Effectiveness of the Validated Clinical Nursing Protocol for Vaccination Process Management

Abstract

Background: In Egypt, the routine training of the vaccinator nurses is not a part of ministry of health and population' continuous educational system. While, this system provides only short educational seminars for vaccinators, which are insufficiently control daily vaccinators' practice variation. Thus, the study aimed at providing a referenced protocol for vaccination process management after evaluating its effectiveness on the vaccinator nurses' knowledge and practices regarding obligatory childhood vaccination. Aim: This study aimed to evaluate the effectiveness of the validated clinical nursing protocol for vaccination process management. Method: A Quasi-experimental research design was utilized from the first of January 2020 to the end of December 2020 at Mansoura district primary health care facilities. Total sample size of 160 vaccinator nurses, as well as, 384 caregivers chosen by using convenient sampling technique. Data were collected.by using three tools; self-administrated vaccinator nurses' knowledge test; observation checklist for evaluating vaccinator nurses’ practice; and checklist to assess caregivers’ satisfaction related to the delivered vaccination services. Results: Mean scores for vaccinator nurses’ knowledge, and practice, as well as caregivers’ satisfaction post-protocol were significantly higher than the pre-protocol mean scores. A huge effect size of the vaccination protocol on the three targeted study outcomes was also observed. Conclusion: the validated vaccination protocol was fundamental in the skills’ acquisition of vaccinator nurses; variation reduction of vaccination practice; and enhancement of caregivers’ satisfaction. Recommendations: More in-service training and supportive supervision are requested for vaccinator nurses to effectively manage vaccination process. Furthermore, there is a need for including of a vaccination-training curriculum in health training institutions curriculums.