A Vaccine Communication Training Intervention for Pediatric Inpatient Clinicians

Presumptively Initiating Vaccines and Optimizing Talk for Inpatients (PIVOT-IN): A Vaccine Communication Training Intervention for Pediatric Inpatient Clinicians

This study will examine a novel stakeholder-informed intervention to identify vaccine-eligible children and promote evidence-based clinician vaccine communication with families with the goal of increasing vaccine uptake during hospitalization.

This study aims to examine a novel stakeholder-informed intervention to improve routine vaccination of hospitalized children. Inpatient clinicians at Seattle Children's Hospital, including nurses, advanced practice providers, and physicians, will be trained using the 'Presumptively Initiating Vaccines and Optimizing Talk for Inpatients (PIVOT-IN)' curriculum. During this training, inpatient clinicians will learn, practice, and use a presumptive format to initiate their vaccine recommendations and motivational interviewing techniques in their vaccine conversations with hospitalized patients and families.

Specific aims are to (1) evaluate the impact of the intervention relative to baseline on routine vaccine administration to vaccine-eligible hospitalized children, and (2) to examine the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of the intervention using mixed methods.

Patient Inclusion Criteria:

• Hospitalized on medical or surgical unit (non-critical care) at Seattle Children's
• Age 0-17 years during hospitalization
• Eligible for vaccination during hospitalization

Patient Exclusion Criteria:

• Medical contraindication to vaccination
• Died during hospitalization
• Discharged from intensive care unit
• Discharged to hospice care

Clinician Inclusion Criteria:

• Nurse, physician, or advanced practice provider (APP)
• Cares for patients hospitalized on medical or surgical unit (non-critical care) at Seattle Children's
• Practices on general medicine, general surgery, pulmonology, or ENT service (physician, APP)

Clinician Exclusion Criteria:

• Works only night shifts or on short-term contract (i.e., travel nurse)
• Will complete residency training during intervention period