Workplace Interventions and Vaccination-Related Attitudes Associated With Influenza Vaccination Coverage Among Healthcare Personnel Working in Long-Term Care Facilities, 2015‒2016 Influenza Season

Abstract Influenza and pneumococcal vaccination rates among Hawaii long-term-care facilities (LTCFs) statewide during the 1996/97 through the 1998/99 influenza seasons revealed that resident influenza vaccination rates remained over 89%, but pneumococcal vaccination was underutilized. LTCF staff influenza vaccination rates over the same time period were low.

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First-Dose Coronavirus 2019 Vaccination Coverage among the Residents of Long-Term Care Facilities in France

Gerontology ◽

10.1159/000517793 ◽

2021 ◽

pp. 1-5

Author(s):

Joël Belmin ◽

Pierre Lutzler ◽

Patrick Hidoux ◽

Olivier Drunat ◽

Carmelo Lafuente-Lafuente ◽

...

Keyword(s):

End Of Life ◽

Vaccination Coverage ◽

Long Term Care ◽

Vaccination Campaign ◽

Coverage Rate ◽

Life Situation ◽

Term Care ◽

Care Facilities ◽

History Of

Background: Long-term care facilities (LTCFs) experienced severe burden from the Coronavirus 2019 (COVID-19), and vaccination against SARS-CoV-2 is a major issue for their residents. Objective: The objective of this study was to estimate the vaccination coverage rate among the residents of French LTCFs. Method: Participants and settings: 53 medical coordinators surveyed 73 LTCFs during the first-dose vaccination campaign using the BNT162b2 vaccine, conducted by health authorities in January and early February 2021. Measurements: in all the residents being in the LTCF at the beginning of the campaign, investigators recorded age, sex, history of clinical or asymptomatic COVID-19, serology for SARS-CoV-2 or severe allergy, current end-of-life situation, infectious or acute disease, refusal of vaccination by the resident or by the representative person of vaccine, and the final status, vaccinated or not. Results: Among the 4,808 residents, the average coverage rate for COVID-19 vaccination was 69%, and 46% of the LTCFs had a coverage rate <70%. Among unvaccinated residents, we observed more frequently a history of COVID-19 or a positive serology for SARS-CoV-2 (44.6 vs. 11.2% among vaccinated residents, p < 0.001), a history of severe allergy (3.7 vs. 0.1%, p < 0.001), end-of-life situation (4.9 vs. 0.3%, p < 0.001), current infectious or acute illness (19.6 vs. 0.3%, p < 0.001), and refusal of vaccination by residents or representative persons (38.9 vs. 0.4%, p < 0.001). Conclusions: About 3 out of 10 residents remained unvaccinated, and half of the LTCFs had a coverage rate <70%. This suggests that COVID-19 will remain a threat to many LTCFs after the vaccination campaigns.

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Utility of Healthcare System-Based Interventions in Improving the Uptake of Influenza Vaccination in Healthcare Workers at Long-Term Care Facilities: A Systematic Review

Vaccines ◽

10.3390/vaccines8020165 ◽

2020 ◽

Vol 8 (2) ◽

pp. 165 ◽

Cited By ~ 3

Author(s):

Angela Bechini ◽

Chiara Lorini ◽

Patrizio Zanobini ◽

Francesco Mandò Tacconi ◽

Sara Boccalini ◽

...

Keyword(s):

Systematic Review ◽

Healthcare System ◽

Vaccination Coverage ◽

Healthcare Workers ◽

Long Term Care ◽

The Elderly ◽

Term Care ◽

Vaccination Uptake ◽

Care Facilities

Healthcare workers (HCWs) in long-term care facilities (LTCFs) can represent a source of influenza infection for the elderly. While flu vaccination coverage (VC) is satisfactory in the elderly, HCWs are less likely to be vaccinated. There is no definitive evidence on which types of healthcare system-based interventions at LTCFs would be more useful in improving the vaccination uptake among HCWs. We performed a systematic review in different databases (Pubmed, Cochrane Database of Systematic Reviews, Health Evidence, Web of Science, Cinahl) to provide a synthesis of the available studies on this topic. Among the 1177 articles screened by their titles and abstracts, 27 were included in this review. Most of the studies reported multiple interventions addressed to improve access to vaccination, eliminate individual barriers, or introduce policy interventions. As expected, mandatory vaccinations seem to be the most useful intervention to increase the vaccination uptake in HCWs. However, our study suggests that better results in the vaccination uptake in HCWs were obtained by combining interventions in different areas. Educational campaigns alone could not have an impact on vaccination coverage. LTCFs represent an ideal setting to perform preventive multi-approach interventions for the epidemiological transition toward aging and chronicity.

