title: Health care reform and influenza immunization.
abstract: Health care reform calls for the nursing profession, with a focus on disease prevention and health restoration, to innovate and create new models of care that are client-centric, evidence-based, and cost-effective. To do so, nurses must develop a fundamentally different paradigm and epistemology. New care models are required that focus on issues such as evidence-based prevention. Among the prevention foci for hospitals are hospital-acquired infections, including influenza, which kills 36,000 Americans annually. One crucial step in eliminating hospital-acquired influenza is to require influenza vaccination of all health care workers. This article challenges nursing leadership to seize opportunities to lead health care initiatives and encourage courageous innovative actions that depart from old paradigms; these actions must be based on scientific evidence, reduce costs, and promote patient safety and quality care and outcomes.
authors: University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
authors: Sharon
authors: S
authors: Tucker
authors: Gregory A
authors: GA
authors: Poland
mesh_terms: D003362:Cost-Benefit Analysis; D055318:Evidence-Based Nursing / Q000379:methods*; D018166:Health Care Reform; D006801:Humans; D017053:Infection Control / Q000379:methods*; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control*; D007251:Influenza, Human / Q000517:prevention & control*; D007857:Leadership; D009729:Nursing / Q000458:organization & administration*; D061214:Patient Safety; D018802:Patient-Centered Care / Q000379:methods*; D011787:Quality of Health Care; D014481:United States; D014611:Vaccination