tetano
Editor, Senior Moderator
Infect Control Hosp Epidemiol
. 2023 May 5;1-10.
doi: 10.1017/ice.2023.87. Online ahead of print. Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021-January 2022
Hannah E Reses[SUP] 1 [/SUP], Minn Soe[SUP] 1 [/SUP], Heather Dubendris[SUP] 1 2 [/SUP], George Segovia[SUP] 1 [/SUP], Emily Wong[SUP] 1 [/SUP], Shanjeeda Shafi[SUP] 1 3 [/SUP], Elizabeth J Kalayil[SUP] 1 2 [/SUP], Meng Lu[SUP] 1 [/SUP], Suparna Bagchi[SUP] 1 [/SUP], Jonathan R Edwards[SUP] 1 [/SUP], Andrea L Benin[SUP] 1 [/SUP], Jeneita M Bell[SUP] 1 [/SUP]
Affiliations
Objective: To examine temporal changes in coverage with a complete primary series of coronavirus disease 2019 (COVID-19) vaccination and staffing shortages among healthcare personnel (HCP) working in nursing homes in the United States before, during, and after the implementation of jurisdiction-based COVID-19 vaccination mandates for HCP.
Sample and setting: HCP in nursing homes from 15 US jurisdictions.
Design: We analyzed weekly COVID-19 vaccination data reported to the Centers for Disease Control and Prevention's National Healthcare Safety Network from June 7, 2021, through January 2, 2022. We assessed 3 periods (preintervention, intervention, and postintervention) based on the announcement of vaccination mandates for HCP in 15 jurisdictions. We used interrupted time-series models to estimate the weekly percentage change in vaccination with complete primary series and the odds of reporting a staffing shortage for each period.
Results: Complete primary series vaccination among HCP increased from 66.7% at baseline to 94.3% at the end of the study period and increased at the fastest rate during the intervention period for 12 of 15 jurisdictions. The odds of reporting a staffing shortage were lowest after the intervention.
Conclusions: These findings demonstrate that COVID-19 vaccination mandates may be an effective strategy for improving HCP vaccination coverage in nursing homes without exacerbating staffing shortages. These data suggest that mandates can be considered to improve COVID-19 coverage among HCP in nursing homes to protect both HCP and vulnerable nursing home residents.
. 2023 May 5;1-10.
doi: 10.1017/ice.2023.87. Online ahead of print. Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021-January 2022
Hannah E Reses[SUP] 1 [/SUP], Minn Soe[SUP] 1 [/SUP], Heather Dubendris[SUP] 1 2 [/SUP], George Segovia[SUP] 1 [/SUP], Emily Wong[SUP] 1 [/SUP], Shanjeeda Shafi[SUP] 1 3 [/SUP], Elizabeth J Kalayil[SUP] 1 2 [/SUP], Meng Lu[SUP] 1 [/SUP], Suparna Bagchi[SUP] 1 [/SUP], Jonathan R Edwards[SUP] 1 [/SUP], Andrea L Benin[SUP] 1 [/SUP], Jeneita M Bell[SUP] 1 [/SUP]
Affiliations
- PMID: 37144294
- DOI: 10.1017/ice.2023.87
Objective: To examine temporal changes in coverage with a complete primary series of coronavirus disease 2019 (COVID-19) vaccination and staffing shortages among healthcare personnel (HCP) working in nursing homes in the United States before, during, and after the implementation of jurisdiction-based COVID-19 vaccination mandates for HCP.
Sample and setting: HCP in nursing homes from 15 US jurisdictions.
Design: We analyzed weekly COVID-19 vaccination data reported to the Centers for Disease Control and Prevention's National Healthcare Safety Network from June 7, 2021, through January 2, 2022. We assessed 3 periods (preintervention, intervention, and postintervention) based on the announcement of vaccination mandates for HCP in 15 jurisdictions. We used interrupted time-series models to estimate the weekly percentage change in vaccination with complete primary series and the odds of reporting a staffing shortage for each period.
Results: Complete primary series vaccination among HCP increased from 66.7% at baseline to 94.3% at the end of the study period and increased at the fastest rate during the intervention period for 12 of 15 jurisdictions. The odds of reporting a staffing shortage were lowest after the intervention.
Conclusions: These findings demonstrate that COVID-19 vaccination mandates may be an effective strategy for improving HCP vaccination coverage in nursing homes without exacerbating staffing shortages. These data suggest that mandates can be considered to improve COVID-19 coverage among HCP in nursing homes to protect both HCP and vulnerable nursing home residents.