Improving Influenza Vaccination Rates Among Pediatric Hematology and Oncology Inpatients

Ashley Duvall

Disclosures

Pediatr Nurs. 2019;45(3):142-154+ (box o. 

In This Article

Results

Pre- and post-intervention data were analyzed to determine how the use of an automated physician notification in combination with a vaccine screening tool and an educational campaign for families, nurses, and providers impacted inpatient flu vaccine rates. The pre-intervention group or Cohort 1 represents data prior to EMR improvements and educational efforts. Cohort 1 data consisted of 89 patients who were admitted to the hematology/oncology unit from December 1, 2016, to December 30, 2016. An analysis of these data showed that of 89 patients, 17 were eligible to receive a flu vaccine, and only 1 received the flu vaccine prior to discharge (see Table 4). Therefore, a proportion calculation shows the rate of influenza vaccination administration on the inpatient hematology/oncology pre-intervention was 5.88%.

Post-intervention data consisted of 84 patients who were admitted to the hematology/oncology unit from October 1, 2017, to October 31, 2017, and is representative of Cohort 2. An analysis of these data showed that of the 84 patients, 41 were eligible to receive a flu vaccine, and 18 received the flu vaccine prior to discharge. Therefore, a proportion calculation shows the rate of influenza vaccination administration on the inpatient hematology/oncology post-intervention was 43.9%. See Table 4 to compare data between Cohorts 1 and 2.

SUS was distributed and completed by nurses on the hematology/oncology unit to evaluate the overall usability of the flu vaccine screening and administration process within the EHR. This survey was used to address effectiveness, efficiency, and satisfaction of the electronic system process. SUS surveys were distributed to all nurses; however, only 13 surveys were returned, and thus, these were scored for data analyses. Calculated SUS scores from 13 nurses' surveys ranged from 30 to 100 (see Figure 4).

Figure 4.

System Usability Scale Score by Respondent
* High score indicates higher usability.

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