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  • Cambridge University Press (CUP)  (2)
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  • Cambridge University Press (CUP)  (2)
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  • 1
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2010
    In:  Infection Control & Hospital Epidemiology Vol. 31, No. 9 ( 2010-09), p. 881-888
    In: Infection Control & Hospital Epidemiology, Cambridge University Press (CUP), Vol. 31, No. 9 ( 2010-09), p. 881-888
    Abstract: The rate of influenza vaccination among healthcare workers (HCWs) is low, despite a good rationale and strong recommendations for vaccination from many health organizations. Objective. To increase influenza vaccination rates by instituting the first mandatory influenza vaccination program for HCWs. Design and Setting. A 5-year study (from 2005 to 2010) at Virginia Mason Medical Center, a tertiary care, multispecialty medical center in Seattle, Washington, with approximately 5,000 employees. Methods. All HCWs of the medical center were required to receive influenza vaccination. HCWs who were granted an accommodation for medical or religious reasons were required to wear a mask at work during influenza season. The main outcome measure was rate of influenza vaccination among HCWs. Results. In the first year of the program, there were a total of 4,703 HCWs, of whom 4,588 (97.6%) were vaccinated, and influenza vaccination rates of more than 98% were sustained over the subsequent 4 years of our study. Less than 0.7% of HCWs were granted an accommodation for medical or religious reasons and were required to wear a mask at work during influenza season, and less than 0.2% of HCWs refused vaccination and left Virginia Mason Medical Center. Conclusion. A mandatory influenza vaccination program for HCWs is feasible, results in extremely high vaccination rates, and can be sustained over the course of several years.
    Type of Medium: Online Resource
    ISSN: 0899-823X , 1559-6834
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2010
    detail.hit.zdb_id: 2106319-9
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  • 2
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 1989
    In:  International Psychogeriatrics Vol. 1, No. 2 ( 1989-09), p. 185-194
    In: International Psychogeriatrics, Cambridge University Press (CUP), Vol. 1, No. 2 ( 1989-09), p. 185-194
    Abstract: This intervention study compares the effectiveness of two approaches on caregiving stress reduction. Caregivers' psychobiological symptom experience and coping were profiled over time by identifying the types of stress-related symptoms most frequently experienced. Following pretesting (and selected matching procedures) using family functioning, coping, stress and mental status instruments, random assignment of caregivers was made to one of four groups: educative/didactic, psychotherapeutic/support, placebo, or control. Patients were tested at the end of eight weekly 2-hour sessions and again at 1-, 3-, 6-, and 12-month intervals after treatment. Although both the educative and psychotherapeutic groups were effective interventions for the reduction of strain, the psychotherapeutic/support group was the most effective over time, both at posttest and at the 3-month intervals. Neither group intervention was more effective than the control groups in reducing other types of stress, including anxiety, somatization, or depression. The psychobiological symptoms experienced by caregivers peaked at crisis periods in the caregiving trajectory, or when multiple demands were made of the caregiver during any one point in time.
    Type of Medium: Online Resource
    ISSN: 1041-6102 , 1741-203X
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1989
    detail.hit.zdb_id: 2147136-8
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