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Evaluation of an influenza vaccination in-service program for health care workers in Philadelphia nursing homes
Thesis

Evaluation of an influenza vaccination in-service program for health care workers in Philadelphia nursing homes

Adam Ellis Lynch
Master of Public Health (M.P.H.), Drexel University
29 May 2009
DOI:
https://doi.org/10.17918/etd-3101
pdf
Lynch_Adam_2009845.28 kB
PDF Access upon request, Email title, URL, or DOI to archives@drexel.edu

Abstract

Influenza Vaccine Health Care Workers In-Service Programs Pennsylvania--Philadelphia Nursing Homes Public Health
Background: Influenza remains a significant cause of morbidity and mortality in residents of long-term care facilities (LTCFs). Vaccination rates among Philadelphia LTCF direct-care staff are consistent with poor national averages despite minimal cost and access barriers. Low vaccination rates among LTCF staff and deficiencies in infection control practices increase the risk for facility-wide influenza outbreaks. Objectives: Providing educational in-services at select LTCFs would serve as a community intervention and secondary component of a comprehensive Philadelphia Department of Public Health (PDPH) influenza in long-term care project. Methods: In early 2009, influenza prevention in-services were provided at eight Philadelphia LTCFs. The in-service presentation consisted of a PowerPoint presentation followed by a brief written evaluation. Additional signage and guidance were provided post-in-service. Results: Fourteen presentations were delivered to 8 LTCFs in Philadelphia. The presentations reached a median of 16% of total staff (n=6). Significant attitudinal differences were found between vaccinated and unvaccinated staff for 4 of 5 Likert questions on the post-in-service evaluation. Conclusions: PDPH will use feedback from the in-services to improve current interventions directed to increasing vaccination rates and standardizing influenza prevention practices in LTCFs.

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