{"title":"Implementing a Successful Influenza and Updated COVID-19 Vaccination Campaign Among Healthcare Workers in a Delaware Healthcare Facility.","authors":"Lija Gireesh, Tabe Mase, Marci Drees","doi":"10.32481/djph.2024.03.13","DOIUrl":"https://doi.org/10.32481/djph.2024.03.13","url":null,"abstract":"<p><p>Although influenza (flu) and COVID-19 vaccines are highly recommended for healthcare workers, it is known that vaccination rates are suboptimal in healthcare settings. There is a need to optimize vaccination rates among healthcare workers as there are direct correlations to increased patient safety and protection of staff from healthcare associated infections. Our health care organization employed some novel strategies to increase the uptake of both flu and COVID-19 vaccinations by identifying and addressing common barriers. Barriers were identified through team meetings, review of previous years' vaccination trends, and historical information. Strategies to overcome these barriers included dissemination of information through various team meetings; identifying peer vaccination champions among specific groups that had historically low vaccination rates; creating a sense of urgency with weekly announcements regarding vaccinations; and computer screensavers with graphics promoting vaccinations. We believed education was key to success. Our focus was not only on the vaccination rates, but also on compliance which is defined as either getting the vaccine or submitting a declination after completing an education module. These efforts resulted in the organization achieving more than 95% compliance for both vaccinations. Our vaccination uptake rates for influenza were greater than 85% and updated COVID-19 vaccination rates were around 42%. We believe that the grass-root level work initiated for this year's campaign was one of the drivers for our success and some aspects could be replicated for vaccinating the public as well.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 1","pages":"102-104"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"We Are All There to Make Sure the Baby Comes Out Healthy\":: A Qualitative Study of Doulas' and Licensed Providers' Views on Doula Care.","authors":"Erin K Knight, Rebecca Rich","doi":"10.32481/djph.2024.03.08","DOIUrl":"https://doi.org/10.32481/djph.2024.03.08","url":null,"abstract":"<p><p>Policymakers are exploring ways to expand access to doula care to address persistent inequities in maternal and infant health across the United States. Doulas are non-medical professionals who provide physical, emotional, and informational support to birthing people before, during and after childbirth. Growing evidence supports the role of doulas in improved birth outcomes. Delaware is among several states moving towards Medicaid reimbursement for doula care to serve those most at risk. <b><i>Objective:</i></b> To gain an in-depth understanding of key stakeholders' knowledge, attitudes, beliefs and experiences regarding doula training and certification, relationships among providers, and other potential needs related to infrastructure to identify areas of agreement and inform policy change in the state of Delaware. <b><i>Methods:</i></b> We conducted focus groups with 11 doulas and key-informant interviews with 12 licensed providers practicing in Delaware, including six nurses, four physicians and two certified nurse midwives. Qualitative data was collected via Zoom (video conferencing) between September 2022 and April 2023. <b><i>Results:</i></b> Analysis revealed themes related to training, credentials and competencies of doulas, including cultural competence; logistical, administrative, and financial considerations for policy and practice change; and the whole care team-relationships between doulas and medical partners, and opportunities for growth. <b><i>Conclusions:</i></b> Doulas and licensed providers agree on key elements of doula training, the value of certification, the need for financial support, and the importance of relationship-building across the care team. <b><i>Policy implications:</i></b> Areas of agreement among stakeholders provide a foundation for state leaders to move forward to ensure the delivery of the most accessible, high quality, and culturally competent doula care for birthing people in Delaware.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 1","pages":"46-59"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A 6-Week Virtual Exercise/Dance Program Impacts Fitness Levels for Adults With Intellectual Disabilities:: A DNP Project.","authors":"Melanie Ayers","doi":"10.32481/djph.2024.03.11","DOIUrl":"https://doi.org/10.32481/djph.2024.03.11","url":null,"abstract":"<p><p>Adults with intellectual disabilities (ID) experience age-related diseases, such as diabetes, hypertension, cardiovascular disease, and obesity much earlier than their typical peers. Therefore, health promotion is essential in this population.<sup>1</sup> This population tends to live sedentary lives; exercise needs to be a focus. Exercise positively impacts survival rates for those with ID.<sup>2</sup> Motivation and support are vital factors to successfully incorporate exercise into their lives. Prevalent barriers are a lack of access to health promotion programs, support, and transportation. Creating virtual programming with exercise and support can fill this gap. The implementation of a 6-week virtual exercise/dance program with music as a motivator Doctor of Nursing Practice (DNP) project, enabled adults with ID to participate in physical activity resulting in improved cardiovascular and muscular fitness using Standing Long Jump (SLJ) and 6 Minute Walk Test (6MWT) as measures. No improvement was noted in Body Mass Index measurements.