Related Experiment Video
Updated: Nov 10, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and
Kimberly McKeirnan1, Karen Colorafi2, Zuan Sun3
1College of Pharmacy and Pharmaceutical Sciences, Washington State University, Pullman, WA 99202, USA.
Academic detailing improved pneumococcal vaccination rates in rural older adults. This educational outreach enhanced healthcare access and outcomes for underserved populations.
Area of Science:
- Public Health
- Healthcare Education
- Geriatric Medicine
Background:
- Rural populations face significant health outcome disparities.
- Pneumonia vaccination rates are often suboptimal in rural areas.
- Academic detailing is an evidence-based educational strategy for healthcare providers.
Purpose of the Study:
- To assess the impact of interprofessional academic detailing on pneumonia vaccination rates among rural older adults.
- To encourage the utilization of vaccination guidelines by rural healthcare providers.
- To improve healthcare access and outcomes in rural communities.
Main Methods:
- A quasi-experimental, pre-post observational study was conducted in two rural medical clinics.
- A 12-month academic detailing intervention included needs assessment, workflow analysis, provider training, and patient-focused materials.
- Data on vaccination rates were collected for three years prior to and one year following the intervention.
Main Results:
- The annual rate of patients vaccinated against pneumonia increased significantly during the study period.
- The cumulative proportion of the sample population receiving vaccination also showed a positive trend.
- Interprofessional academic detailing was well-received by rural healthcare providers and staff.
Conclusions:
- Interprofessional academic detailing effectively increased pneumococcal vaccination rates in rural older adults.
- Educational outreach initiatives are crucial for addressing health disparities in rural settings.
- Academic detailing can improve healthcare access and clinical decision-making for rural providers.
Related Concept Videos
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Pneumonia III: Complications and Assessment
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Drug Dosing: Geriatric Patients
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

