Implementing a Nurse-Driven Protocol for Pneumococcal Vaccination in an Academic Rheumatology Clinic

J RheumatolPublished Quality improvement study

Authors' conclusion

It is feasible to employ a nurse-driven protocol for improving pneumococcal vaccination rates in immunosuppressed patients, despite difficulties posed by coronavirus disease 2019 (COVID-19) pandemic disruptions.

Study context

Population
Immunosuppressed patients aged 19 to 64 years in an academic rheumatology clinic
Comparison
Postintervention vs baseline pneumococcal vaccination rates
Outcome
Monthly PCV13 or PPSV23 vaccination rate and proportion fully vaccinated (both PCV13 and PPSV23); aim: increase by ≥ 10%
Follow-up
2-year period
Methodological detailsnurse-driven standing medical order, pre-post comparison, single academic rheumatology clinic
  • Nurse-driven standing medical order
  • Pre-post comparison
  • Single academic rheumatology clinic

Main finding

As reported in the abstract

Average monthly vaccination rate with either PCV13 or PPSV23

Further findings

Proportion fully vaccinated (PCV13 and PPSV23)

Proportion fully vaccinated (pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23))

Change statistically significant

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Implementing a Nurse-Driven Protocol for Pneumococcal Vaccination in an Academic Rheumatology Clinic. J Rheumatol. Published 1 November 2022. doi:10.3899/jrheum.220771

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