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 1","pages":"90-96"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing Healthy Lifestyles:: A Multicomponent Initiative to Reduce the Burden of Obesity In Delaware.","authors":"Helen Arthur, Lauren Butscher, Lisa Moore","doi":"10.32481/djph.2024.03.17","DOIUrl":"https://doi.org/10.32481/djph.2024.03.17","url":null,"abstract":"<p><p>Chronic Disease, Health Equity, & COVID-19 (\"Advancing Healthy Lifestyles\" or \"AHL\") is a statewide initiative launched in January 2021 by the Delaware Department of Health and Social Services, Division of Public Health (DPH). DPH's Physical Activity, Nutrition and Obesity Prevention Program (PANO) introduced the initiative as Coronavirus 2019 (COVID-19) swept through the state, exacerbating health burdens already faced by many Delawareans. The PANO Program provides administrative staff support to the Delaware Cancer Consortium's Cancer Risk Reduction Committee (CRRC). In December 2019, the CRRC launched the Healthy Lifestyles Subcommittee (HLSC) in response to Governor John Carney's request to develop actionable policy recommendations to positively influence healthy lifestyles in Delaware. The HLSC efforts led to the recommendation of 14 policy recommendations for action in three population health strategic focus areas: 1) birth to age 18; 2) employee health and wellness; and 3) community wellness. The AHL initiative builds from the work of the HLSC and promotes the use of policy, systems, and environmental change (PSE) strategies to reduce obesity and other chronic conditions among Delawareans across the lifespan. Ideally, the AHL initiative is categorized into three component strategies: school, community, and workplace. This article highlights both completed and ongoing projects under the AHL Initiative that aim to address the burden of obesity in Delaware.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 1","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Risk:: Understanding Chronic Disease Factors in Delaware's College Population.","authors":"Amy Gootee-Ash, Megan Rothermel, Adam Kuperavage","doi":"10.32481/djph.2024.03.12","DOIUrl":"https://doi.org/10.32481/djph.2024.03.12","url":null,"abstract":"<p><p>This study aimed to assess the prevalence of chronic disease risk factors among college students, particularly within a minority-serving institution in Delaware, to inform targeted prevention efforts. A quantitative cross-sectional research design was employed, administering surveys to 457 students at Delaware State University over a three-year period. Surveys assessed tobacco use, physical activity, and dietary habits. Descriptive statistics were used to analyze the data. The majority of respondents were people of color (83%) and female (74%). Significant findings included 24.1% reporting trying tobacco cigarettes, 4.9% smoking in the last 30 days, and 37.2% trying e-cigarettes, with 11.8% vaping in the last month. Regarding physical activity, 65.6% reported being active for 120+ minutes per week, while only 5.7% consumed four or more servings of vegetables daily. Behavioral disparities were observed, with more males reporting tobacco use but also higher engagement in physical activity compared to females. Nutritional intake was inadequate for both genders. Convenience sampling may limit generalizability, highlighting the need for larger, randomized studies. Colleges are pivotal settings for promoting healthy behaviors and addressing chronic disease burdens. Integrated approaches involving education, policy changes, and community engagement are crucial. Investing in health promotion programs is essential for cultivating a healthier future population. This study underscores the importance of preventive measures and equitable access to resources for addressing chronic disease risk factors among college students.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 1","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unraveling Healthcare Shortages in Delaware and Charting a Course for Equity and Resilience.","authors":"Nicole Sabine, Timothy E Gibbs","doi":"10.32481/djph.2023.12.005","DOIUrl":"10.32481/djph.2023.12.005","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"9 5","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The DJPH Experience.","authors":"Timothy E Gibbs","doi":"10.32481/djph.2023.12.002","DOIUrl":"https://doi.org/10.32481/djph.2023.12.002","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"9 5","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Opportunities to Improve Outcomes for Families with Children through the Community Choice Demonstration.","authors":"","doi":"10.32481/djph.2023.12.009","DOIUrl":"https://doi.org/10.32481/djph.2023.12.009","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"9 5","pages":"70-71"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drought:: Ten to Do Ten.","authors":"Bridget Knitowski","doi":"10.32481/djph.2023.12.007","DOIUrl":"10.32481/djph.2023.12.007","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"9 5","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delaware Healthcare Workforce Update.","authors":"Timothy E Gibbs, Matt McNeill","doi":"10.32481/djph.2023.12.008","DOIUrl":"10.32481/djph.2023.12.008","url":null,"abstract":"<p><p>Working from data provided by the Delaware Division of Professional Regulation from May 2022 to September 2023, this 16-month update supports a general rebound in active licensing numbers across the Delaware Healthcare industry in professions licensed through the Division of Professional Regulation's DelPros system. This report articulates the types of data analysis currently available through the data and research initiative of Delaware Health Force, provides a high-level overview of the data, and offers preliminary recommendations based on the data. Overall, the healthcare workforce in Delaware shows a steady rebound, with many license types appearing to reach new highs. There are some areas in which continued loss of active licenses is of concern.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"9 5","pages":"46-69"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}