Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership
Academic detailing is an educational approach involving provision of evidence-based information by healthcare providers for healthcare providers with the goal of improving clinical decision-making. An interprofessional academic detailing initiative was developed to encourage rural providers to utili...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-03-01
|
| Series: | Vaccines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-393X/9/4/317 |
| _version_ | 1827696378207272960 |
|---|---|
| author | Kimberly McKeirnan Karen Colorafi Zuan Sun Kristopher Daratha Darryl Potyk John McCarthy |
| author_facet | Kimberly McKeirnan Karen Colorafi Zuan Sun Kristopher Daratha Darryl Potyk John McCarthy |
| author_sort | Kimberly McKeirnan |
| collection | DOAJ |
| description | Academic detailing is an educational approach involving provision of evidence-based information by healthcare providers for healthcare providers with the goal of improving clinical decision-making. An interprofessional academic detailing initiative was developed to encourage rural providers to utilize guidelines when deciding which patients to vaccinate against pneumonia. This study utilized a quasi-experimental, single-group, pre-post observational design with physicians, nurses, and staff at two rural medical clinics. The 12-month academic detailing intervention included a needs assessment, workflow assessment of practice-based health information technology, vaccination training for providers and staff, and creation of exam-room posters encouraging patients to discuss vaccination with their provider. Six visits were made to deliver education, discuss needs, select priorities, and develop action plans from recommendations. Data were collected from each site for three years prior to the intervention year and for one year following the intervention. The annual rate of patients vaccinated increased during the five-year study. The cumulative proportion of the sample population that received vaccination also increased over time. Interprofessional academic detailing was well received and increased pneumococcal vaccination rates among rural-dwelling older adults. Given the alarming disparities in health outcomes for rural patients, educational outreach is needed to improve healthcare access and outcomes. |
| first_indexed | 2024-03-10T12:45:50Z |
| format | Article |
| id | doaj.art-bbcf9dbe51674dcdb4cff85b1ff01f37 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T12:45:50Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-bbcf9dbe51674dcdb4cff85b1ff01f372023-11-21T13:30:51ZengMDPI AGVaccines2076-393X2021-03-019431710.3390/vaccines9040317Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy PartnershipKimberly McKeirnan0Karen Colorafi1Zuan Sun2Kristopher Daratha3Darryl Potyk4John McCarthy5College of Pharmacy and Pharmaceutical Sciences, Washington State University, Pullman, WA 99202, USASchool of Nursing and Human Physiology, Gonzaga University, Spokane, WA 99202, USASchool of Business, Whitworth University, Spokane, WA 99251, USADaratha Analytics, Spokane, WA 99204, USASchool of Medicine, University of Washington, Spokane, WA 99202, USASchool of Medicine, University of Washington, Spokane, WA 99202, USAAcademic detailing is an educational approach involving provision of evidence-based information by healthcare providers for healthcare providers with the goal of improving clinical decision-making. An interprofessional academic detailing initiative was developed to encourage rural providers to utilize guidelines when deciding which patients to vaccinate against pneumonia. This study utilized a quasi-experimental, single-group, pre-post observational design with physicians, nurses, and staff at two rural medical clinics. The 12-month academic detailing intervention included a needs assessment, workflow assessment of practice-based health information technology, vaccination training for providers and staff, and creation of exam-room posters encouraging patients to discuss vaccination with their provider. Six visits were made to deliver education, discuss needs, select priorities, and develop action plans from recommendations. Data were collected from each site for three years prior to the intervention year and for one year following the intervention. The annual rate of patients vaccinated increased during the five-year study. The cumulative proportion of the sample population that received vaccination also increased over time. Interprofessional academic detailing was well received and increased pneumococcal vaccination rates among rural-dwelling older adults. Given the alarming disparities in health outcomes for rural patients, educational outreach is needed to improve healthcare access and outcomes.https://www.mdpi.com/2076-393X/9/4/317pneumococcal vaccinationrural healthcareacademic detailing |
| spellingShingle | Kimberly McKeirnan Karen Colorafi Zuan Sun Kristopher Daratha Darryl Potyk John McCarthy Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership Vaccines pneumococcal vaccination rural healthcare academic detailing |
| title | Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership |
| title_full | Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership |
| title_fullStr | Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership |
| title_full_unstemmed | Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership |
| title_short | Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership |
| title_sort | improving pneumococcal vaccination rates among rural older adults through academic detailing medicine nursing and pharmacy partnership |
| topic | pneumococcal vaccination rural healthcare academic detailing |
| url | https://www.mdpi.com/2076-393X/9/4/317 |
| work_keys_str_mv | AT kimberlymckeirnan improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership AT karencolorafi improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership AT zuansun improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership AT kristopherdaratha improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership AT darrylpotyk improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership AT johnmccarthy improvingpneumococcalvaccinationratesamongruralolderadultsthroughacademicdetailingmedicinenursingandpharmacypartnership |