Immunization training for pharmacy students: a student-centered evaluation

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Students, Pharmacy, Schools, Pharmacy, Attitude, Immunization, Public Health, Pharmacists, Surveys and Questionnaires, Australia


Background: Persistent and emerging public health challenges mean Pharmacy students require training in immunization services. Curtin University, Australia, integrated blended-delivery immunization training into the final-year Bachelor of Pharmacy (Hons) and graduate-entry Master of Pharmacy curricula in 2019 and 2020, utilizing materials licenced from the Pharmaceutical Society of Australia.

Objective: This study evaluated changes in students’ attitude, confidence, self-perceived knowledge and self-perceived skills pre- and post-training delivered in 2020.

Methods: Pre- and post-training questionnaires featured 42 opinion statements grouped under headings ‘Attitudes’, ‘Confidence’, ‘Self-Perceived Knowledge’ and ‘Self-Perceived Skills’, and answered using five-point Likert scales (1 = strongly disagree to 5 = strongly agree). Completed pre- and post-training questionnaires were matched using respondent-generated codes. Data were subjected to descriptive and multivariate regression analysis to test pre-post changes and associations and changes in mean scores.  

Results: 128 (95.5%) and 132 (98.5%) students completed the pre- and post-training questionnaires, respectively. Immunization training resulted in significant (p<0.05) improvement in students’ mean Confidence score (3.33 vs 3.96), Self-Perceived Knowledge score (3.08 vs 4.47) and Self-Perceived Skills score (2.81 vs 4.55). Improvement in students’ mean Attitude score was also statistically significant (4.45 vs 4.61), yet more positively skewed pre-training. No significant pre-post differences were found between the Bachelor and Master students. Post-training, all respondents agreed that the training program increased their attitude, confidence, perceived knowledge and perceived skills, rating the training experience as either Excellent (91.6%) or Good (8.4%).

Conclusions: Immunization training integrated into final-year BPharm (Hons) and MPharm curricula improved Attitudes, Confidence, Self-Perceived Knowledge and Self-Perceived Skills, all key to further role development in public health. This method is recommended to other Pharmacy schools to determine the impact and acceptability of immunization training programs amongst students.


