Wednesday 15 March 2017

Research Journal #3

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?
There were no real changes made between the last research journal and this one about my research question.


Five new sources directly relevant to my resarch + type of source + its relevance +one interesting fact.
Article #1 (data collection and analysis) =
Lei, Y., Pereira, J. A., Quach, S., Bettinger, J. A., Kwong, J. C., Corace, K., . . . Guay, M. (2015). Examining Perceptions about Mandatory Influenza Vaccination of Healthcare Workers through Online Comments on News Stories. Plos One, 10(6). doi:10.1371/journal.pone.0129993

I found this journal article in PubMed to be extremely interesting. It may be too unreliable for my actual research question; however, it does in fact set the premise for the perceptions that are out there on social media and other ways regarding what people think of having mandatory Influenza Vaccination for health care workers. All of the data was collected via British news sites and social media that contain the words "healthcare workers" and "mandatory influenza vaccinations/immunizations" or "mandatory flu shot and health care workers". These words are looking at exactly what my research question is directed towards. I would love to use this article like I said as a premise for the attitudes towards mandating Influenza vaccines in health care workers. The snap below shows how the journal article used data collection and expert analysis for their research and results.


Article #2 (Expert Opinion) =
Orenstein, W. A., Gellin, B. G., Buck, T., Jackson, L. A., Larussa, P. S., Mason, J. O., . . . Lewin, C. (2013). Strategies to Achieve the Healthy People 2020 Annual Influenza Vaccine Coverage Goal for Health-Care Personnel: Recommendations from the National Vaccine Advisory Committee. Public Health Reports, 128(1), 7-25. doi:10.1177/003335491312800103

This Article is evidence based on reliable expert opinion from the National Vaccine Advisory Committee. The ultimate goal in the eyes of the NVAC is to have a Healthy People 2020 coverage goal among health care personnel. One thing this article states in the very first sentence is that the flu, or Influenza is a huge public health issue. I always thought it was as well, but not many people consider the flue to be a huge public health issue. I also thought the death from Influenza statistic would also be a great addition to my resource and backup evidence for the fact that not having Influenza is in fact a public health issue. I also think that the recommendations of the NVAC to implement strategies in order to raise the rate of vaccines in health care workers is a good idea to consider for implementation in my results.


Article #3 (Expert Opinion) =
Cortes-Penfield, N. (2014). Mandatory Influenza Vaccination for Health Care Workers as the New Standard of Care: A Matter of Patient Safety and Nonmaleficent Practice. American Journal of Public Health, 104(11), 2060-2065. doi:10.2105/ajph.2013.301514

This article directly relates to my research project by looking at expert opinions on the mandatory influenza vaccination for health care workers as just a typical standard of care. The thing I would like to use most from this journal is the section about Health Care Worker Vaccination and Patient Health. This section talks about how the trials researched in this journal article have proven that the influenza vaccination of health care workers has reduced the number of deaths and diseases in patients. I also really enjoyed seeing the Safety and Burden of Influenza Vaccination section because it also explores the other side of the question, such as the risks of the vaccines, the burdens, and the possible adverse events that could go along with the vaccine. This is another great section that has a lot of take-a ways for my results and research.


Article #4 (Survey and Evaluation) =
Kim, H., Lindley, M. C., Dube, D., Kalayil, E. J., Paiva, K. A., & Raymond, P. (2015). Evaluation of the Impact of the 2012 Rhode Island Health Care Worker Influenza Vaccination Regulations. Journal of Public Health Management and Practice, 21(3). doi:10.1097/phh.0000000000000128

This article is directly related to my article because it examines a specific case where the impact of the 2012 Rhode Island Health Care Worker Influenza Vaccination Regulations were evaluated. I think this journal is important to my research because it is a specific case relating to my research question. I think that the methods of data collection and surveys were used in a good way so that the data that was collected is reliable. I also like that the journal included the facility’s policy on the Influenza vaccine. This is important so that an in-place policy could be examined for research as well.


Article #5 (Survey and Evaluation and Expert Opinion) =
Schmid, P., Rauber, D., Betsch, C., Lidolt, G., & Denker, M. (2017). Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016. Plos One, 12(1). doi:10.1371/journal.pone.0170550

This article is related to my research question because it examines the hesitancy in getting the Influenza vaccine which could provide reasons for the resistance against mandatory Influenza vaccines among health care workers. In the examination of hesitancy section there are several potential barriers proposed by researchers for why the Influenza vaccine may be resisted. These potential barriers are definitely something I would like to take away for my research in order to better examine why health care workers may not want to get the Influenza vaccine while working in a health care setting. I also would like to take away the goals section where the journal article talks about potential ways to remove the hesitancy against the Influenza vaccine for health care workers.

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