Evidence Based Practice And Applied Nursing Research

Implementing immunizations into the clinics can be challenging for the facility and the staff. There are several methods that have been implemented to monitor the methods used by the staff to give the immunizations to the patients in the clinics. There have been several obstacles and challenges that the staff and leaders have faced. As with any changes that take place in patient care within an organization methods must be set up to monitor those changes. Changes promote challenges not just to staff leaders but the organization as a whole. Communication with any changes can be challenging for

Many instances have been noted that healthcare providers are bringing the infection to the patients and not the patients bring the infection to the staff. Furthermore, It is well documented that nosocomial infection occurs (Rice, 2010) and hospitalized individuals face more complications and greater mortality from influenza. Healthcare providers are indirectly causing undo harm to patients that are more susceptible to infections such as influenza. “In nursing home settings, vaccination of healthcare workers has been shown to decrease morbidity and mortality among nursing home residents” (Babcock, et al., 2010, p. 459). One study suggests that there is a higher rate of occurrence of influenza among healthcare providers than residents. “In elder-care settings, influenza among staff precedes illness among residents, suggesting that health care workers introduce the virus into the setting” (Anikeeva, Braunack-Mayer, & Rogers, 2009, p. 25).

Influenza results in excess of two hundred thousand hospitalizations in the United States (Tosh & Jacobson, 2010). Mortality rates for influenza related illness have risen. The purpose of this paper is to discuss mandated healthcare influenza vaccination in healthcare workers and will examine a Cochrane review summary, mandated healthcare influenza vaccination, and healthcare worker immunization practices in a Veterans Affairs Health Center.

To increase patient and hcw safety, health care workers should be mandate to get vaccination. Hcw are more at risk to get infection because of their contact with patient and then to spread it to patients, specially patients who are susceptible to the infection (CITATION). Influenza symptoms appears within 1-4 days. Before even hcw workes know that they have influenza infection and they are contagious, they may spread the infection to patient . Also, if hcw are infected, it will cause impact on their mental and physical functioning. Two randomly conducted studies have supported that mandatory influenza vaccination for hcw helped in decreasing death rate upto 44% in nursing home residents (Ottenberg, 2011). Potter et. al. identified that because of increased staff vaccination mortality rate reduced from 17% to 10% (Suillivan, 2010). The other fact which can effect patient safety due to low rate of vaccination is absenteeism of hcw during influenza epidemic.

Vaccinations have been a topic of controversy among various populations for decades. The controversy exists around the decision to be vaccinated for certain contagious diseases or to omit receiving vaccinations for various reasons including those of medical, ethical, and religious derivation. The profession of healthcare faces a particular obstacle in regard to annual vaccinations against influenza. This review will discuss the following ethical debate: Is it ethical to mandate health care workers to receive annual influenza vaccinations? For the purposes of this review, the term ‘health care worker’ will be defined as any person who is employed by a health care institution and participates in personal interactions with patients. Undoubtedly, registered nurses (RNs) are among the most prevalent of all health care workers. This topic was chosen because influenza is a rampant and contagious respiratory virus that carries the potential to infect anyone. According the Centers for Disease Control (CDC) (2014), approximately 5 to 15 percent of the United States population becomes infected with influenza annually and roughly 200,000 people are hospitalized each year due to influenza. Clearly, influenza generates havoc for many people; however, the virus can be largely prevented by receiving an annual vaccination. Annual influenza vaccinations have been rendered the best way to prevent seasonal influenza and have also been deemed safe (CDC, 2014). Health care workers

As a result, the burden placed on the health care system is significantly reduced. Therefore, people at a high risk of contracting influenza should seriously consider being vaccinated. Evidence suggests that educating high-risk people about the influenza vaccine is worthwhile. For example, during the influenza season of 2000-2001, 70% of adults 65 years of age and older received the flu shot. This suggests

The influenza vaccination in not only beneficial to recipients but also those that come in contact with the individuals exposed to or at risk for contracting influenza. Health care workers are at a constant risk of exposure to various diseases and illness including influenza. An emergency such as a vaccination shortage for influenza will not only affect at risk individuals but spread rapidly to all those exposed without knowledge or a-symptomatic at time of encounter. Health care workers will be exposed in physician offices, hospitals, emergency care or urgent care centers with heightened possibility of spreading the illness (CDC, 2015). Health care workers are not limited to the obvious: physicians or nurses but also, therapists, EMS,

