This review aimed to determine and identify the knowledge and attitude of the mothers or pregnant women toward the Tdap vaccine during pregnancy.Whooping cough,Diphtheria disease and tetanus are infectious and pathoge...This review aimed to determine and identify the knowledge and attitude of the mothers or pregnant women toward the Tdap vaccine during pregnancy.Whooping cough,Diphtheria disease and tetanus are infectious and pathogenic bacterial diseases that mainly affect children too young to complete basic vaccinations,and deaths associated with infectious diseases are frequent among them.Therefore,it is advisable for pregnant women to take the triple bacterial vaccine(tetanus,diphtheria and pertussis).This scoping review was conducted,and various electronic databases were searched,including Medline and PubMed.Moreover,Google Scholar,CDC,and immunization research group websites were searched to investigate the literature on the Tdap vaccine.As a result,13 studies were included in this review.Based on the findings of this review,the level of knowledge of ladies and pregnant women about the importance of the vaccine depended upon several factors,including education level,occupation,age,sources of vaccine information,maternal desire,being born outside the country,lower household income,religious misconception,residing in a province or area where the pertussis vaccine was not free,having given birth to live children in the past,and receiving maternity care from a midwife.Therefore,it can be concluded that the increase in the level of knowledge about the importance of Tdap vaccine increased the percentage of women who supported and accepted the vaccine.Studies have also shown that some mothers refused vaccination due to reservations about vaccine safety and efficacy since they did not have sufficient knowledge or experience.展开更多
Objective:Vaccines prevent many cases of infectious disease,yet immunization campaigns are hindered by various barriers.This work presents the results of a quality improvement project addressing barriers to vaccine co...Objective:Vaccines prevent many cases of infectious disease,yet immunization campaigns are hindered by various barriers.This work presents the results of a quality improvement project addressing barriers to vaccine compliance in an underserved teaching practice by reducing missed opportunities and increasing provider and patient compliance rates for pneumococcal,Tdap,influenza,and zoster vaccines in adults.Methods:The study intervention aimed to address patient knowledge,provider knowledge and skills,proactive care coordination,and outreach and counselling of high-risk groups.Aggre-gate patient data from intervention at year-end were compared to the prior year.Outcome targets were as follows:improved vaccination rates by one-half of the difference between baseline and Healthy People 2020 goals;reduced patient refusals by 10%;and reduced missed opportunities by 50%.Results:All of the vaccination rates improved,but with mixed results regarding the target outcomes.The rates of vaccine refusal were mixed in terms of the direction of the change,the significance,and achieving targets.Missed opportunities all improved,but the significance was mixed and none reached targets.Conclusion:This project has helped to identify patient and provider knowledge of vacci-nation as a key to increasing compliance,and missed opportunities as the greatest challenge in achieving targets.The burden of documentation is significant on providers,and future work should focus on methods to improve the ease of documentation.Clinical outcomes and improvements were encouraging;however,it is clear that there remain challenges to reaching Healthy People 2020 goals within the study population and nationally.展开更多
文摘This review aimed to determine and identify the knowledge and attitude of the mothers or pregnant women toward the Tdap vaccine during pregnancy.Whooping cough,Diphtheria disease and tetanus are infectious and pathogenic bacterial diseases that mainly affect children too young to complete basic vaccinations,and deaths associated with infectious diseases are frequent among them.Therefore,it is advisable for pregnant women to take the triple bacterial vaccine(tetanus,diphtheria and pertussis).This scoping review was conducted,and various electronic databases were searched,including Medline and PubMed.Moreover,Google Scholar,CDC,and immunization research group websites were searched to investigate the literature on the Tdap vaccine.As a result,13 studies were included in this review.Based on the findings of this review,the level of knowledge of ladies and pregnant women about the importance of the vaccine depended upon several factors,including education level,occupation,age,sources of vaccine information,maternal desire,being born outside the country,lower household income,religious misconception,residing in a province or area where the pertussis vaccine was not free,having given birth to live children in the past,and receiving maternity care from a midwife.Therefore,it can be concluded that the increase in the level of knowledge about the importance of Tdap vaccine increased the percentage of women who supported and accepted the vaccine.Studies have also shown that some mothers refused vaccination due to reservations about vaccine safety and efficacy since they did not have sufficient knowledge or experience.
基金the 2013 American Academy of Family Physicians Foundation Pfizer Immunization System Implementation Award.
文摘Objective:Vaccines prevent many cases of infectious disease,yet immunization campaigns are hindered by various barriers.This work presents the results of a quality improvement project addressing barriers to vaccine compliance in an underserved teaching practice by reducing missed opportunities and increasing provider and patient compliance rates for pneumococcal,Tdap,influenza,and zoster vaccines in adults.Methods:The study intervention aimed to address patient knowledge,provider knowledge and skills,proactive care coordination,and outreach and counselling of high-risk groups.Aggre-gate patient data from intervention at year-end were compared to the prior year.Outcome targets were as follows:improved vaccination rates by one-half of the difference between baseline and Healthy People 2020 goals;reduced patient refusals by 10%;and reduced missed opportunities by 50%.Results:All of the vaccination rates improved,but with mixed results regarding the target outcomes.The rates of vaccine refusal were mixed in terms of the direction of the change,the significance,and achieving targets.Missed opportunities all improved,but the significance was mixed and none reached targets.Conclusion:This project has helped to identify patient and provider knowledge of vacci-nation as a key to increasing compliance,and missed opportunities as the greatest challenge in achieving targets.The burden of documentation is significant on providers,and future work should focus on methods to improve the ease of documentation.Clinical outcomes and improvements were encouraging;however,it is clear that there remain challenges to reaching Healthy People 2020 goals within the study population and nationally.
