Public health nurses' experiences during the H1N1/09 response

Area of Science:

• Public Health
• Epidemiology
• Nursing

Background:

• The 2009 H1N1 influenza pandemic necessitated rapid mass vaccination efforts.
• Public Health Nurses (PHNs) were central to the operationalization of H1N1/09 vaccination clinics.
• Lessons learned from PHNs' experiences are crucial for future pandemic preparedness.

Purpose of the Study:

• To explore the experiences of Public Health Nurses (PHNs) during the H1N1/09 mass vaccination campaign.
• To identify key challenges and successes encountered by PHNs in implementing vaccination clinics.
• To gather insights for improving future public health responses to pandemics.

Main Methods:

• Qualitative interpretive description methodology.
• Semistructured interviews conducted with 23 PHNs (16 immunizers, 7 supervisors) from a Canadian municipal public health agency.
• Thematic analysis to identify overarching themes from participant experiences.

Main Results:

• Three themes emerged: 'Anticipating an Emergency' (role preparation and learning), 'Surviving the Chaos' (initial challenges and operational difficulties), and 'Persevering Over Time' (adaptation and increased efficiency).
• PHNs reported significant challenges during the initial phase of the vaccination clinics.
• Participants described a learning curve in adapting to new roles and clinic operations.

Conclusions:

• PHN experiences during the H1N1/09 vaccination clinics offer critical insights for future pandemic planning.
• Recommendations include timely communication regarding PHN roles and provision of adequate training to optimize clinic operations.
• Supporting PHNs is essential for effective public health protection and quality population care during outbreaks.