Public health nurses' experiences during the H1N1/09 response.

OBJECTIVE: H1N1/09 was the first pandemic flu ever responded to with mass vaccinations. Public health nurses (PHNs) were pivotal in implementing the H1N1/09 vaccination clinics. With the ongoing threat of pandemic influenza and other viral outbreaks, much can be learned from these PHNs' H1N1/09 experiences. This study's purpose was to explore PHNs' experiences in the H1N1/09 mass vaccination clinics. DESIGN AND SAMPLE: In a qualitative interpretive description, 23 PHNs (16 immunizers, seven supervisors) who worked in a large Canadian municipal public health agency, participated in semistructured interviews. RESULTS: Three overarching themes were identified. 'Anticipating an Emergency' discusses participants' experiences learning about the pandemic response and their role preparation. 'Surviving the Chaos' reflects the challenges of the clinics, particularly during the first few hectic weeks of the response. 'Persevering Over Time' encompasses participants' experiences as they became familiar with clinics' operations and their own responsibilities. CONCLUSIONS: Participants' experiences have implications for future public health pandemic planning and research. Key recommendations include to communicate with PHNs in a timely manner about their clinic roles, and to provide PHNs with appropriate training to optimize clinics' operations. This will help support PHNs in their roles to protect the public and provide quality population care.

Vacunas / Vaccines

Las vacunas son un instrumento extraordinario de inmunización de la población frente a las enfermedades infecciosas. En torno a ellas se plantean muchas cuestiones éticas. Una de las más debatidas es la que tiene que ver con la oposición de algunos colectivos a la vacunación de sus hijos. Los Estados han gestionado de maneras distintas el conflicto entre el deber de vacunar y la negativa a utilizarlas: unos imponen la vacunación y otros simplemente la promueven. En este artículo nos ocupamos de cuál de estos dos planteamientos es el más adecuado desde el punto de vista ético y jurídico. Al apostar por la segunda de las opciones, que es la vigente en España, proponemos algunas medidas que se deberían tener en cuenta para mejorar los programas de vacunación (AU)

Vaccines are an extraordinary instrument of immunization of the population against infectious diseases. Around them there are many ethical issues. One of the most debated is what to do with certain groups opposition to vaccination of their children. States have managed in different ways the conflict between the duty of vaccination and the refusal to use vaccines: some impose the vaccination and others simply promote it. In this article we deal with which of these two approaches is the most suitable from an ethical and legal point of view. We stand up for the second option, which is the current one in Spain, and we propose some measures which should be kept in mind to improve immunization programs (AU)

Las vacunas, una herramienta fundamental para mantener y mejorar la salud de la población / No disponible

No disponible

Influence of simulated and actual community vaccination clinics on student empowerment and self-efficacy for public health nursing competencies.

OBJECTIVES: To examine students' structural empowerment during simulated learning and actual nursing practice, and assess students' self-efficacy for public health nursing competencies (PHNC) after involvement in a mass influenza vaccination clinic as a community practice experience. DESIGN: A nonexperimental survey design was used with a sample of year three baccalaureate nursing students. METHODS: Students completed a demographic form after the simulated clinic experience, they were assessed for perceptions of empowerment after being involved in the simulated and actual clinic settings, and self-efficacy was assessed after the actual clinic experience. RESULTS: Students perceived themselves as structurally empowered after completing the simulated and actual community vaccination clinics. Students reported a high level of self-efficacy for PHNC after their actual community vaccination clinic involvement. There was a significant correlation between empowerment and self-efficacy, which suggests that when students have access to empowering structures, they feel more confident to enact PHNC that align with practice in the clinics. CONCLUSION: This study suggests that nursing students acquired the necessary knowledge and skills for safe vaccination administration through the combination of simulated practice and participating in an actual public health vaccination clinic.

[The place of the nurse in the vaccination programme in France]. / La place de l'infirmier dans la vaccination en France.

Nurses are authorised to administer vaccines with a medical prescription or written protocol. Since 2008, they have been able to administer the seasonal influenza vaccine without a prescription to people at risk. A survey highlighted their need to improve their knowledge of vaccination. To meet this need, a task force made up of nurses and doctors has drawn up a handbook entitled Idévac.

El valor de las vacunas en el momento actual / The value of vaccines in the present moment

Las vacunas han disminuido la frecuencia de algunas enfermedades infecciosas hasta su control o erradicación. En esta situación, algunas personas olvidan sus beneficios, tienen en cuenta aspectos poco científicos o falsos y no se vacunan. Se producen «bolsas» de personas susceptibles y casos de enfermedad. La actual situación del sarampión es un ejemplo. Necesitamos «poner en valor las vacunas», difundir sus logros y llevar a cabo una promoción permanente de sus grandes beneficios y seguridad(AU)

The vaccines have decreased the frequency of infectious diseases until control or eradication. In this situation, some people forget the benefits of vaccines, they consider unscientific and false aspects and are not vaccinated. Occur «bags» of susceptible individuals and cases of disease. The current measles situation is an example. We need to «give value to vaccines», disseminate their achievements and make a permanent promotion of their great benefits and safety(AU)

Vacunas. Algunos aspectos prácticos / Vaccines. Some practical issues

Las vacunas constituyen una herramienta fundamental en la prevención de enfermedades y son claves en Salud Pública. Los profesionales de enfermería, trabajando de forma multidisciplinar, resultan imprescindibles para obtener éxito en la aplicación de los programas de vacunaciones. Repasamos algunos aspectos prácticos de utilidad en la atención de enfermería desde el ámbito clínico, con el fin de obtener mayor efectividad y eficiencia(AU)

