Successful implementation of process improvements by using Lean methods rely heavily on acceptance and uptake by staff; after an initial discussion and decision to apply Lean principles, kaizen sessions were held with staff on the work floor.
When we launched the programme in 2011, uptake from staff was slower than we had anticipated.
The objective of this study was to develop and implement a dedicated campaign to improve uptake of staff influenza annual vaccination at a large Australian health service.
While most institutions now have training for supervisors, Professor Chris Park, director of the graduate school, Lancaster University, says that the uptake among established staff is limited.
Tertiary education providers need to ensure that they are providing graduates with the necessary skills to understand and analyse LiDAR data, so that as cost becomes less of a barrier to uptake, lack of staff knowledge does not become the limiting factor.
This suggests that these components are likely to achieve the best uptake by clinical staff.
Addressing the failure of implementation is about changing strategies to support uptake among the staff that contact individuals.
Anecdotal reports from the intervention nurses indicated that the staff uptake was variable; some homes had excellent buy-in, whereas in others staff participation was less obvious.
Nurse practitioners became champions of the implementation of the Ottawa ankle rules, and among the junior medical staff uptake may have increased because the new request form gave a clear, evidence based framework for clinical assessment.
Whilst the evaluation showed increased vaccination uptake by HCW staff of the participating UMCs, it also showed that it was impossible to expose all HCWs to all intervention methods (which would be the best case scenario).
