This paper discusses the process of vaccination through a role model of reflection, focusing on immunization coverage and its importance in reducing morbidity and mortality rates. It also highlights the implementation of a free vaccination campaign for the vulnerable population in Tasmania.
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Running head: IMMUNIZATION COVERAGE Name of the student: Name of the university: Author note:
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1 IMMUNIZATION COVERAGE Identified group and the place of the poster: Immunizationremainsoneof theimportantpublichealthconcernstoreducethe morbidity rate and mortality rate in Australia (Oyo‐Itaet al. 2016). Australian government department of health suggested that due to the prevalence of high infectious measles and other communicable, the need of the immunization converge to become a primary need of vaccination in order to reduce the burden of communicable disease (Lucidarmeet al. 2016). More than 1200 cases in hospital identified the prevalence of vaccine prevented disease and it also increases the infant deaths. A free vaccination campaign was designed the hospitalization and deaths in especially vulnerable population such 15 to 21 years of aboriginal individuals in a community care setting, Tasmania (Antwiet al. 2017). This paper will illustrate the process of vaccination through a role model of reflection. Rolf reflection model: Reflective model of Rolf is designed by Nicole Brown and considered as one of the simplest models of reflection in nursing practice. The model is based on the three questions where the first stage is description of the experience that was analyzed in order to move forward with the learning. So what defined as the steps that would be taken for improving the practice and learning in the initial experience and now what defined as the action plan which would be done for reducing the issue and improve practice (Hoefer, and Green2016). The framework of the Rolf model is the following:
2 IMMUNIZATION COVERAGE What: The main issue in this scenario is that the prevalence of meningococcal disease become predominate in the last year because of the sudden regional outbreak in Tasmania and the infection is still prevalent in those are. Neisseria meningitis infection is a infection of the fluid that covers the spinal cord and brain affected a considerate number of individuals between 15 to 21 years. My role in this case scenario is a general practitioner in the aboriginal health. According to Soeters et al. (2017), it is a life-threatening disease which contributed to the global burden of disease. Therefore, a free vaccination program instigated the middle of 2018 by public health in order to prevent the disease. For accomplishing this project, a poster was designed for raising awareness of meningococcal disease and free vaccination campaign for the target group. The session of was conducted weekly through communicating and collaboratingwith another general practitioner of aboriginal health community care where the poster was made by few volunteers and other volutes helped in delivering this script as an educational tool for the aboriginal individuals in Tasmania. The script was evidence-based which included the statistics of the aboriginal population Tasmania, the risk factor of the meningococcal disease and affect the disease on population and initiatives, a way of reducing the effect of the outbreak in Tasmania. The script-based poster was delivered to everyone who seeks clinical help from community care as well as households who were at higher risk of developing disease through effective communication. So what: The main purpose of the project is to promote the free meningococcal vaccinations to spar the herd immunity 15 to 21 years amongst the aboriginal population in Tasmania.Herd immunity is a form of indirect protection from the contagious disease within the aboriginal
3 IMMUNIZATION COVERAGE population through vaccination (Thannickalet al. 2018).The identified causal factor for the regional outbreak was the exposure to the smoking and secretion of nose and throat. The majority of the children and adolescents reported the symptoms such as leg pain, cold hands, rashes in the skin, neck stiffness, severe muscle ache and severe throat infection difficulty in swelling. The frequency of these symptoms was frequently increased and ultimately it was identifiedasaregionaloutbreak.Therefore,theprojectwasdesignedtopromotefree vaccination in order to spread the herd immunity. The targeted group was 15 to 21 years old. Theoutcomeoftheprojectwouldthespreadoftheherdimmunitythrough meningococcal vaccines in the community. Moreover, after receiving this script based poster, majority of the individual would gain knowledge of the meningococcal disease and take preventive measures for reducing risk factors. It would also assist the aboriginal propulsion to communicate with the practitioner and reveal their concern to practitioners so that practitioners can address the issue and able to give vaccination. It would empower patients and boost self- confidence and breach the communication as well as a clinical barrier. Now what: During the promotion of the immunization coverage, I gained huge knowledge and developed skills which I would use in my future practice. During the process of the project, I conducted thorough research for gaining knowledge of the meningococcal disease and tried to identify the risk factor o the regional outbreak with the collaboration of other members of the group.Therefore, I gained knowledge of evidence-based practice for curing a meningococcal disease which I would use in my future practice while giving care. The delivery of the script, I got the opportunity to comm8niacte with other individuals and collaborate with them that enhance my collaborative and interpersonal skills. During the project, I got the opportunity to
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4 IMMUNIZATION COVERAGE communicate with the individuals of aboriginal and gained knowledge of the barriers that hinder them to utilize the medical services. I also gained knowledge about their psychological wellbeing and ability to offer warmth while talking to them. It enhances my skills of providing warmth and empathy while talking to them. After the projective, I gained knowledge of their cultural beliefs and values which influence their decision making. This acquired knowledge and skills I will use in my future practice while I will provide culturally sensitive care to the aboriginal patient. I will engage them in the therapeutic communication before addressing their issues through narration and I will incorporate the cultural values and beliefs while providing them care.It will help to achieve a positive patient outcome, patient affection and effectively reduce the prevalence of disease.
5 IMMUNIZATION COVERAGE References : Antwi, E., Groenwold, R.H., Browne, J.L., Franx, A., Agyepong, I.A., Koram, K.A., Klipstein- Grobusch, K. and Grobbee, D.E., 2017. Development and validation of a prediction model for gestational hypertension in a Ghanaian cohort.BMJ open,7(1), p.e012670. Hoefer, R.L. and Green Jr, S.E., 2016. A rhetorical model of institutional decision making: The role of rhetoric in the formation and change of legitimacy judgments.Academy of Management Review,41(1), pp.130-150. Lucidarme, J., Scott, K.J., Ure, R., Smith, A., Lindsay, D., Stenmark, B., Jacobsson, S., Fredlund, H., Cameron, J.C., Smith-Palmer, A. and McMenamin, J., 2016. An international invasive meningococcal disease outbreak due to a novel and rapidly expanding serogroup W strain, Scotland and Sweden, July to August 2015.Eurosurveillance,21(45). Oliver, S.E. and Mbaeyi, S.A., 2018. A Review of Global Epidemiology and Response to Meningococcal Disease Outbreaks among Men Who Have Sex with Men, 2001–2018.Current Epidemiology Reports,5(4), pp.321-330. Oyo‐Ita, A., Wiysonge, C.S., Oringanje, C., Nwachukwu, C.E., Oduwole, O. and Meremikwu, M.M., 2016. Interventions for improving coverage of childhood immunisation in low‐and middle‐income countries.Cochrane Database of Systematic Reviews, (7). Soeters, H.M., Whaley, M., Alexander-Scott, N., Kanadanian, K.V., MacNeil, J.R., Martin, S.W., McNamara, L.A., Sicard, K., Vanner, C., Vuong, J. and Wang, X., 2017. Meningococcal carriage evaluation in response to a serogroup B meningococcal disease outbreak and mass vaccinationcampaignatacollege—RhodeIsland,2015–2016.ClinicalInfectious Diseases,64(8), pp.1115-1122.
6 IMMUNIZATION COVERAGE Thannickal, T.C., John, J., Shan, L., Swaab, D.F., Wu, M.F., Ramanathan, L., McGregor, R., Chew, K.T., Cornford, M., Yamanaka, A. and Inutsuka, A., 2018. Opiates increase the number of hypocretin-producing cells in human and mouse brain and reverse cataplexy in a mouse model of narcolepsy.Science translational medicine,10(447), p.eaao4953.