Elaine Chang is an infection control nurse at a community hospital. She has been in her position for over 6 years, since finishing her master’s degree in community health nursing.
She has noted that the annual influenza immunization rate for employees has been decreasing each year after reaching a high in 2009 of 78%. The rate in 2016 to 2017 dipped under 55% for all employees. In addition, this past year, there was a large outbreak of influenza with multiple staff and patients affected.
Ms. Chang has decided she needs to review the situation using Pender’s Health Promotion Model and develop a plan to educate staff and increase immunization rates.
- If Ms. Chang wanted to assess the reasons for the decline in immunization rates, what types of things should she ask about?
- Ms. Chang developed a survey that was distributed by each unit manager. After analyzing her results, she identified three major reasons that many in the staff declined the flu vaccine:
a.) A large number (over 40%) believed that the vaccine might give them the flu. They believed this because either they or a family member had become sick with some sort of illness around the time they took a flu shot.
b.) About 25% of those surveyed would have taken the flu vaccine, but it was only available at the hospital Monday to Fridaybetween 10 AM and 2 PM.
c.) About 10% of those surveyed believed that all vaccines are bad for one’s health because they introduce something unnatural into the body.
d.) The remainder had a variety of reasons for declining the vaccine, from religious beliefs to inconvenience.
From Pender’s model, what motivational factors might each of these be?
- Using Pender’s model, what actions might Ms. Chang take to improve the immunization rates?