Healthcare Hygiene magazine October 2021 October 2021 | Page 44

vaccination may be coming soon . In the meantime , public accountability can provide the urgency to align stakeholders and overcome logistical barriers . Though a small proportion of unvaccinated HCP may be firm in their decision , a much larger group are likely unsure and waiting for more information . Town halls , education seminars , and Q & As can be helpful but rarely occur at a time when they can be accessed by night-shift workers . We suspect that regardless of what health systems are currently doing to get their HCP vaccinated , they could probably be doing more . Sharing data can also help to normalize vaccination among hesitant HCP . Finding out that a high proportion of your coworkers have been vaccinated may be compelling if the vaccination rate among your immediate peer group is much lower . In hospitals with relatively low vaccination coverage , higher coverage at a nearby institution may send a signal to staff and leadership that they have fallen behind .”
They add , “ COVID-19 vaccination has been framed as a personal choice . In light of this , healthcare facilities may be reluctant to report data that they perceive are beyond their scope or reflecting the private health information of their employees . However , the choice to abstain from vaccination affects public health and patient safety . Coworkers and patients bear the consequences alongside the unvaccinated individual . Thus , improving vaccination coverage is ultimately the responsibility of the healthcare facility . We recognize that public reporting of COVID-19 vaccination coverage among HCP may present challenges , and most healthcare facilities will prefer to wait and see if reporting becomes mandatory . However , we strongly encourage healthcare facilities to report their vaccination rates voluntarily before they are required to do so . Facilities with high vaccination rates should publicize their numbers . Patients at those facilities will feel reassured , and competitors will feel pressured . Hopefully , more HCP will get vaccinated , keeping themselves , their communities , their colleagues , and their patients safer .”
References :
Al-Arshani S . Some nurses are choosing to get fired rather than get vaccinated . Business Insider . Sept . 3 , 2021 .
Associated Press . NY preps for staff shortages with health care vaccine mandate . Sept . 25 , 2021 . Accessible at : NY preps for staff shortages with health care vaccine mandate | Fox Business
American Hospital Association . AHA Policy Statement on Mandatory COVID-19 Vaccination of Health Care Personnel . July 21 , 2021 . https :// www . aha . org / public-comments / 2021-07-21-aha-policy-statement-mandatory-covid-19- vaccination-health-care
American Nurses Association . Letter to U . S . Department of Health and Human Services ( HHS ) secretary Xavier Becerra . Sept . 1 , 2021 . https :// www . nursingworld . org /~ 4a49e2 / globalassets / rss-assets / analettertohhs _ staffingconcerns _ final-2021-09-01 . pdf
Beekmann SE , Babcock HM , et al . COVID-19 Vaccination Preparedness Policies in U . S . Hospitals . Infect Control Hosp Epidemiol . April 19 , 2021 . DOI : https :// doi . org / 10.1017 / ice . 2021.181
Biswas N , et al . The Nature and Extent of COVID-19 Vaccination Hesitancy in Healthcare Workers . J Comm Health . April 20 , 2021 .
Boone BC , Johnson RT , et al . Use of a comprehensive program to review religious and personal seasonal influenza vaccination exemption requests by healthcare personnel . Infect Control Hosp Epidemiol . Oct . 29 , 2020 .
Centers for Disease Control and Prevention ( CDC ). Workplace Vaccination Program . Updated March 25 , 2021 . https :// www . cdc . gov / coronavirus / 2019-ncov /
Policymakers should navigate how to make the best decision for HCP and patients alike from appropriate social , cultural and political perspectives .” vaccines / recommendations / essentialworker / workplacevaccination-program . html
Cornell University expert pitch via Newswise . Vaccine mandate may usher in unpredictable staffing shortages . Sept . 29 , 2021 .
Dougherty MB . Pandemic Paradox for Biden . National Review . Sept . 13 , 2021 .
Emanuel EJ and Skorton DJ . Mandating COVID-19 Vaccinations for Health Care Workers . Ann Intern Med . Published online July 30 , 2021 . https :// doi . org / 10.7326 / M21-3150
Flynn M . Get the vaccine or get fired ? In Shenandoah Valley , some nurses choose termination . The Washington Post . Aug . 14 , 2021 .
Federation of American Hospitals . Press release : FAH Leader Refutes NNU Accusations . Aug . 27 , 2021 .
Food and Drug Administration ( FDA ). Emergency Use Authorization for Vaccines Explained .