Vaccines are a key tool in disease prevention and public health. Nurses, working in a multidisciplinary manner, are essential for successful implementation of vaccination programs. We review some practical issues, useful in the clinic. We will obtain more effective and efficient in our work(AU)

Vacunas. Calendario oficial de vacunaciones en la infancia y la adolescencia / Vaccines. Official calendar of vaccinations in the infancy and the adolescence

Las vacunas constituyen una herramienta fundamental en la prevención de enfermedades y son claves en Salud Pública. Su aplicación a través de un calendario de vacunaciones, donde se visualicen qué vacunas y a qué edad se deben administrar, resulta irreemplazable para obtener unas altas coberturas. Los profesionales de enfermería, trabajando de forma multidisciplinar, son imprescindibles para obtener éxito en la aplicación de los programas de vacunaciones(AU)

Vaccines are a key tool in disease prevention and public health. Its application through a vaccination schedule, which displayed what vaccinations and at what age should be given, it is irreplaceable for a high coverage. Nurses, working in a multidisciplinary manner, are essential for successful implementation of vaccination programs(AU)

Aumentar la cobertura vacunal. Eficacia de una intervención en la escuela / Effectiveness of an intervention in schools to increase vaccination coverage in children aged 6

La gestión del programa de vacunaciones es competencia enfermera. Tener a toda la población vacunada constituye el objetivo principal. Existen franjas de edad donde la cobertura vacunal está representada por unas cifras muy bajas. Se pueden usar varios métodos para aumentarla y cada profesional, según el medio en el que trabaja, utilizará uno u otro. Se presenta una intervención sencilla y eficaz aplicable en cualquier medio rural – y seguramente en todos los medios– a través de la escuela, el lugar donde acuden regularmente todos los niños. Ha sido de gran utilidad para aumentar la cobertura vacunal de los niños de la franja de edad de los seis años(AU)

The management of the vaccination program is part of nursing competences. The main goal of this program is to vaccinate the whole population. There are some age groups in which vaccination coverage is represented by very low rates. Several methods can be used in order to increase such coverage and each professional shall use them according to the work environment. This article presents a simple and effective intervention applicable in any rural area – and probably in any environment– through schools, where all children regularly go. This program has been very useful for us to increase the vaccination coverage of children aged 6(AU)

Role of the nurse immuniser in implementing and maintaining the National Human Papillomavirus 'Cervical Cancer' Vaccine rollout through a school-based program in Victoria.

In an effort to understand the strengths and limitations of current approaches to human papillomavirus vaccine (HPV) delivery in schools, we conducted an audit of nurse immunisers (NI). In this survey of 159 Victorian NI, the NI perceived that knowledge, safety and side effects were among the most important issues raised by parents, schoolgirls, and teachers in the school setting. The most common concern identified by NIs was the physical layout of the vaccination setting (41%), followed by safety, then knowledge of the vaccine. There is a need for ongoing assessment of factors that improve or impede the delivery of HPV vaccines.

Análisis de las Asistencias de Enfermería en una Base / Analysis of the Assistances of Nursing in a Base

Objetivo: Se muestra un análisis descriptivo, retrospectivo y longitudinal de los registros obtenidos durante cuatro años (2003 a 2006, a. i.) de las asistencias y cuidados de enfermería en la Base Militar «El Empecinado», teniendo en cuenta la fuerza en revista media, el rango de edades y el porcentaje de personal por sexos. Instrumentos: Se utiliza un libro de registros de las asistencias diarias y se tratan los datos mediante el programa Excel de Microsoft Office. Resultados: Se tienen en cuenta tanto los datos demográficos como los puramente asistenciales, observando que la unidad que aporta mayor número de personal tiene una edad media de 27,53 años, el porcentaje de mujeres es del 15 %, el número de asistencias de enfermería medio diario en el cuatrienio es de 3,07 dedicándose fundamentalmente a las variables vacunas, toma de constantes y PAEF. Conclusión: A la vista de que la mayor parte del tiempo de trabajo asistencial del personal de enfermería está dedicado a labores de prevención y promoción de la salud más que al específico de urgencias y emergencias, sería importante tener estos datos en cuenta a la hora de desplegar a este personal a ZO (Zona de Operaciones) o para prestar apoyo a unidades con diferentes cargas de trabajo (AU)

Objective: This work presents a descriptive, retrospective and longitudinal analysis of assistance and nursing cares records obtained during four years (2003 to 2006) in the Base «El Empecinado», taking into account the monthly count of people, the ages rank, and the percentage of sexes. Instruments: The records book of diary assistance is used and data are treated with the program Microsoft Excel. Results: Both demographic and nursing assistance data are taken into account, observing that the unit which contributes with a major number of people has a mean age of 27,53 years, the percentage of women is 15 %, the daily average number of assistance during the four years period is 3,07 and they are fundamentally dedicated to vaccination, vital constants surveillance and PAEF. Conclusion: In view of the major part of nursing staff assistance work is dedicated to prevention and promotion of health more than urgencies and emergencies, it would be important to take this data into account in the moment of nursing staff deployment in operation zones or as a support for other units (AU)

A participação da enfermeira na campanha de erradicação da varíola no estado de São Paulo no período 1968-1973 / The participation of nurses on the Variola Extermination Campaign in the sat

A Campanha da Erradicação da Varíola (CEV) foi um movimento conduzido pela Organização Mundial de Saúde a partir de 1965, com o objetivo de erradicar a doença no mundo. No Brasil, ela foi coordenada pelo Ministério da Saúde, porém descentralizada em alguns estados, como no Estado de São Paulo. A incidência neste estado era alta, o que despertou o brio dos sanitaristas para a obtenção rápida de resultados...