Influenza Vaccination for Pregnant Health Care Workers

Inin fluenzaenza Vaccination for Pregnant wellness Cargon WorkersJee Hae KimIntroductionA certain enceinte nurse was fired because of refusing to get a flu shot in Pennsylvania in December, 2013 (Murphy, 2013). Getting a flu shot is the superstar of the biggest issues for health get by master keys who ar especially gravid health boot workers. However, vaccination lock in remains the near effective way for preventing severe grippe illness. match Center for disease Control and Prevention (CDC) and Ameri lavatory College of Obstetricians and Gynecologists (ACOG), seasonal flu vaccination is recommended for all pregnant women (Goldfarb, Panda, Wylie Riley, 2011). But, why do they hesitate to get a flu shot?Current vaccination rateFlu vaccination rate for pregnant women is still low in the US. In 2005, the US achieved just 16% influenza vaccination coverage of pregnant women, and it is estimated that less than 10% of pregnant women who are at highest risk of influenza rec eive the vaccinum (Broughton, Beigi, Switzer, Raker Anderson, 2009). scour with increased morbidity during gestation period from seasonal influenza, only 11% of pregnant women were vaccinated during the 2008 through 2009 flu season (Dlugacz, Fleischer, Carney, Copperman, Ahmed, Ross Silverman, 2012). In addition, influenza vaccination pass judgment impart remained substantially below 50% for wellness Care Personnel (HCP). Within the population of HCP, nurses produce been shown to have lower influenza vaccination rates than physicians (Clark, Cowan Wortley, 2009). Although the rate is getting increase little by little, it is still low compared to physicians vaccination rate.Barriers for vaccinationAccording to a certain survey, 58.3% of patients reported feeling scared about seasonal flu infection during their pregnancy (Goldfarb, et al., 2011). What are the main causes they are afraid of getting a flu shot? One of those reasons is that they have a fear uncertainly because t hey do not know specifically how safe flu vaccine is trance they are pregnant. In addition, they do not know as well about how vulnerable unvaccinated status is during pregnancy. Vaccinated nurses demonstrated greater knowledge about influenza and risk factors for influenza, while unvaccinated nurses believed they were not at risk (Clark, et al., 2009). These facts show that knowledge about synthetic rubber of vaccine is one of the most important keys to decide whether they get a flu shot or not. Vaccine parentage was associated with less knowledge about influenza, lower perceived susceptibility, and beliefs that the vaccine is not efficacious of safe (Eppes, Cameron, Gracia Grobman, 2013). Furthermore, health care workers in the obstetric field also have limited knowledge about the epidemiology of influenza infection and most of them do not consider influenza as a potentially weighty disease (Broughton, et al., 2009).Political, social and economic backgroundsThe states role i s to reduce morbidity and mortality by nosocomial punk of influenza and maintenance of a reasonable health care workforce and to show that mandatory influenza vaccination is sensibly related to reducing the flu budget (Ottenberg, Poland, Jacobson, Koenig Tilburt, 2011). It can be one of the semipolitical reasons for getting a flu shot for health care workers and government forces them to vaccinate.In addition, we can concern about economic aspect. The commerce legislation can make the federal government regulate performance essentially that bear upons inter-state commerce, including parts of the health care industry which is related to the management infectious disease and prevention. With the human beings health service act, health and human services department in the US has organized the subject field vaccine plan, the national vaccine advisory committee, and the national vaccine injury compensation program (Ottenberg, et al., 2011). by dint of these mechanisms, the comm erce legislation permitted the federal government to control, strengthen, or potentially obligate the vaccination of health care workers once against influenza and ensure fair movement to arbitrate complaints related to vaccination (Ottenberg, et al., 2011). It shows that mandatory vaccination can lead saving budget for government because they do not have to pay for the treatment of the utility(prenominal) infection for people due to influenza.Ethical concernsThere are also possible ethical arguments central mandatory vaccination. Hospitals are enforcing health care workers to vaccinate for two primary reasons. The one is for supporting of the professional duty of health care workers to benefit for patients individually and to Do No Harm and another is for confluence the shared obligations of hospitals and health care workers to cherish the public health with infectious disease which