Increasing Immunization Compliance by Reducing Provisional Admittance.

Autor:	Davis WS; Department of Pediatrics, University of Vermont, Burlington, VT, USA., Varni SE; Department of Pediatrics, University of Vermont, Burlington, VT, USA., Barry SE; Department of Pediatrics, University of Vermont, Burlington, VT, USA., Frankowski BL; Department of Pediatrics, University of Vermont, Burlington, VT, USA., Harder VS; Department of Pediatrics, University of Vermont, Burlington, VT, USA vharder@uvm.edu.
Jazyk:	angličtina
Zdroj:	The Journal of school nursing : the official publication of the National Association of School Nurses [J Sch Nurs] 2016 Aug; Vol. 32 (4), pp. 246-57. Date of Electronic Publication: 2015 Dec 23.
DOI:	10.1177/1059840515622528
Abstrakt:	Students in Vermont with incomplete or undocumented immunization status are provisionally admitted to schools and historically had a calendar year to resolve their immunization status. The process of resolving these students' immunization status was challenging for school nurses. We conducted a school-based quality improvement effort to increase student compliance with Vermont immunization regulations using a collaborative learning approach with public health school liaisons and school nurses from public schools to reduce provisional admittance in 2011-2012. Strategies included using a tracking system, accessing the immunization registry, promoting immunization importance, tracking immunization plans, and working with medical homes to update records. Participating school nurses observed decreases in the number of provisionally admitted students, although this reduction was not significantly different than matched comparison schools. We also found the number of provisionally admitted students fluctuated throughout the year and resolving the immunization status of New Americans and exchange students required special attention. Our approach supports the coordinated school health model and demonstrates the critical role school nurses play in improving population health outcomes. (© The Author(s) 2015.)
Databáze:	MEDLINE
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