| Autor: |
Aririguzo, Lynda C., Zuniga, Linessa M., Tatem, Andria E., Duryea, Teresa K. |
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| Zdroj: |
Academic Pediatrics; Sep2020, Vol. 20 Issue 7, pe10-e10, 1p |
| Abstrakt: |
The 2017-18 influenza season was severe. Many children who died were unvaccinated. Yet a third of parents interviewed before the 2018-2019 influenza season reported their children would not receive influenza vaccines. Pediatric residents may not be comfortable counseling vaccine hesitant families. Through a fellow-led QI project, we aimed to provide educational interventions to increase pediatric residents' knowledge and confidence counseling influenza vaccine hesitant families. To increase both pediatric residents' perceived knowledge of resources and their confidence in addressing influenza vaccine hesitant parent concerns by 85% in 7 months. We obtained baseline data via anonymous online surveys to measure pediatric residents' confidence and perceived knowledge of resources. Residents participated in fellow-led educational sessions that discussed vaccine manufacturing, adverse effects and common myths. We introduced the CASE method, a resource to improve counseling skills toward vaccine hesitant families. Resources were distributed with facts debunking common myths and an outline of the CASE method. Residents participated in a role play activity to practice counseling. In a second educational session for PDSA cycle 2, we modified the role play activity to facilitate more interaction and provide feedback on counseling techniques. Outcome measures were resident perceived knowledge of resources and resident confidence. At baseline, 58% of pediatric residents reported being knowledgeable about resources for influenza vaccine hesitant families; 46% of residents reported being confident addressing parents' influenza vaccine related concerns. After the first intervention, residents' knowledge increased to 100% and confidence to 56%. After the second intervention, residents' knowledge was 93% and confidence was 79%. Providing education to pediatric residents on the influenza vaccine and guided counseling can increase residents' knowledge and confidence in counseling parents who are influenza vaccine hesitant. Future studies will explore using this same technique to improve resident confidence in counseling other difficult situations. [ABSTRACT FROM AUTHOR] |
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