Objectives
a. Identify barriers to immunization (e.g., clients, providers, and systems).
b. List evidence-based strategies to increase vaccination coverage, such as those cited in the Guide to Community Preventive Services, Standards for Adult Immunization Practice, and Standards for Child and Adolescent Immunization Practices.
c. Describe immunization quality improvement strategies for providers.
d. Explain the benefits of an immunization information system (IIS) ( see Topic 11– Documentation).
e. Describe how a health care facility’s policies can integrate immunization-related activities with other health care services and/or interventions.
f. Develop a teaching plan on the immunization needs of a client and/or a population.
g. Describe nursing roles related to immunization strategies: advocate, authority figure, communicator, care coordinator, records manager, educator, and lifelong learner.
b. List evidence-based strategies to increase vaccination coverage, such as those cited in the Guide to Community Preventive Services, Standards for Adult Immunization Practice, and Standards for Child and Adolescent Immunization Practices.
c. Describe immunization quality improvement strategies for providers.
d. Explain the benefits of an immunization information system (IIS) ( see Topic 11– Documentation).
e. Describe how a health care facility’s policies can integrate immunization-related activities with other health care services and/or interventions.
f. Develop a teaching plan on the immunization needs of a client and/or a population.
g. Describe nursing roles related to immunization strategies: advocate, authority figure, communicator, care coordinator, records manager, educator, and lifelong learner.
Resources
Web pages
American Academy of Pediatrics (AAP)–Office Strategies for Improving Immunization Rates
American College of Obstetricians and Gynecologists (ACOG)–Immunization Implementation Strategies for Obstetrician-Gynecologists
CDC Vaccines and Immunizations
National Vaccine Advisory Committee (NVAC)-The Standards for Pediatric Immunization Practice
Public Health Foundation (PHF)–Highlights from Immunization Strategies: Using the Evidence and What Works to Improve Practice
American College of Obstetricians and Gynecologists (ACOG)–Immunization Implementation Strategies for Obstetrician-Gynecologists
CDC Vaccines and Immunizations
- IQIP
www.cdc.gov/vaccines/programs/iqip/at-a-glance.html - For Parents of Preteens and Teens (7 through 18 Years Old)
www.cdc.gov/vaccines/hcp/conversations/prevent-diseases/provider-resources-factsheets-teens.html - Immunization Information Systems (IIS)
www.cdc.gov/vaccines/programs/iis/about.html - Reminder Systems and Strategies for Increasing Childhood Vaccination Rates
www.cdc.gov/vaccines/recs/reminder-sys.htm - Standards for Adult Immunization Practice
www.cdc.gov/vaccines/hcp/adults/for-practice/standards/index.html - Strategies for Increasing Adult Vaccination Rates
www.cdc.gov/vaccines/hcp/adults/for-practice/increasing-vacc-rates.html
National Vaccine Advisory Committee (NVAC)-The Standards for Pediatric Immunization Practice
- www.hhs.gov/nvpo/nvac/reports-and-recommendations/ the-standards-for-pediatric-immunization-practice/index.html
Public Health Foundation (PHF)–Highlights from Immunization Strategies: Using the Evidence and What Works to Improve Practice
Handouts
CDC Vaccines and Immunizations–Improving Vaccination Coverage Fact Sheet
Immunization Action Coalition (IAC)
The Guide to Community Preventive Services–What Works: Increasing Appropriate Vaccination
Immunization Action Coalition (IAC)
- 10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting
www.immunize.org/catg.d/p3067.pdf - Using Standing Orders for Administering Vaccines: What You Should Know
www.immunize.org/catg.d/p3066.pdf
The Guide to Community Preventive Services–What Works: Increasing Appropriate Vaccination
Learning modules
CDC Epidemiology and Prevention of Vaccine–Preventable Diseases (Pink Book) webinar series–Immunization Strategies
Nursing Initiative Promoting Immunization Training (NIP-IT) Module 4: Nursing Roles
Nursing Initiative Promoting Immunization Training (NIP-IT) Module 4: Nursing Roles
video
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CDC YouTube Channel–Standards for Adult Immunization Practice
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Books
- CDC. Immunization Strategies for Healthcare Practices and Providers. In: Hamborsky J, Kroger A, Wolfe S, eds. Epidemiology and Prevention of Vaccine-Preventable Diseases, 13th ed. Washington, DC: Public Health Foundation; 2015:33-46. Available at www.cdc.gov/vaccines/pubs/pinkbook/strat.html
- Marshall G. Standards, Principles, and Regulations. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:80-100.
- Marshall G. Vaccine Practice. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:101-128.
- Massachusetts Department of Public Health. Flu Vaccine for Everyone! A Guide to Reaching and Engaging Diverse Communities. Boston, MA: Massachusetts Department of Public Health; 2011. Available at massclearinghouse.ehs.state.ma.us/PROG-CLAS/CL5401.html
- Smith-Sayer K. Communicable Disease Control. In: Allender J, Rector C, Warner K, eds. Community and Public Health Nursing: Promoting the Public’s Health, 8th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013:246-284.
