ABSTRACT

While immunization practice guidelines for children have been applied within primary schools, little research exists about how immunization practice guidelines are applied within summer camp settings and barriers to policy implementation within those settings. To identify perceived barriers to effective immunization policy implementation in summer camps, data were collected from a purposeful sample of 925 unique summer camp representatives using the CampDoc.com online electronic health record system. Fifty-nine percent (n = 541) of the sample completed an open-ended question about immunization policy barriers, including directors (38%, n = 205), nurses (26%, n = 140), other (20%, n = 106), office staff (13%, n = 73), and physicians (3%, n = 17). Inductive analyses and coder triangulation were used to develop themes. Constructed themes included a lack of parental support for vaccination, difficulties collecting and verifying immunization documentation, variable immunization policy guidelines, immunization exemptions, and organizational focus on financial outcomes. In addition, one-fifth of responding camps perceive no barriers. Camp administrators should work with pediatricians to implement clear and consistent immunization policies emphasizing parent education and informed by local and state guidelines.

摘要

尽管在小学中已经应用了针对儿童的免疫实践指南，但关于如何在夏令营环境中应用免疫实践指南以及在这些环境中实施政策的障碍的研究很少。为了确定在夏令营中有效实施免疫政策的障碍，使用CampDoc.com在线电子健康记录系统从925个独特的夏令营代表的有针对性的样本中收集了数据。样本的59％（n = 541）完成了有关免疫政策障碍的开放式问题，包括董事（38％，n = 205），护士（26％，n = 140），其他（20％，n = 106），办公室工作人员（13％，n = 73）和医生（3％，n = 17）。归纳分析和编码器三角剖分用于开发主题。拟定的主题包括：父母对疫苗接种缺乏支持，难以收集和核实免疫文件，免疫政策政策可变，免疫豁免以及组织对财务成果的关注。此外，有五分之一的营地没有障碍。营地管理者应与儿科医生合作，实施清晰，一致的免疫政策，强调父母的教育，并接受地方和州指南的指导。