Determinants of Influenza Vaccination among Healthcare Workers

2010 ◽  
Vol 31 (7) ◽  
pp. 689-693 ◽  
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.

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

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.

scholarly journals Indicators of Nursing Personnel Supply in Outpatient Medical Care in the Russian Federation during 2010–2018

2020 ◽  
Vol 27 (3) ◽  
pp. 56-64
Author(s):  
V. A. Evdakov ◽  
Yu. Yu. Melnikov ◽  
A. V. Smyshlyaev
Keyword(s):  
Russian Federation ◽  
Outpatient Care ◽  
Healthcare Workers ◽  
Health Sector ◽  
Nursing Personnel ◽  
Full Time ◽  
Medical Organization ◽  
Part Time ◽  
The Russian Federation ◽  
Using Data

Aim. Analysis of the basic indicators of nursing personnel supply of the population and medical organisations providing outpatient care in the public health sector in the Russian Federation over the course of 2010–2018.Materials and methods. The study was conducted using data from the Federal Statistical Observation Form No. 30 “Medical Organization Information” for 2010–2018. Descriptive statistics and comparative analysis were used to assess the country-wide 2010–2018 dynamics of the indicators of nursing personnel supply of the population and medical centres providing outpatient care, including supply with full-time and employed positions, full-time staffing, the ratio of part-time employment, the number and shortage of healthcare workers.Results. For the period 2010–2018, the number of nursing personnel in medical units providing outpatient care increased by 2726 people (an increase of 0.5%), from 542,998 to 545,724. At the same time, the population supply with nursing personnel in outpatient medical units decreased from 38.0 to 37.2 per 10,000 population (a decrease by 2.1%), and staffing of full-time healthcare workers in this category decreased by 6.5%, from 94.2 to 87.7%.Conclusions. The study demonstrates a remarkable shortage of paramedics in outpatient health care (exceeding 200,000 people per annum) over the entire observation period of 2010–2018.

scholarly journals Supervisory Career Support and Workplace Wellbeing in Chinese Healthcare Workers: The Mediating Role of Career Commitment and the Moderating Role of Future Work Self-Salience

2021 ◽  
Vol 13 (10) ◽  
pp. 5572
Author(s):  
Guangyi Xu ◽  
Zhen Li ◽  
Hongli Wang
Keyword(s):  
Healthcare Workers ◽  
Southern China ◽  
Career Commitment ◽  
Public Hospitals ◽  
Full Time ◽  
Career Support ◽  
Mediating Role ◽  
Future Work ◽  
Future Work Self

In the context of the sustainability goals of organizations, there is a dilemma regarding enhancing healthcare workers’ career commitment and wellbeing, especially during the COVID-19 crisis. This study focuses on the underlying mechanism in the relationship between supervisory career support and employee wellbeing. Drawing upon the career motivation perspective, we investigate the mediating role of career commitment and moderating effect of future work self-salience (FWSS) in this relationship. Two-wave data were collected from a sample of 213 full-time healthcare workers from three public hospitals located in Southern China. Results in this study revealed that supervisory career support influences career commitment in health workers, which in turn enhances their wellbeing at the workplace. Moreover, the effect of supervisory career support on career commitment was found to be stronger for individuals with low FWSS compared to those with high FWSS. These findings also enlighten us on how to enhance employees’ career commitment and workplace wellbeing.

