RISE poster final draft
Undergraduate Category: Health Sciences Degree Seeking: PharmD Abstract ID#: 1821
Influenza vaccination practices and perceptions between health professional students who are authorized to vaccinate versus those who are not Heather Paik, Silas Lin, Matthew Duprey, PharmD, John W. Devlin, PharmD
OPPORTUNITY
Motivation: Controversy exists surrounding influenza vaccination practices despite its proven benefits In 2015, the State of Massachusetts allowed pharmacy students to administer vaccines The practices and perceptions of health professional students who can vaccinate may differ from health profession students who cannot (e.g., physiotherapy students) Objective: To compare influenza vaccination practices and perceptions between health care professional students who can vaccinate (nursing and pharmacy) with health care professional students who cannot (physiotherapy).
APPROACH
Survey Development: The following survey domains were identified: efficacy/supporting rationale, safety, student administration, and actions/policy The survey was constructed using the WHO’s Knowledge Attitude and Practice (KAP) model The instrument was validated by 2 experts in the field and pre-tested by a sample of 9 students to ensure clarity and brevity IRB approval was obtained Study Population: Senior (year-5) students from pharmacy, nursing and physical therapy majors from a integrated health sciences college at a large, research-intensive private university. Survey Distribution: Following a brief introduction by the study team, surveys were distributed in class sessions to 90 pharmacy, 39 nursing and 90 physical therapy students via Qualtrics
DATA and RESULTS Among 218 students surveyed, 77% responded [nursing (30/38, 79%); pharmacy (79/90, 88%); physical therapy (59/90, 66%)] Table 1. Comparison of self-reported injectable influenza vaccine practices between year-5 Bouve College students who can vaccinate versus those who cannot Vaccinator Group (Nursing and Pharmacy) N=109
Non-Vaccinator Group (Physiotherapy) N=59
P value
Receipt of the influenza vaccine, % Administration of the influenza vaccine by a health care student, %
96 54
85 61
.01 0.39
Requirement for the influenza vaccine by a clinical site/employer, %
96
90
0.1
Table 2. Comparison of perceptions and knowledge surrounding injectable influenza vaccination between year-5 Bouve College students who can vaccinate versus those who cannot
Efficacy and rationale for use The flu shot I received during 2015/2016 academic year will protect me during 2016/2017 academic year I am not at risk for getting the flu I have never had the flu so I do not need to receive the flu shot The flu shot is not effective in preventing the flu I encourage my family and friends to get the flu shot I would still get the flu shot if it was not required by a clinical site/employer I would still get the flu shot if it was not available on campus for free Safety Getting the flu shot increases my risk for getting the flu The flu-like symptoms I could experience after receiving the flu shot prevent me from getting the flu shot. Getting the flu shot can lead to serious adverse events I am afraid of needles and injections Vaccinations by a student I am comfortable with a trained student administering my flu shot If properly trained, I would be interested in administering flu shots Actions and policy I would still attend class if sick with the flu I would still go to work if sick with the flu All Northeastern students should be required by the University to get the flu shot each year All healthcare workers should be required to get the flu shot each year
IMPACT
Agreement (either strong or moderate agreement) [%] Vaccinator Group Non-Vaccinator Group (Nursing/Pharmacy) (Physiotherapy) N=109 N=59
P value
8 6 2 5 90 76 87
2 0 2 9 76 72 78
0.17 0.09 1 0.32 0.02 0.54 0.12
6 12 22 22
7 34 17 34
1 0.025 0.43 0.62
85 93
92 40
0.33 .0001
25 13 71 92
24 12 41 90
0.89 0.86 0.0002 0.68
Student vaccinators were more likely than non-vaccinators to receive the influenza vaccine themselves, encourage others to receive the vaccine, and support a university requirement for annual influenza vaccination. Perceptions regarding vaccine safety and efficacy and administration by a student was similar between groups. The unique feature about my innovation is it addresses a gaps in current research and will resolve questions that faculty and administrators may have when optimizing flu vaccine use in college students. Potential Limitations Generalizability to other universities (only Northeastern University students were surveyed) Incomplete representation of non-vaccinating healthcare students (represented by physical therapy students) Next Steps: Data will be further analyzed and presented to administrators to guide vaccine education and policies.
