Physician Attitudes Regarding School‐Located Vaccination Clinics

Fiala, Steven C.; Cieslak, Paul R.; DeBess, Emilio; Young, Collette; Winthrop, Kevin; Stevenson, Ellen

doi:10.1111/josh.12031

Cited by 7 publications

(4 citation statements)

References 27 publications

(46 reference statements)

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“…Research also shows that school-based vaccination is successful in reducing the burden of disease in the wider community as well as in the vaccinated population [4, 6, 7]. Studies have found school-based vaccination to be acceptable to education staff, health professionals, parents and students even when programmes involve new vaccines and parental concerns figure strongly [8, 9]. …”

Section: Introductionmentioning

confidence: 99%

School-based vaccination programmes: a systematic review of the evidence on organisation and delivery in high income countries

Perman¹,

Turner²,

Ramsay³

et al. 2017

BMC Public Health

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BackgroundMany countries have recently expanded their childhood immunisation programmes. Schools are an increasingly attractive setting for delivery of these new immunisations because of their ability to reach large numbers of children in a short period of time. However, there are organisational challenges to delivery of large-scale vaccination programmes in schools. Understanding the facilitators and barriers is important for improving the delivery of future school-based vaccination programmes.MethodsWe undertook a systematic review of evidence on school-based vaccination programmes in order to understand the influence of organisational factors on the delivery of programmes. Our eligibility criteria were studies that (1) focused on childhood or adolescent vaccination programmes delivered in schools; (2) considered organisational factors that influenced the preparation or delivery of programmes; (3) were conducted in a developed or high-income country; and (4) had been peer reviewed. We searched for articles published in English between 2000 and 2015 using MEDLINE and HMIC electronic databases. Additional studies were identified by searching the Cochrane Library and bibliographies. We extracted data from the studies, assessed quality and the risk of bias, and categorised findings using a thematic framework of eight organisational factors.ResultsWe found that most of the recent published literature is from the United States and is concerned with the delivery of pandemic or seasonal flu vaccination programmes at a regional (state) or local level. We found that the literature is largely descriptive and not informed by the use of theory. Despite this, we identified common factors that influence the implementation of programmes. These factors included programme leadership and governance, organisational models and institutional relationships, workforce capacity and roles particularly concerning the school nurse, communication with parents and students, including methods for obtaining consent, and clinic organisation and delivery.ConclusionsThis is the first time that information has been brought together on the organisational factors influencing the delivery of vaccination programmes in school-based settings. An understanding of these factors, underpinned by robust theory-informed research, may help policy-makers and managers design and deliver better programmes. We identified several gaps in the research literature to propose a future research agenda, informed by theories of implementation and organisational change.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4168-0) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

School-based vaccination programmes: a systematic review of the evidence on organisation and delivery in high income countries

Perman¹,

Turner²,

Ramsay³

et al. 2017

BMC Public Health

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“…A growing body of research has found support for schools as a potential site to administer adolescent immunizations among health care professionals [19] and parents [19,20]. Leading professional and government organizations support providing vaccines in alternative settings [13,21], which has the potential to increase vaccination, particularly for those who are at risk of not receiving vaccines through the traditional medical home [22,23].…”

mentioning

confidence: 99%

What Parents and Adolescent Boys Want in School Vaccination Programs in the United States

Shah¹,

McRee

Reiter

et al. 2014

Journal of Adolescent Health

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Purpose Schools are increasingly a part of vaccine provision, because of laws mandating provision of information by schools about vaccination, school entry requirements, and mass vaccination campaigns. We examined preferences for programmatic aspects of voluntary school mass vaccination programs (i.e., “vaccination days”). Methods We analyzed data from a national sample of United States parents of adolescent males ages 11–19 years (n = 308) and their sons (n = 216), who completed an online survey in November 2011. Results Sons believed that adolescents should be able to get vaccinated without parental consent at a younger age than parents did (p < .001) and were more willing to participate in vaccination days without a parent present (p = .04). Parents perceived school vaccination days to be a more convenient way to get their sons recommended vaccines if they were younger parents, had older adolescent sons, supported laws letting schools share vaccination records with health care providers, or had sons who were previously immunized at school (all p < .05). Parents of older sons were less likely to want their sons’ vaccination records sent home (odds ratio [OR] = .47; 95% confidence interval [CI], .29–.77) or to their sons’ physicians (OR = .61; 95% CI, .37–.98) compared with parents of younger sons, but more likely to prefer their sons’ records be entered in an immunization registry (OR = 1.66; 95% CI, 1.05–2.63). Conclusions Sons’ age had an important role in support for vaccination days and preferences for sharing vaccination information with health care professionals. Parents and sons had similar beliefs about vaccination in schools, but the sons’ responses suggested an interest in greater autonomy.

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“…Additionally, the school is conveniently located in a familiar and trusted community environment ( Klaiman et al, 2014 ). The school also offers a convenient option for parents to have their children receive needed vaccinations without having to arrange for a healthcare provider visit or take off time from work ( Fiala et al, 2013 ). The school nurse can play a critical role in planning a SLVE because of understanding both the needs of the community and the school.…”

Section: History and Review Of The Literaturementioning

confidence: 99%

Preparing for a School-Located COVID-19 Vaccination Clinic

et al. 2021

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School-located vaccination events (SLVE) have a long history in the United States and have successfully contributed to lower morbidity and mortality due to vaccine-preventable diseases. The school is an ideal place to reach children from all cultures, socioeconomic groups, and age-groups and is conveniently situated in communities for ease of accessibility for students, parents, and staff alike. School nurses play an important role in planning for SLVE and are ideally positioned to initiate this process and provide accurate information, dispelling myths about vaccines. Because school nurses are considered a trusted source of health information by the school community, they can provide valuable education on the impact of vaccination on student and staff attendance. Conducting a successful SLVE requires research, planning, and partnerships, and these partnerships are needed both within the school setting and outside this setting, within the community at large. The proliferation of the current COVID-19 pandemic and the subsequent vaccine production has caused school nurses to take the lead in preparing for mass vaccination clinics in order to help mitigate this serious public health threat. This manuscript describes the process a group of school nurses used to develop SLVE plans in response to a pandemic.

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Physician Attitudes Regarding School‐Located Vaccination Clinics

Cited by 7 publications

References 27 publications

School-based vaccination programmes: a systematic review of the evidence on organisation and delivery in high income countries

School-based vaccination programmes: a systematic review of the evidence on organisation and delivery in high income countries

What Parents and Adolescent Boys Want in School Vaccination Programs in the United States

Preparing for a School-Located COVID-19 Vaccination Clinic

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