Effect of A Hospital Campaign for Influenza Vaccination of Healthcare Workers

2006 ◽  
Vol 27 (6) ◽  
pp. 612-617 ◽  
Author(s):  
Joon Young Song ◽  
Cheong Won Park ◽  
Hye Won Jeong ◽  
Hee Jin Cheong ◽  
Woo Joo Kim ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Vaccination Campaign ◽  
Intervention Strategy ◽  
Vaccination Rate ◽  
Demographic Characteristics ◽  
Tailored Intervention ◽  
Vaccination Rates ◽  
Knowledge And Attitudes ◽  
Item Questionnaire

Objective.To identify the factors that inhibit or motivate influenza vaccination among healthcare workers (HCWs).Methods.In March 2000, we prepared 34-item questionnaire for both vaccine recipients and nonrecipients regarding demographic characteristics, factors motivating and inhibiting vaccination, and knowledge and attitudes about influenza vaccination. On the basis of the results of our survey, an aggressive hospital vaccination campaign was undertaken. In April 2004, after the 4-year campaign, the same questionnaire was again administered to HCWs.Results.In both 2000 and 2004, the main motives for undergoing influenza vaccination were “hospital campaign” and “recommendation by colleagues”; the percentage of respondents who were motivated by the hospital campaign had remarkably increased from 27% in 2000 to 52% in 2004 (P<.001), whereas the percentage who were motivated by recommendation by colleagues had not changed significantly (21% vs 14%). Qverall, the 4 reasons most frequently cited by HCWs for noncompliance with vaccination were insufficient available time, confidence in their health, doubt about vaccine efficacy, and fear of injection. In 2000, vaccination rates were below 30%, irrespective of occupation. After an aggressive vaccination campaign, the increase in the vaccination rate was highest among the nursing staff, increasing from 21% in 2000 to 92% in 2004, whereas the vaccination rate among the physicians was still below 60%.Conclusion.We conclude that a hospital campaign can markedly improve influenza vaccination rates among HCWs. Both a mobile cart system and free vaccine supply contributed to improving the vaccination rates in our study. In addition, a specifically tailored intervention strategy was required.

scholarly journals Predictors of adherence to influenza vaccination for healthcare workers from a teaching hospital: a study in the prepandemic era

2010 ◽  
Vol 43 (6) ◽  
pp. 611-614 ◽  
Author(s):  
Ricardo de Souza Cavalcante ◽  
Aline Maia Zambonatto Jorge ◽  
Carlos Magno Castelo Branco Fortaleza
Keyword(s):  
Multivariate Analysis ◽  
Influenza Vaccination ◽  
Teaching Hospital ◽  
Healthcare Workers ◽  
Influenza A ◽  
Vaccine Coverage ◽  
Vaccination Campaign ◽  
Cross Sectional Survey ◽  
The Impact ◽  
Predictors Of Adherence

INTRODUCTION: Even before the 2009 pandemics, influenza in healthcare workers (HCW) was a known threat to patient safety, while Influenza vaccine coverage in the same group was generally low. Identification of predictors for HCW adherence to Influenza vaccination has challenged infection control committees. METHODS: Our group conducted a cross-sectional survey in December 2007, interviewing 125 HCWs from a teaching hospital to identify adherence predictors for Influenza vaccination. The outcomes of interest were: A - adherence to the 2007 vaccination campaign; B - adherence to at least three yearly campaigns in the past five years. Demographic and professional data were assessed through univariate and multivariate analysis. RESULTS: Of the HCWs interviewed, 43.2% were vaccinated against Influenza in 2007. However, only 34.3% of HCWs working in healthcare for more than five years had adhered to at least three of the last five vaccination campaigns. Multivariate analysis showed that working in a pediatric unit (OR = 7.35, 95%CI = 1.90-28.44, p = 0.004) and number of years in the job (OR = 1.32, 95%CI = 1.00-1.74, p = 0.049) were significant predictors of adherence to the 2007 campaign. Physicians returned the worst outcome performances in A (OR = 0.40, 95%CI = 0.16-0.97, p = 0.04) and B (OR = 0.17, 95%CI = 0.05-0.60, p = 0.006). CONCLUSIONS: Strategies to improve adherence to Influenza vaccination should focus on physicians and newly-recruited HCWs. New studies are required to assess the impact of the recent Influenza A pandemics on HCW-directed immunization policies.

scholarly journals Gaps in maternal influenza vaccine uptake in Northern Territory: A need for a year-round influenza vaccination campaign