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Health Behavior Associated With Influenza Vaccination Among Healthcare Workers in Long-Term-Care Facilities

Infection Control and Hospital Epidemiology ◽

10.1086/501980 ◽

2002 ◽

Vol 23 (10) ◽

pp. 609-614 ◽

Cited By ~ 53

Author(s):

D. G. Manuel ◽

B. Henry ◽

J. Hockin ◽

M. Naus

Keyword(s):

Health Behavior ◽

Focus Groups ◽

Influenza Vaccination ◽

Healthcare Workers ◽

Long Term Care ◽

Cross Sectional ◽

Term Care ◽

Staff Members ◽

Care Facilities

Objective:To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term–care facilities.Design:A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination.Setting:Two long-term–care facilities participated in the survey. The focus groups were held at one of the two facilities.Participants:All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401).Results:Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. This was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff.Conclusions:This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff “wellness” program, may improve the credibility of influenza immunization programs and coverage rates.(Infect Control Hosp Epidemiol 2002;23:609-614).

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Preventing Respiratory Viral Transmission in Long-Term Care: Knowledge, Attitudes, and Practices of Healthcare Personnel

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2017.232 ◽

2017 ◽

Vol 38 (12) ◽

pp. 1449-1456 ◽

Cited By ~ 3

Author(s):

Caroline A. O’Neil ◽

Lindsay Kim ◽

Mila M. Prill ◽

Nimalie D. Stone ◽

Shikha Garg ◽

...

Keyword(s):

Influenza Vaccine ◽

Influenza Vaccination ◽

Infection Prevention ◽

Long Term Care ◽

Healthcare Personnel ◽

Patient Contact ◽

Term Care ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

OBJECTIVETo examine knowledge and attitudes about influenza vaccination and infection prevention practices among healthcare personnel (HCP) in a long-term-care (LTC) setting.DESIGNKnowledge, attitudes, and practices (KAP) survey.SETTINGAn LTC facility in St Louis, Missouri.PARTICIPANTSAll HCP working at the LTC facility were eligible to participate, regardless of department or position. Of 170 full- and part-time HCP working at the facility, 73 completed the survey, a 42.9% response rate.RESULTSMost HCP agreed that respiratory viral infections were serious and that hand hygiene and face mask use were protective. However, only 46% could describe the correct transmission-based precautions for an influenza patient. Correctly answering infection prevention knowledge questions did not vary by years of experience but did vary for HCP with more direct patient contact versus less patient contact. Furthermore, 42% of respondents reported working while sick, and 56% reported that their coworkers did. In addition, 54% reported that facility policies made staying home while ill difficult. Some respondents expressed concerns about the safety (22%) and effectiveness (27%) of the influenza vaccine, and 28% of respondents stated that they would not get the influenza vaccine if it was not required.CONCLUSIONSThis survey of staff in an LTC facility identified several areas for policy improvement, particularly sick leave, as well as potential targets for interventions to improve infection prevention knowledge and to address HCP concerns about influenza vaccination to improve HCP vaccination rates in LTCs.Infect Control Hosp Epidemiol 2017;38:1449–1456

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Importance of Employee Vaccination against Influenza in Preventing Cases in Long-Term Care Facilities

Infection Control and Hospital Epidemiology ◽

10.1086/661916 ◽

2011 ◽

Vol 32 (10) ◽

pp. 990-997 ◽

Cited By ~ 18

Author(s):

Aaron M. Wendelboe ◽

Catherine Avery ◽

Bernardo Andrade ◽

Joan Baumbach ◽

Michael G. Landen

Keyword(s):

