American Journal of Nursing Research. 2021, 9(5), 176-181
DOI: 10.12691/AJNR-9-5-4
Original Research

Effectiveness of the Validated Clinical Nursing Protocol for Vaccination Process Management

Asmaa A. Abdallah1, , Amel I. Ahmed1 and Samia M. Abd El Mouty1

1Community Health Nursing, Mansoura University, Egypt

Pub. Date: September 24, 2021

Cite this paper

Asmaa A. Abdallah, Amel I. Ahmed and Samia M. Abd El Mouty. Effectiveness of the Validated Clinical Nursing Protocol for Vaccination Process Management. American Journal of Nursing Research. 2021; 9(5):176-181. doi: 10.12691/AJNR-9-5-4

Abstract

Background: In Egypt, the routine training of the vaccinator nurses is not a part of ministry of health and population' continuous educational system. While, this system provides only short educational seminars for vaccinators, which are insufficiently control daily vaccinators' practice variation. Thus, the study aimed at providing a referenced protocol for vaccination process management after evaluating its effectiveness on the vaccinator nurses' knowledge and practices regarding obligatory childhood vaccination. Aim: This study aimed to evaluate the effectiveness of the validated clinical nursing protocol for vaccination process management. Method: A Quasi-experimental research design was utilized from the first of January 2020 to the end of December 2020 at Mansoura district primary health care facilities. Total sample size of 160 vaccinator nurses, as well as, 384 caregivers chosen by using convenient sampling technique. Data were collected.by using three tools; self-administrated vaccinator nurses' knowledge test; observation checklist for evaluating vaccinator nurses’ practice; and checklist to assess caregivers’ satisfaction related to the delivered vaccination services. Results: Mean scores for vaccinator nurses’ knowledge, and practice, as well as caregivers’ satisfaction post-protocol were significantly higher than the pre-protocol mean scores. A huge effect size of the vaccination protocol on the three targeted study outcomes was also observed. Conclusion: the validated vaccination protocol was fundamental in the skills’ acquisition of vaccinator nurses; variation reduction of vaccination practice; and enhancement of caregivers’ satisfaction. Recommendations: More in-service training and supportive supervision are requested for vaccinator nurses to effectively manage vaccination process. Furthermore, there is a need for including of a vaccination-training curriculum in health training institutions curriculums.

Keywords

vaccination process, protocol, vaccinator nurses, knowledge, practice, caregivers' satisfaction

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Tomboloni, C., Tersigni, C., de Martino, M. et al. (2019). Knowledge, attitude and disinformation regarding vaccination and immunization practices among healthcare workers of a third-level paediatric hospital. Ital J Pediatr, 45, 104.
 
[2]  Gostin, L.O., Hodge, J.G., Bloom, B.R., El-Mohandes, A., Fielding, J., Hotez, P., Kurth, A., Larson, H.J., Orenstein, W.A., Rabin, K., et al. (2020). The public health crisis of under-immunisation: A global plan of action. Lancet Infect. Dis, 20:11:16.
 
[3]  Al gamal, A., El azab, S., Badr, N., Darwish, E., Salem, H., & El Masry, S. (2021). GAHAR handbook for primary healthcare standards [Ebook] (1st ed., p. 65). Cairo: MOHP. Retrieved from https://www.gahar.gov.eg/upload/gahar-handbook-for-primary-healthcare-standards-red-1.pdf.
 
[4]  Nicol, E., Turawa, E. & Bonsu, G. (2019). Pre- and in-service training of health care workers on immunization data management in LMICs: a scoping review. Hum Resour Health 17, 92.
 
[5]  Pelullo, C. P., Della Polla, G., Napolitano, F., Di Giuseppe, G., & Angelillo, I. F. (2020). Healthcare Workers' Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy. Vaccines, 8(2), 148.
 
[6]  Suryadevara, M., Bonville, C.A., Cibula, D.A., Domachowske, J.B. (2019). Cancer Prevention education for providers, staff, parents, and teens improves adolescent human papillomavirus immunization rates. J Pediatr, 205, 145:52.
 
[7]  Ardoin, D. & Malone, J. (2019). Reducing Clinical Variation to Drive Success in Value-Based Care (Part 1). Retrieved December, 2020, from Google scholar from: https://www.hfma.org/topics/operations-management/article/reducing-clinical-variation-to-drive-success-in-value-based-care0.html.
 
[8]  The Association of Ontario Midwives. (2021). What are Midwifery Practice Protocols. Retrieved October, 2020, from: https://www.ontariomidwives.ca/cpgs-vs-protocols.
 
[9]  Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Journal of advances in medical education & professionalism, 5(1), 26:32.
 
[10]  MedCalc Statistical Software version 19.2.6 (MedCalc Software bv, Ostend, Belgium; https://www.medcalc.org; 2020).
 
[11]  Brown, V.B., Oluwatosin, O.A. & Ogundeji. O.A. (2017). Impact of training intervention on immunization providers’ knowledge and practice of routine immunization in Ibadan, south-western Nigeria: a primary health care experience, The Pan African Medical Journal, 26: 216.
 
[12]  Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and hepatology from bed to bench, 6(1), 14:17.
 
[13]  World Health Organization (WHO). (2017). Vaccine Safety Basics. Module 1: Introduction to vaccine safety.
 
