Improving influenza vaccination uptake among healthcare workers by on-site influenza vaccination campaign in a tertiary children hospital

Abstract Background Influenza vaccination uptake by Irish healthcare workers remains sub-optimal despite local initiatives to increase it. Aims To investigate hospital workers' attitudes to influenza vaccination and how this influenced their decisions about vaccination. Methods A questionnaire survey of Irish hospital workers, measuring uptake of and attitudes to influenza vaccination. Results There were 747 responders, of whom 361 (48%) reported having received influenza vaccination. Attitudes predicting vaccination uptake included a belief that vaccination would protect family members (P < 0.0005, CI 1.191–1.739), a perception of susceptibility to ’flu (P < 0.0005, CI 1.182–1.685), a belief that all healthcare workers should be vaccinated (P < 0.005, CI 1.153–1.783), perceived ease of getting ’flu vaccination at work (P < 0.0005, CI 1.851–2.842) and encouragement by line managers (P < 0.05, CI 1.018–1.400). Attitudes negatively associated with vaccination uptake included fear of needles (P < 0.05, CI 0.663–0.985) and a belief that vaccination would cause illness (P < 0.0005, CI 0.436–0.647). Medical staff were significantly more likely to be vaccinated. Healthcare students were least likely to be vaccinated (P < 0.0005). Conclusion Addressing specific barriers to influenza vaccination in healthcare workers may improve uptake.

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Promotion of the influenza vaccination to hospital staff during pre-employment health check: a prospective, randomised, controlled trial

Journal of Occupational Medicine and Toxicology ◽

10.1186/s12995-020-00285-w ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Michael Currat ◽

Catherine Lazor-Blanchet ◽

Giorgio Zanetti

Keyword(s):

Influenza Vaccine ◽

Influenza Vaccination ◽

Healthcare Workers ◽

Vaccination Campaign ◽

Intervention Group ◽

Vaccination Rate ◽

Health Check ◽

Control Group ◽

Vaccination Rates ◽

Newly Hired

Abstract Background Vaccination is the most effective prevention of seasonal influenza. Despite its recommendation and active promotion, vaccination coverage remains low among healthcare staff. The goal of the study was to test if a pre-employment health check is a good opportunity to promote future vaccination against influenza among healthcare workers newly hired by a university hospital. Methods All new hospital employees active at the bedside who underwent a pre-employment health check between the end of 2016’s influenza epidemic and the start of the next influenza vaccination campaign were randomly allocated to a control group or an intervention group. The intervention consisted of a semi-structured dialog and the release of an information leaflet about influenza and influenza vaccination during the check-up, and the shipment of a postcard reminder 2 weeks before the next vaccination campaign. Vaccination rates during the campaign were compared among the two groups. Results Three hundred fifty-seven employees were included. Vaccination rates were similar in both groups: 79/172 (46%) in the control and 92/185 (50%) in the intervention group. A significantly higher rate of vaccination was noted among physicians (70/117, 60%) than among other employees (101/240, 42%, p = 0.001). In a pre-defined exploratory analysis among physicians, the vaccination rate was higher in the intervention group (36/51, 71%) than in the control group (34/65, 52%, p = 0.046). Conclusions Promotion of the influenza vaccine during pre-employment health check did not improve the vaccination rate of newly hired hospital healthcare workers overall during the next influenza vaccination campaign. Results suggest a favourable impact on the vaccination rate of physicians. Thus, there may be an interest in using communication strategies tailored to the different categories of healthcare workers to promote the influenza vaccine during pre-employment health check. Trial registration ClinicalTrials, NCT02758145. Registered 26 April 2016.

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Determinants of influenza vaccination uptake among Italian healthcare workers

Human Vaccines & Immunotherapeutics ◽

10.4161/hv.22997 ◽

2013 ◽

Vol 9 (4) ◽

pp. 911-916 ◽

Cited By ~ 21

Author(s):

Pamela Barbadoro ◽

Anna Marigliano ◽

Elena Di Tondo ◽

Carlos Chiatti ◽

Francesco Di Stanislao ◽

...