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1. World Health Organization. State of the world’s vaccines and immunization. (accessed May 9, 2021).
2. Government of Western Australia Department of Health. Western Australian immunisation strategy 2016-2020. (accessed May 9, 2021).
3. Steyer TE, Ragucci KR, Pearson WS, Mainous AG 3rd. The role of pharmacists in the delivery of influenza vaccinations. Vaccine. 2004;22(8):1001-1006.
4. Marty S. Vaccination: Pharmacy Board of Australia. (accessed May 9, 2021).
5. Government of Western Australia Department of Health. Structured administration and supply arrangement - administration of vaccines by pharmacists. (accessed May 9, 2021).
6. Hattingh HL, Sim TF, Parsons R, Czarniak P, Vickery A, Ayadurai S. Evaluation of the first pharmacist-administered vaccinations in Western Australia: a mixed-methods study. BMJ Open. 2016;6(9):e011948.
7. Government of Western Australia Department of Health. Pharmacist vaccination code, version 1 2014. (accessed May 9, 2021).
8. Nissen L. Australia’s first pharmacist immunisation pilot - who did pharmacists inject? In: Nissen L, ed.; Brisbane, Australia, APSA Conference; Dec 5-7, 2014.
9. Hunt G. Record numbers of Australians getting vaccinated against the flu 2019. (accessed May 9, 2021).
10. Ministers Department of Health. Australians urged to get vaccinated against the flu 2019. (accessed May 9, 2021).
11. Australian Government Department of Health. Australian immunisation register 2019. (accessed May 9, 2021).
12. Hunt G. Community pharmacy to join COVID-19 vaccination force. (accessed May 9, 2021).
13. Lee L, Peterson GM, Naunton M, Jackson S, Bushell M. Protecting the Herd: Why Pharmacists Matter in Mass Vaccination. Pharmacy (Basel). 2020;8(4):199.
14. Australian Government Department of Health. National immunisation education framework for health professionals 2018. (accessed May 9, 2021).
15. Australian Pharmacy Council. Standards for the accreditation of programs to support pharmacist administration of vaccines. (accessed May 9, 2021).
16. Hope D, Haywood A, Bernaitis N. Incorporating vaccine administration in pharmacy curriculum: preparing students for emerging roles. Aust J Pharm. 2014;95(6):60-63.
17. Carroll PR, Chen Y, Vicheth P, Webber P, Hanrahan JR. Evaluation of a vaccination training program for pharmacy graduands in Australia. Curr Pharm Teach Learn. 2020;12(7):850-857.
18. Bushell M, Frost J, Deeks L, Kosari S, Hussain Z, Naunton M. Evaluation of Vaccination Training in Pharmacy Curriculum: Preparing Students for Workforce Needs. Pharmacy (Basel). 2020;8(3):151.
19. Akala FO, Powers MF. Understanding the perceptions and attitudes of pharmacy students on administering adult vaccines. J Pharm Technol. 2005;21(5):254-257.
20. Luthin DR, King SR, Wensel TM, Rosser AN, Monk-Tutor MR. Relationship between pharmacy students’ knowledge about, attitudes toward, and intention to provide pharmacy-based immunization services. Curr Pharm Teach Learn. 2011;3(3):171-177.
21. Prescott WA Jr, Bernhardi C. Immunization Education in US Pharmacy Colleges and Schools. Am J Pharm Educ. 2019;83(5):6765.
22. Kubli K, McBane S, Hirsch JD, Lorentz S. Student pharmacists' perceptions of immunizations. Curr Pharm Teach Learn. 2017;9(3):479-485.
23. DiDonato KL, Ruehter VL, Odum LE, Brownfield AM, Lindsey CC. Assessing student confidence and understanding with the immunization process through implementation of an immunization protocol at a school of pharmacy. Curr Pharm Teach Learn. 2013;5(5):417-423.
24. Welch LH, Hughes LD, May DB, McEwen DW, Duke LJ. Evaluation of student confidence in influenza immunization administration using a multi-modal teaching approach. Curr Pharm Learn Teach. 2014;6(6):782-791.
25. Skoy ET, Eukel HN, Frenzel JE. Comparison of low- and higher-fidelity simulation to train and assess pharmacy students' injection technique. Am J Pharm Educ. 2013;77(2):33.
26. Marcum ZA, Maffeo CM, Kalsekar I. The impact of an immunization training certificate program on the perceived knowledge, skills and attitudes of pharmacy students toward pharmacy-based immunizations. Pharm Pract (Granada). 2010;8(2):103-108.
27. Pelly LP, Pierrynowski Macdougall DM, Halperin BA, et al. THE VAXED PROJECT: an assessment of immunization education in Canadian health professional programs. BMC Med Educ. 2010;10:86.
28. Bradburn NM, Sudman S, Wansik B. Asking questions: the definitive guide to questionnaire design. Hoboken, NJ: John Wiley & Sons; 2004.
29. Turner CJ, Ellis S, Giles J, et al. An introductory pharmacy practice experience emphasizing student-administered vaccinations. Am J Pharm Educ. 2007;71(1):3.
30. Abdel-Khalek AM. Introduction to the psychology of self-esteem. In: Holloway F, ed. Self-esteem. New York: Nova Science; 2016.
31. Donnellan MB, Trzesniewski KH, Robins RW. Measures of self-esteem. In: Boyle GJ, Saklofske DH, Matthew G, eds. Measures of personality and social psychological constructs. Amsterdam: Elsevier; 2015.
32. Australian Government Department of Health. Community pharmacy COVID-19 vaccine rollout from Phase 2A. (accessed May 9, 2021).