The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand
Abstract Background Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | BMC Nursing |
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| Online Access: | http://link.springer.com/article/10.1186/s12912-017-0226-2 |
| _version_ | 1811284079250767872 |
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| author | Nikki M. Turner Nadia A. Charania Angela Chong Joanna Stewart Lynn Taylor |
| author_facet | Nikki M. Turner Nadia A. Charania Angela Chong Joanna Stewart Lynn Taylor |
| author_sort | Nikki M. Turner |
| collection | DOAJ |
| description | Abstract Background Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices. Methods An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity. Intervention groups received customised action plans and support for a 12 month period while control groups received ‘business as usual’ support. Structured interviews were conducted with key informants from all participating practices to understand current aspects related to childhood immunisation delivery and surveys were conducted to understand how the intervention worked. Collected data were thematically analysed. Results Ten sites were randomised to either intervention (n = 6) or control group (n = 4). Positive aspects of childhood immunisation delivery included high prioritisation at the practice and staff being pro-immunisation and knowledgeable. Key challenges experienced included inaccurate family contact information and discrepancies with referral processes to other providers. Other challenges noted were building rapport with families and vaccine hesitancy. The action plans included various strategies aimed to improve processes at the practice, contact and engagement with parents, and partnership development with local service providers. Conclusions Creating customised action plans and providing support to providers were considered as helpful approaches when attempting to improve childhood immunisation coverage rates. Our study supports the notion that one strategy will not solely by itself improve childhood immunisation rates and highlights the importance of having a toolkit of strategies from which to draw from. |
| first_indexed | 2024-04-13T02:23:13Z |
| format | Article |
| id | doaj.art-a87a4ada85c54245bb97745170f2032a |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-04-13T02:23:13Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-a87a4ada85c54245bb97745170f2032a2022-12-22T03:06:52ZengBMCBMC Nursing1472-69552017-06-011611910.1186/s12912-017-0226-2The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New ZealandNikki M. Turner0Nadia A. Charania1Angela Chong2Joanna Stewart3Lynn Taylor4Department of General Practice and Primary Health Care, University of AucklandDepartment of Public Health, Auckland University of TechnologyDepartment of General Practice and Primary Health Care, University of AucklandDepartment of Biostatistics and Epidemiology, University of AucklandDepartment of General Practice and Primary Health Care, University of AucklandAbstract Background Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices. Methods An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity. Intervention groups received customised action plans and support for a 12 month period while control groups received ‘business as usual’ support. Structured interviews were conducted with key informants from all participating practices to understand current aspects related to childhood immunisation delivery and surveys were conducted to understand how the intervention worked. Collected data were thematically analysed. Results Ten sites were randomised to either intervention (n = 6) or control group (n = 4). Positive aspects of childhood immunisation delivery included high prioritisation at the practice and staff being pro-immunisation and knowledgeable. Key challenges experienced included inaccurate family contact information and discrepancies with referral processes to other providers. Other challenges noted were building rapport with families and vaccine hesitancy. The action plans included various strategies aimed to improve processes at the practice, contact and engagement with parents, and partnership development with local service providers. Conclusions Creating customised action plans and providing support to providers were considered as helpful approaches when attempting to improve childhood immunisation coverage rates. Our study supports the notion that one strategy will not solely by itself improve childhood immunisation rates and highlights the importance of having a toolkit of strategies from which to draw from.http://link.springer.com/article/10.1186/s12912-017-0226-2ImmunisationNursingPaediatricsPractice managementPrimary careQuality of care |
| spellingShingle | Nikki M. Turner Nadia A. Charania Angela Chong Joanna Stewart Lynn Taylor The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand BMC Nursing Immunisation Nursing Paediatrics Practice management Primary care Quality of care |
| title | The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand |
| title_full | The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand |
| title_fullStr | The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand |
| title_full_unstemmed | The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand |
| title_short | The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand |
| title_sort | challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in new zealand |
| topic | Immunisation Nursing Paediatrics Practice management Primary care Quality of care |
| url | http://link.springer.com/article/10.1186/s12912-017-0226-2 |
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