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Vaccination Uptake

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Attitudes, believes, determinants and organisational barriers behind the low seasonal influenza vaccination uptake in healthcare workers – A cross-sectional survey

Vaccine ◽

10.1016/j.vaccine.2018.04.044 ◽

2018 ◽

Vol 36 (23) ◽

pp. 3351-3358 ◽

Cited By ~ 26

Author(s):

Lise Boey ◽

Charlotte Bral ◽

Mathieu Roelants ◽

Antoon De Schryver ◽

Lode Godderis ◽

...

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Seasonal Influenza ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Seasonal Influenza Vaccination ◽

Vaccination Uptake

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1751 Influenza vaccination uptake in healthcare workers in ireland: effectiveness of a brief educational intervention in promoting positive attitudinal change

10.1136/oemed-2018-icohabstracts.476 ◽

2018 ◽

Author(s):

Grainne McNally ◽

Conor McDonnell ◽

Laura Tobin

Keyword(s):

Influenza Vaccination ◽

Educational Intervention ◽

Healthcare Workers ◽

Attitudinal Change ◽

Vaccination Uptake

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Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups

American Journal of Infection Control ◽

10.1016/j.ajic.2020.02.004 ◽

2020 ◽

Vol 48 (10) ◽

pp. 1139-1143 ◽

Cited By ~ 1

Author(s):

Ana Durovic ◽

Andreas F. Widmer ◽

Marc Dangel ◽

Anja Ulrich ◽

Manuel Battegay ◽

...

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Occupational Groups ◽

Vaccination Uptake

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Testing an integrative theory of health behavioural change for predicting seasonal influenza vaccination uptake among healthcare workers

Vaccine ◽

10.1016/j.vaccine.2019.10.041 ◽

2020 ◽

Vol 38 (3) ◽

pp. 690-698 ◽

Cited By ~ 8

Author(s):

Tiffany W.Y. Ng ◽

Benjamin J. Cowling ◽

Hau Chi So ◽

Dennis K.M. Ip ◽

Qiuyan Liao

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Seasonal Influenza ◽

Behavioural Change ◽

Seasonal Influenza Vaccination ◽

Vaccination Uptake ◽

Integrative Theory ◽

Theory Of Health

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Determinants of Influenza Vaccination among Healthcare Workers

Infection Control and Hospital Epidemiology ◽

10.1086/653614 ◽

2010 ◽

Vol 31 (7) ◽

pp. 689-693 ◽

Cited By ~ 56

Author(s):

Gaston Godin ◽

Lydi-Anne Vézina-Im ◽

Herminé Naccache

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Vaccination Campaign ◽

Objective Measure ◽

Public Hospitals ◽

Moral Norm ◽

Full Time ◽

Anticipated Regret ◽

Past Behavior ◽

Part Time

Objective.To identify the determinants of influenza vaccination and the moderators of the intention-behavior relationship among healthcare workers (HCWs).Design.Prospective survey with 2-month follow-up.Setting.Three university-affiliated public hospitals.Participants.Random sample of 424 HCWs.Methods.The intention of an HCW to get vaccinated against influenza was measured by means of a self-administered questionnaire based on an extended version of the theory of planned behavior. An objective measure of behavior was extracted 2 months later from the vaccination database of the hospitals.Results.Controlling for past behavior, we found that the determinants of influenza vaccination were intention (odds ratio [OR], 8.32 [95% confidence interval {CI}, 2.82–24.50]), moral norm (OR, 3.01 [95% CI, 1.17–7.76]), anticipated regret (OR, 2.33 [95% CI, 1.23–4.41]), and work status (ie, full time vs part time; OR, 1.99 [95% CI, 1.92–3.29]). Moral norm also interacted with intention as a significant moderator of the intention-behavior relationship (OR, 0.09 [95% CI, 0.03–0.30]). Again, apart from the influence of past behavior, intention to get vaccinated was predicted by use of the following variables: attitude (ß = .32;P< .001), professional norm (β = .18;P< .001), moral norm (β = .18;P< .001), subjective norm (ß = .09;P< .001), and self-efficacy (ß = .08;P< .001). This latter model explained 89% of the variance in HCWs' intentions to get vaccinated against influenza during the next vaccination campaign.Conclusions.Our study suggests that influenza vaccination among HCWs is mainly a motivational issue. In this regard, it can be suggested to reinforce the idea that getting vaccinated can reduce worry and protect family members.

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