Is Signed Consent for Influenza or Pneumococcal Polysaccharide Vaccination Required?

Kissam, Stephanie; Gifford, David; Patry, Gail; Bratzler, Dale W.

doi:10.1001/archinte.164.1.13

Cited by 11 publications

(5 citation statements)

References 16 publications

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“…16 At that time, only one state, Maryland, required written consent for giving vaccinations. 17 Routine review of facility-wide influenza vaccination rates was associated with a smaller racial gap in immunization coverage. Periodically monitoring vaccination coverage in nursing homes is important for facility administrators to be aware of how well residents are protected during the influenza season.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Do Vaccination Strategies Implemented by Nursing Homes Narrow the Racial Gap in Receipt of Influenza Vaccination in the United States?

Bardenheier

Shefer

Ahmed

et al. 2011

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 99%

“…Soon thereafter, the American Medical Directors Association (AMDA) revised its tool kit for vaccination to remove the sample signed consent form 16 . At that time, only one state, Maryland, required written consent for giving vaccinations 17 …”

Section: Discussionmentioning

confidence: 99%

Do Vaccination Strategies Implemented by Nursing Homes Narrow the Racial Gap in Receipt of Influenza Vaccination in the United States?

Bardenheier

Shefer

Ahmed

et al. 2011

J American Geriatrics Society

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“…Written consent documents were eliminated as they are not required by state or federal legislation, represent a time consuming barrier, and are not considered a standard of care. 38, 39 The pharmacy assisted in providing in-service training programs for staff members, established a HCW vaccination clinic “kick-off” event for each facility each season, and tracked immunization rates. Facilities were provided with the AMDA training video “Immunization and the HCW” that they could use for HCW in-service sessions.…”

Section: Resultsmentioning

confidence: 99%

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

Nace

Handler

Hoffman

et al. 2012

Journal of the American Medical Directors Association

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Introduction and Rationale National influenza immunization rates for healthcare workers (HCW) in long-term care (LTC) remain unacceptably low. This poses a serious public health threat to residents. Prior work has suggested high staff turnover rates as a contributing factor to low immunization rates. There is a critical need to identify and deploy successful models of HCW influenza immunization programs to LTC facilities. This report describes one potential model that has been successfully initiated in a network of LTC facilities. Methods All facilities served by a single regional LTC pharmacy were invited to participate in a HCW influenza immunization program. This voluntary immunization program began in 2005 and continues to the present. As part of the program, the pharmacy promoted organizational change by assuming oversight and control of HCW immunization policies and processes for all facilities. Primary and secondary outcomes are the number of facilities reaching HCW influenza immunization rates of 60% and 80%. Results Fourteen of the sixteen LTC facilities participated. Facilities were diverse and included both nursing and assisted living facilities; unionized and nonunionized facilities; and urban, suburban and rural facilities. The pharmacy provided educational and communication materials, centralized data collection using a standardized definition for HCW immunization rates, and facility feedback. All fourteen LTC facilities achieved the primary goal of 60% and nearly two thirds reached the secondary goal of 80%. Twenty percent reached the new Healthy People 2020 goal of 90%. Discussion It is possible for LTC facilities to improve HCW immunization rates using a pharmacy based, voluntary HCW influenza immunization approach. Such an approach may help attenuate the negative influence of staff turnover on HCW immunizations. Attainment of the new Health People 2020 goals still remains a challenge and may require mandatory programs.

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“…Other authors disapprove of the use of informed consent because they consider the collective benefits of mandatory vaccination to be more important [21]; because informed consent can lower the vaccination coverage [22]; because vaccination is a low-risk and high-benefit preventative measure, and should be excluded from informed consent, similar to other low-risk and high-benefit interventions (e.g. antibiotic treatment) [23]. …”

Section: Discussionmentioning

confidence: 99%

The informed consent in Southern Italy does not adequately inform parents about infant vaccination

2014

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BackgroundVaccination centres in the Campania Region, southern Italy, vaccinate children with a hexavalent vaccine that contains the mandatory vaccines diphtheria, tetanus, poliomyelitis, and viral Hepatitis B. This vaccine also includes two non-mandatory vaccines, pertussis and Haemophilus influenzae type B. Information about these optional vaccines should be communicated to the parents, and informed consent should be obtained from parents before vaccination. We explored whether informed consent was delivered to the parents, whether they signed the consent form, and whether they read and acquired the information about the vaccination that their child would receive.MethodsChildhood immunisations are provided at specific public health vaccination centres, "Unità Operative Materno-infantili’s" (UOMIs). We selected four UOMI from the Campania Region where we interviewed 1039 parents bringing their children for the 1st, 2nd, or 3rd doses of hexavalent vaccine. The consent forms were collected from the four vaccination centres and were analysed with respect to clarity and completeness.ResultsMost of the respondents (89.5%) were mothers between 20 and 39 years of age (80.4% vs 59.6% of the fathers), they were married (87.2% vs 93.5% of the fathers), and only one-half of them were employed (50.2% vs 92.6% of the fathers). The informed consent form was received from 58.1% of the parents and signed by 52.8%, but read by 35.0% of them. Only 1.5% of parents knew which vaccines were mandatory, and 25.0% of them believed that the entire hexavalent vaccine was mandatory. When we asked the parents which non-mandatory vaccinations were administered to their children, only 0.5% indicated the Haemophilus influenzae type B and none indicated the pertussis vaccine. Thirty-six per cent of the parents replied that their child had not received any non-mandatory vaccines. No parents were informed by the operators that their children would receive non-mandatory vaccines.ConclusionIn our study, consent procedures did not allow parents to acquire correct information about vaccine options for their children. Furthermore, not one health care provider informed parents that their child was receiving non-mandatory vaccines. The informed consent process and the individual health care providers did not properly inform parents about the vaccines administered to their children.

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Is Signed Consent for Influenza or Pneumococcal Polysaccharide Vaccination Required?

Cited by 11 publications

References 16 publications

Do Vaccination Strategies Implemented by Nursing Homes Narrow the Racial Gap in Receipt of Influenza Vaccination in the United States?

Do Vaccination Strategies Implemented by Nursing Homes Narrow the Racial Gap in Receipt of Influenza Vaccination in the United States?

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

The informed consent in Southern Italy does not adequately inform parents about infant vaccination

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