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  1. Article ; Online: Strategies and Interventions to Improve Healthcare Professionals' Well-Being and Reduce Burnout.

    Razai, Mohammad S / Kooner, Pavan / Majeed, Azeem

    Journal of primary care & community health

    2023  Volume 14, Page(s) 21501319231178641

    MeSH term(s) Humans ; Burnout, Professional/prevention & control ; Burnout, Psychological ; Health Personnel ; Delivery of Health Care
    Language English
    Publishing date 2023-05-26
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2550221-9
    ISSN 2150-1327 ; 2150-1319
    ISSN (online) 2150-1327
    ISSN 2150-1319
    DOI 10.1177/21501319231178641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Interventions to increase vaccination against COVID-19, influenza and pertussis during pregnancy: a systematic review and meta-analysis.

    Razai, Mohammad S / Mansour, Rania / Goldsmith, Lucy / Freeman, Samuel / Mason-Apps, Charlotte / Ravindran, Pahalavi / Kooner, Pavan / Berendes, Sima / Morris, Joan / Majeed, Azeem / Ussher, Michael / Hargreaves, Sally / Oakeshott, Pippa

    Journal of travel medicine

    2023  Volume 30, Issue 8

    Abstract: Background: Pregnant women and their babies face significant risks from three vaccine-preventable diseases: COVID-19, influenza and pertussis. However, despite these vaccines' proven safety and effectiveness, uptake during pregnancy remains low.: ... ...

    Abstract Background: Pregnant women and their babies face significant risks from three vaccine-preventable diseases: COVID-19, influenza and pertussis. However, despite these vaccines' proven safety and effectiveness, uptake during pregnancy remains low.
    Methods: We conducted a systematic review (PROSPERO CRD42023399488; January 2012-December 2022 following PRISMA guidelines) of interventions to increase COVID-19/influenza/pertussis vaccination in pregnancy. We searched nine databases, including grey literature. Two independent investigators extracted data; discrepancies were resolved by consensus. Meta-analyses were conducted using random-effects models to estimate pooled effect sizes. Heterogeneity was assessed using the I2 statistics.
    Results: From 2681 articles, we identified 39 relevant studies (n = 168 262 participants) across nine countries. Fifteen studies (39%) were randomized controlled trials (RCTs); the remainder were observational cohort, quality-improvement or cross-sectional studies. The quality of 18% (7/39) was strong. Pooled results of interventions to increase influenza vaccine uptake (18 effect estimates from 12 RCTs) showed the interventions were effective but had a small effect (risk ratio = 1.07, 95% CI 1.03, 1.13). However, pooled results of interventions to increase pertussis vaccine uptake (10 effect estimates from six RCTs) showed no clear benefit (risk ratio = 0.98, 95% CI 0.94, 1.03). There were no relevant RCTs for COVID-19. Interventions addressed the 'three Ps': patient-, provider- and policy-level strategies. At the patient level, clear recommendations from healthcare professionals backed by text reminders/written information were strongly associated with increased vaccine uptake, especially tailored face-to-face interventions, which addressed women's concerns, dispelled myths and highlighted benefits. Provider-level interventions included educating healthcare professionals about vaccines' safety and effectiveness and reminders to offer vaccinations routinely. Policy-level interventions included financial incentives, mandatory vaccination data fields in electronic health records and ensuring easy availability of vaccinations.
    Conclusions: Interventions had a small effect on increasing influenza vaccination. Training healthcare providers to promote vaccinations during pregnancy is crucial and could be enhanced by utilizing mobile health technologies.
    MeSH term(s) Pregnancy ; Female ; Humans ; Influenza, Human/prevention & control ; Influenza Vaccines ; Whooping Cough/prevention & control ; COVID-19/prevention & control ; Vaccination
    Chemical Substances Influenza Vaccines
    Language English
    Publishing date 2023-11-06
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1212504-0
    ISSN 1708-8305 ; 1195-1982
    ISSN (online) 1708-8305
    ISSN 1195-1982
    DOI 10.1093/jtm/taad138
    Database MEDical Literature Analysis and Retrieval System OnLINE

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