2019 ◽  
Vol 43 ◽  
Author(s):  
Priya Darshene Janagaraj ◽  
Pari Shanmuga Raman Gurusamy ◽  
Rosalind Webby
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Northern Territory ◽  
Public Hospitals ◽  
Vaccine Uptake ◽  
High Morbidity ◽  
Indigenous Status ◽  
Significant Difference ◽  
Maternal Influenza

Introduction: Maternal influenza vaccination was introduced in 2010 due to the high morbidity and mortality associated with influenza in pregnancy. The aim of this study was to assess the maternal influenza vaccination uptake in Northern Territory public hospitals and identify gaps to improve uptake. Methods: Birth data from Northern Territory (NT) public hospitals obtained from the Perinatal Register for deliveries in 2016 were merged with vaccination records from the NT immunisation register. Results: There were 3,392 viable pregnancies in NT public hospitals in 2016 with 45.6% vaccination coverage against influenza. There was a statistically significant difference in coverage with 68.5% in Indigenous vs 31.7% in non-Indigenous deliveries (p<0.001), yielding an odds ratio of 4.67 (95% CI 4.02, 5.42) for maternal influenza vaccination across Indigenous status. Influenza vaccination coverage for preterm births (<37 weeks) was low especially in non–Indigenous mothers at 27.2% vs 65.05% in Indigenous mothers (p<0.001). A distinct immunisation administration pattern was noted for 2016 with 58.9% of vaccinations occurring between April and June regardless of Indigenous status and maternal gestational age. This correlated with the annual influenza immunisation campaign by the NT and Commonwealth. Conclusion: A year-round maternal influenza vaccination campaign is crucial to avoid missed opportunities and increase vaccination protection for mother and baby. Antenatal influenza vaccination campaign with health care workers education and increasing patient awareness should continue throughout the year.

scholarly journals Vaccine Hesitancy among Master’s Degree Students in Nursing and Midwifery: Attitude and Knowledge about Influenza Vaccination

2020 ◽  
Vol 17 (19) ◽  
pp. 7191
Author(s):  
Claudia Mellucci ◽  
Andrea Tamburrano ◽  
Fabiana Cassano ◽  
Caterina Galletti ◽  
Anna Sguera ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Online Survey ◽  
Master's Degree ◽  
Vaccination Campaign ◽  
Vaccine Hesitancy ◽  
Master's Degree Students ◽  
Master’S Degree ◽  
To Receive ◽  
Nurses And Midwives

Influenza vaccination among healthcare workers may reduce morbidity and protect fragile patients. Most of the evidence concerning the vaccine hesitancy of healthcare workers reported lack of knowledge and wrong attitude. The aims of this study were to explore the knowledge and attitudes about influenza vaccination among master’s degree students in Nursing and Midwifery, and to evaluate the effectiveness of their involvement in the hospital vaccination campaign in order to increase intention to receive immunization. The students of nurses and midwives were involved in the vaccination sessions of the 2018–19 hospital campaign. They were recruited to complete an online survey. Students of the 2nd year (involved in the vaccination campaign) and the 1st year (not involved) were compared. Descriptive and inferential statistics were performed for data analysis. Students who intend to receive influenza vaccination in the following year registered a percentage of 83.6% and showed an overall attitude of 66.8%. The involvement of the students in the vaccination campaign led to a significant increase in their positive vaccination attitude (80.9% vs. 87.0%) and in their intention to receive flu vaccination in the following year (67.7% vs. 100%). A positive attitude towards vaccinations was observed by nurses and midwives. Their involvement in the planning and activities during the vaccination campaign could positively influence their opinions and intention to receive vaccination.

