Studies indicate that roughly half of health care workers are not immunized against hepatitis B and influenza. Findings from a survey of 1,000 registered nurses (RNs) conducted to analyze their beliefs and actions related to immunization recommendations are reported. Only 8% of the responding RNs chose not to receive vaccination against hepatitis B. The primary reasons that nurses declined hepatitis B vaccination were because they were not working in nursing or did not believe they were at risk of exposure. Similarly, 86% of the RNs reported they had ever received a flu shot, and 69% reported of being immunized during 2 of the previous 4 years. Rationale for receiving immunization included belief in its effectiveness, belief that they were at risk of exposure, and that it was provided free of charge. Reasons for declining included concerns about side effects, lack of concern about getting the illness, and doubts about effectiveness. The nurses who responded to the survey appear to value immunizations and generally adhere to immunization recommendations. Further study needs to be conducted on related issues, including follow-up for assessment of long-term protection of hepatitis B immunization and adherence to guidelines for postexposure prophylaxis. Ongoing monitoring and further study of serious complications of hepatitis B immunizations are also needed.
This article addresses the basic information regarding immunizations that all nurses who care for infants and children should know. It presents a brief overview of immunology and the history of immunization science. Immunization standards, techniques of administration, and the handling of immunobiologics are discussed along with current vaccines, toxoids, and immune sera. Public laws and governmental support resources relating to immunizations are presented as well as are special circumstances, such as foreign adoptions, breastfeeding infants, and those who are immunocompromised. Finally, the pediatric immunization schedule is presented and selected vaccine-preventable diseases are discussed.
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