New Mexico ◽

Vaccination Coverage ◽

Long Term Care ◽

Direct Care ◽

Term Care ◽

Department Of Health ◽

Laboratory Confirmation ◽

Care Facilities ◽

Influenza Outbreaks

Objective.Employees of long-term care facilities (LTCFs) who have contact with residents should be vaccinated against influenza annually to reduce influenza incidence among residents. This investigation estimated the magnitude of the benefit of this recommendation.Methods.The New Mexico Department of Health implemented active surveillance in all of its 75 LTCFs during influenza seasons 2006-2007 and 2007-2008. Information about the number of laboratory-confirmed cases of influenza and the proportion vaccinated of both residents and direct-care employees in each facility was collected monthly. LTCFs reporting at least 1 case of influenza (defined alternately by laboratory confirmation or symptoms of influenza-like illness [ILI]) among residents were compared with LTCFs reporting no cases of influenza. Regression modeling was used to obtain adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for the association between employee vaccination coverage and the occurrence of influenza outbreaks. Covariates included vaccination coverage among residents, the staff-to-resident ratio, and the proportion of filled beds.Results.Seventeen influenza outbreaks were reported during this 2-year period of surveillance. Eleven of these were laboratory confirmed (n = 21 residents) and 6 were defined by ILI (n = 40 residents). Mean influenza vaccination coverage among direct-care employees was 51% in facilities reporting outbreaks and 60% in facilities not reporting outbreaks (P = .12). Increased vaccination coverage among direct-care employees was associated with fewer reported outbreaks of laboratory-confirmed influenza (aOR, 0.97 [95% CI, 0.95-0.99]) and ILI (aOR, 0.98 [95% CI, 0.96-1.00]).Conclusions.High vaccination coverage among direct-care employees helps to prevent influenza in LTCFs.

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Differing pattern of influenza vaccination uptake in nurses between clinical and long term care facilities setting, 2014–2018

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2018.07.009 ◽

2018 ◽

Vol 75 ◽

pp. 8-10 ◽

Cited By ~ 4

Author(s):

Ngai Sze Wong ◽

Sing Lee ◽

Shui Shan Lee

Keyword(s):

Influenza Vaccination ◽

Long Term Care ◽

Term Care ◽

Vaccination Uptake ◽

Care Facilities

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Epidemiology and Management of Seasonal Influenza Outbreaks in Long-Term Care Facilities in the Health Service Executive East Area of Ireland During the 2013-2014 Influenza Season

Journal of Immunization ◽

10.14302/issn.2577-137x.ji-16-1139 ◽

2017 ◽

Vol 1 (1) ◽

pp. 22-32 ◽

Cited By ~ 2

Author(s):

L. Oâ€™Connor ◽

H. Murphy ◽

E. Montague ◽

M. Boland

Keyword(s):

Public Health ◽

Seasonal Influenza ◽

Long Term Care ◽

Influenza Season ◽

Term Care ◽

Health Service Executive ◽

Outbreak Management ◽

Vaccination Rates ◽

Care Facilities

We describe seasonal influenza-like illness (ILI) outbreaks in long-term care facilities in the Health Service Executive (HSE) East area of Ireland in the 2013/2014 influenza season, risk factors associated with outbreak duration and attack rates, and management challenges. Separate questionnaires were distributed to 28 facilities who reported an outbreak and to public health specialists leading outbreak management, with a 79% response rate. Mean outbreak duration (21 vs 17 days; p=0.046) was longer in facilities with staff vaccination rates of <40%. Facilities with a high attack rate (â¥50%) were less likely to have an outbreak plan (p=0.03). Smaller facilities (under 50 residents) had a higher attack rate (50% vs 23%, p=0.003) even when controlled for staff vaccination rate (p=0.01). Prior to the outbreak, resident vaccination rates were high (82%, above the World Health Organization target of 75%) but staff vaccination rates were low (39%). Reported challenges to ILI outbreak management in long term care facilities included visitor restrictions, staff education issues, outbreak notification delays and lack of outbreak lead in facilities. Targeted public health-assisted planning, training and response, comprising of staff vaccination, education, written policies, with early notification and prompt response would facilitate a more co-ordinated approach to the management of outbreaks, and reduction in infection rates and consequent morbidity.

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