{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:03:36Z","timestamp":1740179016316,"version":"3.37.3"},"reference-count":23,"publisher":"Springer Publishing Company","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>Background: Adults with diabetes are at increased susceptibility to infectious disease because of hyperglycemia, poor glucose control, and decreased immunity. Diabetes is the seventh leading cause of death in Texas and the United States. Objective: The purpose of this evidence-based quality improvement project was to implement processes to facilitate providers\u2019 adherence to immunization guidelines for adults with type 2 diabetes mellitus. Method: A protocol was created for a family practice clinic using the Four Pillars Transformation Program. Interventions included immunization standing orders, vaccine needs screening, patient education, electronic medical record alerts, an appointed immunization champion, and quality improvement meetings. Results: Ten weeks post project implementation, the increased screening and education resulted in 64% of the eligible patients being vaccinated with pneumococcal polysaccharide vaccine 23, 86% pneumococcal conjugate vaccine, 89% tetanus, and 54% herpes zoster. Conclusions: The results indicate that formal printed education on diabetes and vaccines increased vaccine uptake in eligible patients by 76%. Implications for Nursing: The Four Pillars Transformation Program allows each practice the ability to modify and select interventions best suited to the practice needs, making it a feasible tool for any clinic.<\/jats:p>","DOI":"10.1891\/2380-9418.11.2.151","type":"journal-article","created":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T15:05:37Z","timestamp":1540566337000},"page":"151-159","source":"Crossref","is-referenced-by-count":1,"title":["Improving Vaccination Rates in Adults With Type 2 Diabetes in a Family Practice Setting Through the Use of Evidence-Based Interventions"],"prefix":"10.1891","volume":"11","author":[{"given":"Ronda Perrin","family":"Gottlieb","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Dowling","family":"Dols","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2018,10,1]]},"reference":[{"key":"2019091710540165000_11.2.151.1","doi-asserted-by":"publisher","DOI":"10.2337\/diaclin.33.3.116"},{"issue":"1","key":"2019091710540165000_11.2.151.2","first-page":"57","article-title":"[Herpes zoster incidence in diabetic patients]","volume":"36","year":"2013","journal-title":"Anales del Sistema Sanitario de Navarra"},{"key":"2019091710540165000_11.2.151.3","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-S001"},{"issue":"1","key":"2019091710540165000_11.2.151.4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/dmrr.2681","article-title":"Evidence of non-linearity in the association of glycemic control with influenza\/pneumonia mortality: A study of 19 000 adults from the US general population","volume":"32","year":"2016","journal-title":"Diabetes\/Metabolism Research and Reviews"},{"issue":"Suppl 1","key":"2019091710540165000_11.2.151.5","first-page":"S27","article-title":"Infections in patients with diabetes mellitus: A review of pathogenesis","volume":"16","year":"2012","journal-title":"Indian journal of endocrinology and metabolism"},{"key":"2019091710540165000_11.2.151.6","unstructured":"Centers for Disease Control and Prevention. (2015a). Healthcare provider office information. https:\/\/www.cdc.gov\/vaccines\/hcp\/adults\/downloads\/patient-intake-form.pdf."},{"key":"2019091710540165000_11.2.151.7","unstructured":"Centers for Disease Control and Prevention. (2015b). What you need to know about diabetes and adult vaccines. Retrieved from https:\/\/www.cdc.gov\/vaccines\/hcp\/adults\/downloads\/fs-diabetes-vaccines.pdf"},{"key":"2019091710540165000_11.2.151.8","unstructured":"Centers for Disease Control and Prevention. (2016a). What everyone should know about shingles vaccine. Retrieved from https:\/\/www.cdc.gov\/vaccines\/vpd\/shingles\/public\/index.html"},{"key":"2019091710540165000_11.2.151.9","unstructured":"Centers for Disease Control and Prevention. (2016b). Tetanus vaccination. Retrieved from https:\/\/www.cdc.gov\/vaccines\/vpd\/tetanus\/index.html"},{"key":"2019091710540165000_11.2.151.10","unstructured":"Centers for Disease Control and Prevention. (2017). National diabetes statistics report: Estimates of diabetes and its burden in the United States. Retrieved from https:\/\/www.cdc.gov\/diabetes\/pdfs\/data\/statistics\/national-diabetes-statistics-report.pdf"},{"key":"2019091710540165000_11.2.151.11","unstructured":"Hammer, G. D. , & McPhee, S. J. (2014). Pathophysiology of disease: An introduction to clinical medicine (7th. ed.). 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