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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
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Related Experiment Videos

Improving adherence rates to a cocooning program: a pilot experience in Italy.

Andrea Simonetti1, Ida Martini, Gennaro Bonomo

  • 1Servizio Dipartimentale di Epidemiologia e Prevenzione; Azienda Sanitaria Locale Napoli 1 Centro; Naples, Italy.

Human Vaccines & Immunotherapeutics
|February 2, 2013
PubMed
Summary

Implementing the pertussis cocoon strategy, which involves vaccinating infant contacts, proved challenging initially. Improved communication and dedicated healthcare providers significantly increased dTpa booster uptake in new mothers, reaching 78.8%.

Keywords:
cocoonnewbornspertussispreventiontransmission

Related Experiment Videos

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Vaccinology

Background:

  • Pertussis (whooping cough) poses a significant risk to newborn infants due to their incomplete vaccination status.
  • The cocoon strategy aims to reduce infant pertussis transmission by immunizing their close contacts, including household members.
  • Implementing cocooning programs faces programmatic and logistical challenges in real-world healthcare settings.

Purpose of the Study:

  • To evaluate the adherence and acceptance rates of a pertussis cocoon strategy among newborn contacts in an Italian healthcare setting.
  • To identify factors influencing the successful implementation of the cocoon strategy for pertussis prevention in infants.

Main Methods:

  • A one-year pilot project was conducted at ASL Napoli 1 Centro, offering free dTpa booster vaccinations to parents and household contacts of newborns.
  • Initial implementation phase showed low uptake (2.6%).
  • Communication strategies were enhanced with information leaflets, increased healthcare provider (HCP) involvement, and focused patient interaction during maternity ward visits.

Main Results:

  • Following communication improvements, dTpa booster uptake among contacted new mothers increased dramatically to 78.8% (601 out of 762).
  • The enhanced approach demonstrated a significant improvement in adherence to the cocoon strategy.
  • This study represents the first documentation of successful pertussis cocooning implementation in Italy.

Conclusions:

  • High acceptance rates for the pertussis cocoon strategy are achievable with effective communication tools and dedicated, skilled healthcare providers.
  • Optimizing communication and resource allocation is crucial for the successful programmatic implementation of infant pertussis prevention strategies.
  • The findings support the broader adoption of the cocoon strategy to protect vulnerable newborns from pertussis.