Methodology- Leadership

Methodology- Leadership involvement to improve flu vaccine among health care workers Order Description Please follow instructions: PLEASE ADDRESS THESE QUESTIONS: What research has been completed regarding the interventions and effectiveness that hospital used to improve HCW vaccination rates? What is the association between HCWs beliefs, knowledge and perceptions to improve influenza vaccine uptake? What quality improvements are used in hospitals to improve influenza vaccination uptake among healthcare providers? Does leadership involvement improve the flu vaccine rates among health care workers in a hospital setting? Please references from CINAHL, MEDLINE, and PubMed. With a search of the Cochrane Library that produces systematic reviews with relevant data. This is very important I have started doing like this: The table includes a notation of grading of the evidence (Appendix B) per the criteria given by Melnyk (Melnyk, Overholt, Stillwell, & Wiliamson, 2010). Melnyk’s evidence based information ranges from Level I the strongest involving systematic reviews and randomized controlled trials “golden standard” (RCT’s) to the weakest Level VII which includes evidence from the opinions of authorities or experts. (Melnyk et al., 2010). This table will include the following for each identified study: title and year published; study design (stating whether or not the study was randomized and if noted including the duration of the study); participants; intervention (methodology); outcomes and any additional notes deemed to be relevant. Here's my example of what doing: Carman et al. (2000), United Kingdom Parallel-group design with cluster randomization of 20 UK long term care geriatric hospitals (LTC). Level II, 10 LTC in intervention arm and 10 in control arm. Intervention residents (n=749) and control residents (n=688) LTC hospitals were placed in pairs based on number of beds and vaccination policies then one hospital from each pair were randomly assigned to either control or intervention arms. Intervention LTCs offered Influenza vaccinations to staff and provided individual education about the vaccine. Hospitals in the control arm did not offer vaccines. Intervention vaccination rates of staff on average was 50.9%. Control arm vaccination rate was 4.9%. Overall mortality rates and frequency of laboratory confirmed influenza rates in residents were compared. Influenza testing was performed in 50 % of a randomly selected sub group (n=719) Unadjusted mortality rate in intervention hospitals was lower (OR 0.58 CI 0.40-0.84 p=0.011). There was a nominal difference in lab confirmed flu rates in intervention (5.4%) and control (6.7%) hospitals but no statistical values given. Post mortem testing revealed no positive findings for flu in intervention arm and 6 confirmed positive influenza in control. Elderly patients benefit from vaccinated staff with a statistical reduction in overall causes of death. Table format *