Wednesday 15 March 2017

Research Journal #2

What is your topic? Or what are your key words thus far?
My topic is requirement of the Influenza vaccine in health care workers. So far my key terms are:
Health Care Worker
Influenza Vaccine
Required
Choice
Theory
Expert Opinion
Risk


What is your research question? Have you decided to change it at all? And, if you have, how do I know that the way in which this question is formulated is appropriate to conduct a literature review with a systematic approach?
My research question is: Is it important for all health care workers to be required to get the Influenza vaccine in order to work in a specific facility, or should this be a personal choice, or at least have specific acceptions related to health or disabilities?
And what are the definitions on which it depends?
My question depends on four key terms, all of which are linked to the literature. Those terms are:
Theory = a basis or ground on which practitioners make decisions; whatever self-conscious, widely available rationale informs their decision-making processes
Health Care Worker= I mean this as a broad term of any persons that is working or volunteering in a health care setting.
Influenza Vaccine = This term is very specific to the Influenza or "flu" vaccine.
Required = This term can be taken in a specific or broad way, but it is to help me find the research that talks about the risks and benefits with requiring a health care worker to get the Influenza Vaccine.


What is your hierarchy of evidence? And how do I know you going about finding the most appropriate evidence/method for your research question?
I feel that the below hierarchy of evidence would be the best order for finding the most appropriate research and question, with some of the types of evidence being equally important. The fact of requiring an immunization to work somewhere would be a policy, so that is first, but then would follow with practice, theory, and expert opinion because they are all needed in order to really dive in deeper with the articles and evidence that I find.
Policy
Practice
Theory
Expert Opinion
Studies about the risks vs. benefits of the requiring the Influenza vaccine


How do I know that the remit of the method itself is selecting the research, rather than just you on a whim? + 1 thing you found interesting + how you imagine using the source
Article #1 =
Anikeeva, O., Braunack-Mayer, A., & Rogers, W. (2009). Requiring Influenza Vaccination for Health Care Workers. American Journal of Public Health,99(1), 24-29. doi:10.2105/ajph.2008.136440

This Article is about the potential benefits for workers, patients, and their families if it was required for health care workers to recieve the Influenza Vaccination. It was published by the American Public Health Association.Below is a picture of the first bit of this journal article which I believe is a great start in providing me with the information I need to answer my research question.


Article #2 =
Leask, J., Helms, C. M., Chow, M. Y., Robbins, S. C., & Mcintyre, P. B. (2010). Making influenza vaccination mandatory for health care workers: the views of NSW Health administrators and clinical leaders. New South Wales Public Health Bulletin, 21(10), 243. doi:10.1071/nb10042

I also found this article to be significant in my research about requiring vaccinations for health care workers. It comes from PubMed and is mostly a theory based article that talks about the challenges that would come with requiring the influenza vaccination in healthcare workers worldwide. This particular screenshot is interesting to me because it begins to talk about incentivs which I had not thought about before.


Article #3 =
Buynder, P. V., Konrad, S., Kersteins, F., Preston, E., Brown, P., Keen, D., & Murray, N. (2015). Healthcare worker influenza immunization vaccinate or mask policy: Strategies for cost effective implementation and subsequent reductions in staff absenteeism due to illness. Vaccine, 33(13), 1625-1628. doi:10.1016/j.vaccine.2015.01.048

This article is directly related to my project, requiring the Influenza vaccine for health care workers or letting it be a personal choice and having reserve factors related to health or disability issues. It is related because it directly looks at strategies and effective implementation of requiring the vaccine. It also looks at ways to reduce the number of health care workers that do not get the influenza vaccine.I find it interesting that the below picture shows that the incentives for the Influenza vaccine really did work because of those that got it the number of flu sick hours was significantly reduced.


Article #4 =
Scatigna, M., Fabiani, L., Micolucci, G., Santilli, F., Mormile, P., & Giuliani, A. R. (2016). Attitudinal variables and a possible mediating mechanism for vaccination practice in health care workers of a local hospital in L'Aquila (Italy). Human Vaccines & Immunotherapeutics, 13(1), 198-205. doi:10.1080/21645515.2016.1225638

This article directly relates to my project because it is looking at more ways to get all health care workers in a local hospital vaccinated. This is the basis for my project and it is seen to be done through incentives.

Article #5 =
Maltezou, H., & Poland, G. (2016). Immunization of Health-Care Providers: Necessity and Public Health Policies. Healthcare, 4(3), 47. doi:10.3390/healthcare4030047

This article talks about the immunization of health care workers being necessary and actual public health care policy. That is why this is a policy article but also observational study. It also includes a bit of expert opinion. All of these are exactly what I am looking for in my hierarchy of evidence, so this is the perfect article for research for my project.

Anything else interesting happen?
Nothing else really interesting happened this week.

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