Influenza vaccination practices and perceptions between health professional students who are authorized to vaccinate versus those who are not Heather Paik, Silas Lin, Matthew Duprey, PharmD, John W. Devlin, PharmD
OPPORTUNITY
Motivation: Controversy exists surrounding influenza vaccination practices despite its proven benefits In 2015, the State of Massachusetts allowed pharmacy students to administer vaccines The practices and perceptions of health professional students who can vaccinate may differ from health profession students who cannot (e.g., physiotherapy students) Objective: To compare influenza vaccination practices and perceptions between health care professional students who can vaccinate (nursing and pharmacy) with health care professional students who cannot (physiotherapy).
APPROACH
Survey Development: The following survey domains were identified: efficacy/supporting rationale, safety, student administration, and actions/policy The survey was constructed using the WHO’s Knowledge Attitude and Practice (KAP) model The instrument was validated by 2 experts in the field and pre-tested by a sample of 9 students to ensure clarity and brevity IRB approval was obtained Study Population: Senior (year-5) students from pharmacy, nursing and physical therapy majors from a integrated health sciences college at a large, research-intensive private university. Survey Distribution: Following a brief introduction by the study team, surveys were distributed in class sessions to 90 pharmacy, 39 nursing and 90 physical therapy students via Qualtrics
DATA and RESULTS Among 218 students surveyed, 77% responded [nursing (30/38, 79%); pharmacy (79/90, 88%); physical therapy (59/90, 66%)] Table 1. Comparison of self-reported injectable influenza vaccine practices between year-5 Bouve College students who can vaccinate versus those who cannot Vaccinator Group (Nursing and Pharmacy) N=109
Non-Vaccinator Group (Physiotherapy) N=59
P value
Receipt of the influenza vaccine, % Administration of the influenza vaccine by a health care student, %
96 54
85 61
.01 0.39
Requirement for the influenza vaccine by a clinical site/employer, %
96
90
0.1
Table 2. Comparison of perceptions and knowledge surrounding injectable influenza vaccination between year-5 Bouve College students who can vaccinate versus those who cannot
Efficacy and rationale for use The flu shot I received during 2015/2016 academic year will protect me during 2016/2017 academic year I am not at risk for getting the flu I have never had the flu so I do not need to receive the flu shot The flu shot is not effective in preventing the flu I encourage my family and friends to get the flu shot I would still get the flu shot if it was not required by a clinical site/employer I would still get the flu shot if it was not available on campus for free Safety Getting the flu shot increases my risk for getting the flu The flu-like symptoms I could experience after receiving the flu shot prevent me from getting the flu shot. Getting the flu shot can lead to serious adverse events I am afraid of needles and injections Vaccinations by a student I am comfortable with a trained student administering my flu shot If properly trained, I would be interested in administering flu shots Actions and policy I would still attend class if sick with the flu I would still go to work if sick with the flu All Northeastern students should be required by the University to get the flu shot each year All healthcare workers should be required to get the flu shot each year
IMPACT
Agreement (either strong or moderate agreement) [%] Vaccinator Group Non-Vaccinator Group (Nursing/Pharmacy) (Physiotherapy) N=109 N=59
P value
8 6 2 5 90 76 87
2 0 2 9 76 72 78
0.17 0.09 1 0.32 0.02 0.54 0.12
6 12 22 22
7 34 17 34
1 0.025 0.43 0.62
85 93
92 40
0.33 .0001
25 13 71 92
24 12 41 90
0.89 0.86 0.0002 0.68
Student vaccinators were more likely than non-vaccinators to receive the influenza vaccine themselves, encourage others to receive the vaccine, and support a university requirement for annual influenza vaccination. Perceptions regarding vaccine safety and efficacy and administration by a student was similar between groups. The unique feature about my innovation is it addresses a gaps in current research and will resolve questions that faculty and administrators may have when optimizing flu vaccine use in college students. Potential Limitations Generalizability to other universities (only Northeastern University students were surveyed) Incomplete representation of non-vaccinating healthcare students (represented by physical therapy students) Next Steps: Data will be further analyzed and presented to administrators to guide vaccine education and policies.
