Nursing Interventions Increase Influenza Vaccination Quality Measures for Home Telehealth Patients.
| Autor: | Rand ML; San Francisco Veterans Administration Health Care System, San Francisco, California. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of nursing care quality [J Nurs Care Qual] 2022 Jan-Mar 01; Vol. 37 (1), pp. 47-53. |
| DOI: | 10.1097/NCQ.0000000000000577 |
| Abstrakt: | Background: Influenza vaccinations are a preventive health quality measure. Home telehealth nursing staff interventions can reduce influenza disease burden and complications. Purpose: To improve seasonal flu vaccine rates using novel home telehealth clinical and technology interventions. Methods: A pre- and postintervention concurrent cohort study for 513 outpatients was conducted. Interventions included automated 2-way patient messaging using remote monitoring equipment, a new note template to record vaccination status in the electronic health record, and flu vaccine patient education. Results: Interventions resulted in vaccination rates of 70.4% for Veterans ages 19 to 65 years, and 81.7% for Veterans 66 years and older, exceeding national, regional, and local Veterans Administration targets. Conclusions: Two-way messaging and standardized documentation increased rates. Declinations persisted despite education. Reasons included fear of side effects, and rarely leaving home due to the COVID-19 pandemic. Nursing interventions can increase influenza vaccination quality measures for primary care home telehealth patients. Competing Interests: The author declares no conflicts of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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