably low. Changes in staff vaccination programs may improve the situation even in the absence of mandatory vaccination or work exclusion rules. Requirements for written consent for vaccination of residents of long-term care facilities may be a barrier to immunization.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11387914</PMID><DateCompleted><Year>2001</Year><Month>06</Month><Day>28</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0820-3946</ISSN><JournalIssue CitedMedium="Print"><Volume>164</Volume><Issue>10</Issue><PubDate><Year>2001</Year><Month>May</Month><Day>15</Day></PubDate></JournalIssue><Title>CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne</Title><ISOAbbreviation>CMAJ</ISOAbbreviation></Journal><ArticleTitle>Influenza vaccination in Alberta long-term care facilities.</ArticleTitle><Pagination><MedlinePgn>1423-7</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Canada's National Advisory Committee on Immunization recommends that both staff and residents of long-term care facilities be vaccinated against influenza. This paper describes the influenza vaccination policies and programs, as well as vaccination rates, for staff and residents of long-term care institutions in Alberta. Such data have not previously been reported.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data were collected by means of an anonymous mail survey (with 2 reminders) sent to Alberta nursing homes and auxiliary hospitals in spring 1999.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 160 facilities providing long-term care during the study period, 136 responded to the survey (85%). Of these, only 85 provided data on staff vaccination rates, whereas 118 provided data on resident vaccination rates. For institutions reporting this information, the median proportion of staff vaccinated was 29.9% and the median proportion of residents vaccinated was 91.0%. Only 2 facilities reported that staff vaccination was mandatory; however, only one of these had a written policy consistent with the self-report period. Using a travelling vaccination cart, offering vaccination on night shift, and monitoring and providing feedback about staff vaccination rates were infrequently employed as elements of staff vaccination programs, although all were positively correlated with staff vaccination rates. Standing orders for resident vaccination were reported by only 84 facilities. Fourteen institutions required written consent for vaccination from the resident or a relative. Facility requirements for consent to vaccinate from the resident or a relative were significantly associated with mean vaccine coverage: 90.5% coverage for institutions requiring verbal consent, 86.5% coverage for institutions requiring written consent and 95.0% for institutions not requiring written or verbal consent.</AbstractText><AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Staff vaccination rates in Alberta long-term care facilities are unacceptably low. Changes in staff vaccination programs may improve the situation even in the absence of mandatory vaccination or work exclusion rules. Requirements for written consent for vaccination of residents of long-term care facilities may be a barrier to immunization.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Russell</LastName><ForeName>M L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alta. mlrussel@ucalgary.ca</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>CMAJ</MedlineTA><NlmUniqueID>9711805</NlmUniqueID><ISSNLinking>0820-3946</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections 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UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016134" MajorTopicYN="N">Organizational Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012866" 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Jul;20(7):499-503</Citation><ArticleIdList><ArticleId IdType="pubmed">10432163</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Russell, M L" sort="Russell, M L" uniqKey="Russell M" first="M L" last="Russell">M L Russell</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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