[14]  Johnsen, N.F., Thomsen, B.L., Hansen, J.V., et al. (2019). Job type and other socio-demographic factors associated with participation in a national, cross-sectional study of Danish employees. BMJ Open; 9.
 
[15]  National Institute of Allergy and Infectious diseases. (2016). Vaccines. Retrieved September 2020, from Google scholar, https://www.niaid.nih.gov/research/vaccine-types.
 
[16]  Tabacchi, G., Costantino, C., Cracchiolo, M., Ferro, A., Marchese, V., Napoli, G., Palmeri, S., Raia, D., Restivo, V., Siddu, A., Vitale, F., Casuccio, A., & ESCULAPIO working group (2017). Information sources and knowledge on vaccination in a population from southern Italy: The ESCULAPIO project. Human vaccines & immunotherapeutics, 13(2), 339:345.
 
[17]  Government of Canada (2016). Canadian immunization guide. Retrieved September, 2019, from Google scholar, http://healthycanadians.gc.ca/healthy-living-vie-saine/immunization-immunisation/canadian-immunization-guide-canadien-immunisation/index-eng.php.
 
[18]  Nikula, A., & Yliopisto, T. (2011). Vaccination competence The Concept and Evaluation. Finland: Department of Nursing Science, Faculty of Medicine, University of Turku, Finland. Pp.24: 28.
 
[19]  Samadi, S. Abdollahi - Boghrabadi, G., & Mcconkey, R. (2018). Parental Satisfaction with Caregiving for Children with Developmental Disabilities: Development of a New Assessment Tool. Children, 5. 166.
 
[20]  Hussen, A. (2016). Parental Satisfaction and Barriers Affecting Immunization Services in Rural Communities: Evidence from North Ethiopia. Science Journal Of Public Health, 4(5), 408.
 
[21]  Sarkar, D., Banerjee, S., Maji, B. & Saharoy, S. (2015). Satisfaction of Mothers Attending Immunisation Clinic in a Slum Area of North Kolkata. IOSR Journal of Dental and Medical Sciences, 14(6), 48:51.
 
[22]  Abdallah, A. (2017). Developing of Clinical Nursing Protocol for Management of Vaccination Process (Master Degree in Nursing Science). Mansoura University.
 
[23]  Amily, A.S., Lami, F., & Khader, Y. (2019). Impact of Training of Primary Health Care Centers’ Vaccinators on Immunization Session Practices in Wasit Governorate, Iraq: Interventional Study.JMIR Public Health Surveill, 5(4), 14451.
 
[24]  Leung, S., Akinwunmi, B., Elias, K. M., & Feldman, S. (2019). Educating healthcare providers to increase Human Papillomavirus (HPV) vaccination rates: A Qualitative Systematic Review. Vaccine: X, 3, 100037.
 
[25]  Oyo-Ita, A., Wiysonge, C. S., Oringanje, C., Nwachukwu, C. E., Oduwole, O., & Meremikwu, M. M. (2016). Interventions for improving coverage of childhood immunisation in low- and middle-income countries. The Cochrane database of systematic reviews, 7(7), CD008145.
 
[26]  Sareetha, A.V., Nagabushan, H., & Supriya, K.H. (2018). Effect of educational intervention on knowledge, attitude and practice of hepatitis B vaccine among medical students. Int J Basic Clin Pharmacol, 7, 992: 997.
 
[27]  Dempsey, F., Pyrznawoski, J., Lockhart, S., Barnard, J, Campagna, E.J., Garrett, K. et al. (2018). Effect of a health care professional communication training intervention on adolescent human papillomavirus vaccination: a cluster randomized clinical trial. JAMA Pediatr, 172.
 
[28]  Kumar, M.M., Boies, E.G., Sawyer, M.H., Kennedy, M., Williams, C., Rhee, K.E. (2019). A brief provider training video improves comfort with recommending the human papillomavirus vaccine. Clin Pediatr, 58, 17:23.
 
[29]  Palatnik, A. (2016). The future of nursing, Nursing Critical Care: Editorial. Nursing Critical Care, 11(3), 4.
 
[30]  Resnick, B., Carrico, R., Gravenstein, S., Hogue, M.D., Middleton, D.B., Rehm, S., Schaffner,W., & Tan, L. (2018). Dissemination and implementation of the ICAMP, Translational Behavioral Medicine, 8 (6), 867: 875.
 
[31]  Filia, A., Bella, A., D'Ancona, F., Fabiani, M., Giambi, C., Rizzo, C., Ferrara, L., Pascucci, M. G., & Rota, M. C. (2019). Childhood vaccinations: knowledge, attitudes and practices of pediatricians and factors associated with their confidence in addressing parental concerns, Italy, 2016. Euro surveillance: bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 24(6), 1800275.
 
[32]  Dybsand, L., Carson, P.J., Ulven, J.C., & Hall, K. (2018). A Pilot Project for Provider Satisfaction with Contrasting Communication Strategies for the Vaccine-Hesitant Parent. Pediatrics, 142 (1 Meeting Abstract) 367.
 
[33]  Yu Hu, Yaping Chen, Ying Wang, Quanwei Song & Qian Li. (2017). Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China, Human Vaccines & Immuno therapeutics, 13, 6, 1477:1484.