影响美国和加拿大夏令营组织免疫政策实施的障碍

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
B. Garst, Alexsandra Dubin, C. Bunke, Natalie Schellpfeffer, T. Gaslin, Michael Ambrose, Andrew N. Hashikawa
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引用次数: 3

摘要

虽然儿童免疫实践指南已经在小学中应用,但关于免疫实践指南如何在夏令营环境中应用以及在这些环境中实施政策的障碍的研究很少。为了确定在夏令营中有效实施免疫政策的感知障碍,使用CampDoc.com在线电子健康记录系统从925个独特的夏令营代表中收集数据。59% (n = 541)的样本完成了关于免疫政策障碍的开放式问题,包括主任(38%,n = 205)、护士(26%,n = 140)、其他(20%,n = 106)、办公室工作人员(13%,n = 73)和医生(3%,n = 17)。采用归纳分析和编码器三角法开发主题。构建的主题包括缺乏父母对疫苗接种的支持,收集和验证免疫文件的困难,可变的免疫政策指南,免疫豁免以及组织对财务结果的关注。此外,五分之一的回应营地认为没有障碍。营地管理人员应与儿科医生合作,实施明确和一致的免疫政策,强调家长教育,并根据地方和州的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers impacting organizational immunization policy implementation in U.S. and Canadian summer camps
ABSTRACT While immunization practice guidelines for children have been applied within primary schools, little research exists about how immunization practice guidelines are applied within summer camp settings and barriers to policy implementation within those settings. To identify perceived barriers to effective immunization policy implementation in summer camps, data were collected from a purposeful sample of 925 unique summer camp representatives using the CampDoc.com online electronic health record system. Fifty-nine percent (n = 541) of the sample completed an open-ended question about immunization policy barriers, including directors (38%, n = 205), nurses (26%, n = 140), other (20%, n = 106), office staff (13%, n = 73), and physicians (3%, n = 17). Inductive analyses and coder triangulation were used to develop themes. Constructed themes included a lack of parental support for vaccination, difficulties collecting and verifying immunization documentation, variable immunization policy guidelines, immunization exemptions, and organizational focus on financial outcomes. In addition, one-fifth of responding camps perceive no barriers. Camp administrators should work with pediatricians to implement clear and consistent immunization policies emphasizing parent education and informed by local and state guidelines.
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来源期刊
Childrens Health Care
Childrens Health Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
11.10%
发文量
28
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