It is very important for healthcare providers to be educated on the safety concern of vaccination. Proper protocols must be taken through evidence-based research on the issue of vaccination and the risk factors that can allow stakeholders better implementation on laws that can be beneficial to parents. The stakeholder’s in the healthcare field such as patients, healthcare providers, insurance companies, organizations, and those who enforce policy main concern are the safety of these patients. The decisions most of these stakeholders make can either benefit patients or affect them. For example, the consequences parents have if their child is not vaccinated. The mandatory law of children who are not vaccinated cannot enrolled in school is unfair to parents. I believe parents should not be penalized or forced for their child to be vaccinated. If all stakeholders can reunite through evidence based research on the topic of vaccinations risk concern it can cause a positive impact on parents and alternative ways children can prevent the side

In recent years encouragement to get flu shots has become a yearly mantra. Elderly, children six months to two years, health care workers and immune-deficient people are urged in the strongest terms to go to their doctors or clinics and get a flu shot. This group encompasses about 98 million people. In the fall of 2004 this was in the forefront of American and to some extent the Western World media with the shortage of this flu seasons vaccine. Current medical wisdom states that flu shots are safe, effective and prevent mortality. A recent study published by The Journal of the American Medicine Association (JAMA) has brought the current wisdom into question. On February 14, 2005 JAMA

This essay will attempt to investigate the employment of the 23 plus vaccinations used today and how they defend the preventions and spread of diseases. The paper will support the pros and the cons of vaccinations that are supported by research statistics as well as the different symptoms that have been reported for each available vaccine.

Your research article was intriguing. The subject of vaccinating children has been a growing topic of conversation The point that you made regarding as a patient advocate nurses have the role of educating our patients and families of the benefits of vaccinations. The patient may not understand the role of the vaccine and what can be prevented if vaccinated. The healthcare worker may need education regarding vaccinations as well. According to the Centers for Disease Control and Prevention, the Hepatitis B, and Pneumococcal vaccinations are recommended for patients with chronic kidney disease or on dialysis (Centers for Disease Control and Prevention [CDC], 2012).

It has been proven through the measures of the Randomized Control Trial study and the Observational study that vaccinations serve as an effective way of preventing viruses. For example, when a RCT is performed, volunteers can be placed in two groups. One group receives the actual vaccine, and the other receives a placebo. Within this study, vaccine efficacy is also measured by comparing the frequency of the illness in the vaccinated and unvaccinated groups. When the Observational study is performed, it’s important to remember that it’s totally upon the individual to whether or not they prefer to be

The intended purpose of this presentation is to provide facts and scientific research that persuades the audience members regarding the use of vaccinations. My intention is that the audience will support the use of vaccinations and consider the facts before making decisions that affect the entire community. My central idea is that inaccurate data exists with regards to vaccination; instead, that vaccinations should be viewed as essential for protection of society, both from extreme illness as well as life threatening, and sometimes fatal, diseases.

This paper examines the controversy surrounding the public health issue of vaccinations in children. Following a careful review of the literature surrounding this issue, the possible reasons for and implications of having a large percentage of the population who remains unvaccinated are discussed. Possible interventions and purposed interventions for resolution of this problem are discussed and conclusions are drawn based on what it learned from the literature.

Ragan & Duffy (2012, p.23) have also shown high immunization rates have resulted in a substantial decline in vaccine preventable diseases, particularly vaccination has eliminated smallpox worldwide. In addition, in a study by Bawah, Phillips, Adjuik & smith et al (2010, p.95) found that vaccination has resulted in a large and statistically significant reduction child mortality. The risk of dying for children younger than five who are fully immunized is reduced by more than 70% compared with those who are not immunized or partially immunized. Moreover, research by Dawson (2011, p.1032) also suggests that vaccination is a vital intervention in reducing illness and death rates in children and he estimated approximately 2.5 million deaths could be prevented each year by vaccination. In addition to personal immunity Vaccination programs also bring herd immunity which ensures even greater protection for the community from communicable diseases. The level of vaccination required to provide herd immunity varies with virulence and transmissibility as well as vaccine efficacy. While vaccinating