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Show Prenatal Vaccination Improvement Process in a Rural Clinic DeAnn Brown, CNM, MSN, DNP Student University of Utah School of Nursing PURPOSE & OBJECTIVES The purpose of this project was to develop a process to increase the amount of prenatal patients receiving the influenza and Tdap vaccines at a primary health care clinic in rural Utah. Objectives for this project include: 1) Identify barriers to obtaining the recommended immunizations during pregnancy. 2) Develop an intervention to address the identified barriers in an outpatient clinic setting. 3) Present findings and intervention to clinic stakeholders and clinics in surrounding communities. RESULTS METHODS Questionnaire developed with content expert i this recommend practice and must understand a IRB approval obtained Questionnaires maiiled to 90 former patients Questionnaires returned/analyzed for barriers Intervention developed with stakeholders Presentation given to clinic stakeholders Findings and developed interventions shared with nearby clinics BACKGROUND Pregnant and postpartum women are at higher risk for severe illness and complications from influenza. DATA The CDC recommends that at least 80% of pregnant women get the vaccine annually. Pregnant women who are vaccinated have decreased sequelae from targeted diseases. Identified barriers included: Providers not discussing immunizations with patient. Patients fearful of negtive effects of vaccines on the pregnancy and unborn fetus. Patients believe that the influenza vaccine causes influenza disease. Patients who received the immunizations reported trust in their provider and having been advised to do so by their physician or certified nurse midwife. DISCUSSION & CONCLUSION Identified Interventions: Prompts in medical record to remind providers to discuss vaccines with patients. Providers should be armed with evidence based advice to ally fears. In 2015 Utah had the 8th highest incidence of pertussis. CDC vaccination guidelines in pregnancy include administration of influenza between October and May and Tdap between 27 and 36 weeks gestation. METHODS Committee members include Sara Hake, DNP, CNM (Committee Chair), Gillian Tufts, DNP, FNP (MSN to DNP Specialty Tract Director), and Pam Hardin, Ph.D. RN CNE, (Assistant Dean MS & DNP Programs). The content expert is Lance Mage By identifying and addressing barriers healthcare providers have a positive impact on patient outcomes. PROJECT COMMITTEE Sara Hake, DNP, CNM; Project Chair Gillian Tufts, DNP, FNP; Specialty Tract Director Pam Hardin, Ph.D. RN CNE; Assistant Dean Lance Mageno, BS, MA; Content Expert |