is preventable (Ottenberg, et al., 2011). In these situations, we can think about the important q uestions such as What are the obligations of health care workers to their patients? or Is it proper for patients to expect health care workers to get a flu shot because of influenza? practicable solutionsI suggest some solutions to promote vaccination for pregnant health care workers. First of all, the lash-up of influenza vaccination is strongly needed such as using mobile vaccination carts. quite of fixed date or time for vaccination, health care workers can have it depending on their schedules. Secondly, render of free vaccination and peer vaccination is another good method for promoting vaccination. For example, some pregnant nurses who are already vaccinated could be a good model for other pregnant nurses who are not vaccinated yet. Thirdly, incentive programs also can be a great way for health care workers. If they can get extra pay, the rate of vaccination can be raised. Lastly, education about safety of vaccination for pregnant health care workers is the most effective me thod. Indeed, I had concerned about have on a mask while they are working without vaccination, but this could be not a hone prevention of pandemic influenza. Instead of this, it would be better to persuade them who refuse vaccination and to emphasize again about the safety of vaccination during pregnancy.Safety of vaccination during pregnancyThere are already some(prenominal) studies to prove safety of vaccination during pregnancy. According to CDC, studies of a lot of pregnant women in scientific sight have checked the safety of vaccination during pregnancy. These studies did not show any evidence of danger to pregnant women, even to the unborn fetus and to newborns of vaccinated women (CDC, 2013). In addition, the Food and Drug Administrations (FDA) and CDCs periodic monitoring of side effects occurrence has not raised safety concerns (CDC, 2013). Rumors and fears should not be an obstacle to promoting patient safety and public health. The implementation of mandatory vaccinati on should solve the ambiguous concerns and misconceptions of vaccine safety as well. Rates of serious side effects occurrence following vaccination, such as Guillain-Barr syndrome, are vanishingly low as no higher than 1 in 1,000,000 (CDC, 2013).ConclusionAmong several(prenominal) solutions as I mentioned above, I guess the best way to promote the flu-vaccination rate for pregnant health care providers is education. An effective educational strategy should focus on known misconceptions and knowledge gaps. Furthermore, the influence of health care workers on patient vaccination coverage should not be underestimated. It has been shown that health care workers recommendations have positive effects on the likelihood of patients to be vaccinated (Broughton, et al., 2009). According to an article, women whose maternity care provider has recommended the vaccine are much more likely to receive it than those whose providers did not (Broughton, et al., 2009). It shows that how critical educat ion affect not only pregnant health care workers, but also pregnant patients.I avow that health care workers should be vaccinated because reducing the transmission of preventable diseases cannot prevent any deterioration in the clinical care area. health care worker vaccination of influenza is consistent with a collective professional accountability to treat all patients moderately and to use appropriate precautions against preventable harms.With mandatory health care worker vaccination, health care organizations should make sure that vaccination is an informed procedure. Health care workers should also get the information clearly about benefits and risks related to influenza vaccination and that vaccines are offered handily.ReferenceBroughton, D. E., Beigi, R. H., Switzer, G. E., Raker, C. A., Anderson, B. L. (2009). Obstetric health care workers attitudes and beliefs regarding influenza vaccination in pregnancy. Obstetrics Gynecology, 114(5), 981-987.Center for Disease Contro l (2013, September 3). Seasonal Flu Vaccine Safety and Pregnant Women. Retrieved butt against 17, 2014 from http//www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htmClark, S. J., Cowan, A. E., Wortley, P. M. (2009). Influenza vaccination attitudes and practices among US registered nurses. American Journal of Infection Control, 37(7), 551-556.Danzon, P. M., Pereira, N. S., Tejwani, S. S. (2005). Vaccine supply a cross-national perspective. Health Affairs, 24(3), 706-717.Dlugacz, Y., Fleischer, A., Carney, M. T., Copperman, N., Ahmed, I., Ross, Z., Silverman, R. A. (2012). 2009 H1N1 vaccination by pregnant women during the 2009-10 H1N1 influenza pandemic. American journal of obstetrics and gynecology, 206(4), 339-e1.Eppes, C., Wu, A., You, W., Cameron, K. 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