Food and Drug Administration . FDA Approves First COVID-19 Vaccine ; Approval Signifies Key Achievement for Public Health . Aug . 23 , 2021 .
Fossen MC , Bethany MD , et al . Letter to the Editor : Who ’ s vaccinated ? A closer look at healthcare workers ’ coronavirus disease 2019 ( COVID-19 ) COVID-19 vaccine hesitancy and demographics . Infect Control Hosp Epidemiol . ( 2021 ), 1 – 2 . doi : 10.1017 / ice . 2021.192
Geraghty J . Hospital Chain Won ’ t Require Employees Who Had COVID-19 to Get Vaccinated . National Review . Sept . 13 , 2021 .
Greiss L . St . Luke ’ s and LVHN employees who caught COVID-19 to defer getting the vaccine , other employers may follow . The Morning Call . Sept . 14 , 2021 .
Gur-Arie R , et al . No Jab , No Job ? Ethical Issues in Mandatory COVID-19 Vaccination of Healthcare Personnel . BMJ Global Health . Vol . 6 , No . 2 . Feb . 17 , 2021 . http :// dx . doi . org / 10.1136 / bmjgh-2020-004877
Habib MH and Penan H . Mandatory COVID-19 Vaccination for Healthcare Workers : A Medical , Ethical and Legal Overview for Healthcare Systems and Employers . The Health Lawyer . April 2021
Johns Hopkins University Carey Business School expert pitch via Newswise . Looking at the Legal Ins and Outs of Vaccine Mandates . Sept . 14 , 2021 .
Kang M , et al . ( 2021 ). Influenza vaccination among healthcare personnel during the coronavirus disease 2019 ( COVID-19 ) pandemic . Infect Control Hosp Epidemiol . https :// doi . org / 10.1017 / ice . 2021.263
Koons C and Court E . Nurses Who Won ’ t Vax Threaten Staffing Shortages . Bloomberg Businessweek . Aug . 26 , 2021 .
Lazarus JV , et al . A global survey of potential acceptance of a COVID-19 vaccine . Nature Medicine . Vol . 27 . Pp 225-228 . Oct . 20 , 2020 .
Lyons BJ . Hospitals and health care facilities face looming staffing crisis as many workers refuse vaccination . Times Union . Sept . 2021 .
Muoio D . How many employees have hospitals lost to vaccine mandates ? Here are the numbers so far . Fierce Healthcare . Sept . 23 , 2021 . https :// www . fiercehealthcare . com / hospitals / how-many-employees-have-hospitals-lost-to-vaccinemandates-numbers-so-far
National Nurses United . Press release : National Nurses United sets the record straight on nurse staffing . Aug . 26 , 2021 .
National Nurses United . Statement on Biden ’ s comprehensive Covid strategy Sept . 9 , 2021 .
Roy B , et al . Health Care Workers ’ Reluctance to Take the Covid-19 Vaccine : A Consumer-Marketing Approach to Identifying and Overcoming Hesitancy . NEJM Catalyst Dec . 29 , 2020 .
Sallam , M . ( 2021 ). COVID-19 Vaccine hesitancy worldwide : A concise systematic review of vaccine acceptance rates . Vaccines , 9 ( 2 ), 160 . https :// doi . org / 10.3390 / vaccines9020160
Talbot TR . COVID-19 Vaccination of Health Care Personnel as a Condition of Employment : A Logical Addition to Institutional Safety Programs . JAMA . 2021 ; 326 ( 1 ): 23-24 . doi : 10.1001 / jama . 2021.8901
Talbot TR , Schimmel R , et al . Expanding mandatory healthcare personnel immunization beyond influenza : Impact of a broad immunization program with enhanced accountability . Infect Control Hosp Epidemiol . Nov . 10 , 2020
Weber D , Al-Tawfiq J , Babcock H , et al . ( 2021 ). Multisociety Statement on COVID-19 Vaccination as a Condition of Employment for Healthcare Personnel . Infection Control & Hospital Epidemiology , 1-46 . doi : 10.1017 / ice . 2021.322
Weber L and Kaiser Health News . Some hospitals are foregoing vaccine mandates to avert staffing shortages . Fortune . Aug . 30 , 2021 .
Yang J , Babcock H and Baghdadi J . Healthcare Facilities Should Publicly Report the COVID-19 Vaccination Coverage of Healthcare Personnel . Infect Control Hosp Epidemiol . 2021 Jul 13 ; 1-6 . doi : 10.1017 / ice . 2021.319 .
44 october 2021 • www . healthcarehygienemagazine . com