READINESS FOR ENHANCED
A pattern of conforming to local, national, and/or international stan-
dards of immunization to prevent infectious disease(s) that is sufﬁcient
to protect a person, family, or community and can be strengthened
Expresses desire to enhance
• Behavior to prevent infectious disease.
• Identiﬁcation of possible problems associated with immunizations.
• Identiﬁcation of providers of immunizations.
• Immunization status.
• Knowledge of immunization standards.
• Record keeping of immunizations.
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Healthcare system
The patient will
• Express knowledge of health-seeking behaviors necessary to partic-
ipate in immunization.
• Demonstrate adherence behavior to standard recommended immu-
• Develop an ongoing plan for maintaining records of
SUGGESTED NOC OUTCOMES
Community Health Status: Immunity; Community Risk Control:
Communicable Disease; Immunization Behavior; Knowledge:
INTERVENTIONS AND RATIONALES
Determine: Assess patient’s prior participation in immunization pro-
gram. Determine patient’s perception of the need for the prevention
of infectious diseases and responsibility for controlling the spread
of communicable disease. Assess patient’s attitude toward health-
seeking behavior that leads to immunization and knowledge of
infection control through immunization for communicable disease.
Assessment factors help in determining appropriate interventions.
Perform: Administer vaccines, as ordered, to ensure expected result
will occur. Implement a mechanism or device for record keeping
of immunizations to prevent gaps and overlaps in patient immuniza-
Inform: Help patient understand possible risks associated with immu-
nizations to assist patients identify reportable risks and
complications resulting from immunizations.
Attend: Encourage patients to have immunizations as close to due
dates as possible to ensure that protection from disease will be con-
sistent and continuous.
Listen attentively to what patient has to say about fear of vaccines.
Fear is often the factor that keeps people from being vaccinated.
Manage: Request for a case manager to make a home visit to help
prepare the family for the patient’s return to a safe environment.
Refer patient to community resources that may offer assistance to
the patient when needed.
Offer written information that can be referred to when needed.
Refer to home health nurse for a follow-up visit in the home.
SUGGESTED NIC INTERVENTIONS
Communicable Disease Management; Immunization/Vaccination
Management; Infection Control
Wiggs-Stayner, K. S., et al. (2006, August). The impact of mass school immu-
nization on school attendance. Journal of School Nursing, 22(4), 9–22.