Use of a Pandemic Preparedness Drill to Increase Rates of Influenza Vaccination Among Healthcare Workers

2008 ◽  
Vol 29 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Jennifer L. Kuntz ◽  
Stephanie Holley ◽  
Charles M. Helms ◽  
Joseph E. Cavanaugh ◽  
Jeff Vande Berg ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Patient Care ◽  
Pandemic Influenza ◽  
Healthcare Workers ◽  
Administrative Support ◽  
Medical Center ◽  
Vaccination Campaign ◽  
Academic Medical Center ◽  
Direct Patient Care ◽  
Vaccination Rates

Objective.To determine the effect of a pandemic influenza preparedness drill on the rate of influenza vaccination among healthcare workers (HCWs).Design.Before-after intervention trial.Setting.The University of Iowa Hospitals and Clinics (UIHC), a large, academic medical center, during 2005.Subjects.Staff members at UIHC.Methods.UIHC conducted a pandemic influenza preparedness drill that included a goal of vaccinating a large number of HCWs in 6 days without disrupting patient care. Peer vaccination and mobile vaccination teams were used to vaccinate HCWs, educational tools were distributed to encourage HCWs to be vaccinated, and resources were allocated on the basis of daily vaccination reports. Logit models were used to compare vaccination rates achieved during the 2005 vaccination drill with the vaccination rates achieved during the 2003 vaccination campaign.Results.UIHC vaccinated 54% of HCWs (2,934 of 5,467) who provided direct patient care in 6 days. In 2 additional weeks, this rate increased to 66% (3,625 of 5,467). Overall, 66% of resident physicians (311 of 470) and 63% of nursing staff (1,429 of 2,255) were vaccinated. Vaccination rates in 2005 were significantly higher than the hospitalwide rate of 41% (5,741 of 14, 086) in 2003.Conclusions.UIHC dramatically increased the influenza vaccination rate among HCWs by conducting a pandemic influenza preparedness drill. Additionally, the drill allowed us to conduct a bioemergency drill in a realistic scenario, use innovative methods for vaccine delivery, and secure administrative support for future influenza vaccination campaigns. Our study demonstrates how a drill can be used to improve vaccination rates significantly.

scholarly journals Knowledge, attitudes, and practices for the use of seasonal influenza vaccination, healthcare workers, Costa Rica

2021 ◽  
Vol 15 (07) ◽  
pp. 1004-1013
Author(s):  
Zachary Madewell ◽  
Rafael Chacón-Fuentes ◽  
Xiomara Badilla-Vargas ◽  
Catalina Ramirez ◽  
Maria-Renee Ortiz ◽  
...  
Keyword(s):  
Costa Rica ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Public Hospitals ◽  
Sources Of Information ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Introduction: Annual seasonal influenza vaccination in healthcare workers prevents nosocomial transmission to patients, coworkers, and visitors, and reduces absenteeism. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccine among public healthcare workers attending patients in Costa Rica. Methodology: We conducted a cross-sectional survey of healthcare personnel attending patients in public hospitals in 2017–2018. Frequency distributions of demographics, vaccination KAP, sources of information, clinical manifestations and reasons for non-vaccination were reported. Logistic regression was used to analyze associations between exposures of interest (demographics, sources of information, knowledge, attitudes towards vaccination) and self-reported influenza vaccination. Results: We surveyed 747 healthcare workers in 2017–2018. Of 706 participants who knew their vaccination status, 55.7% were vaccinated for seasonal influenza. Only 20.7% of participants knew the influenza vaccine was an inactivated virus, and 94.6% believed the vaccine causes flu-like symptoms. Factors associated with current influenza vaccination were vaccination in previous year (aOR: 8.13; 95% CI: 5.65–11.71) and believed influenza vaccination may be harmful (aOR: 0.62; 95% CI: 0.44–0.89). Reasons for non-vaccination included fear of adverse effects and access limitations. Conclusions: Suboptimal influenza vaccination among healthcare workers may be attributed to misconceptions about the vaccine and limited engagement strategies focusing on healthcare workers. Appropriate interventions are needed to increase healthcare worker vaccination rates and improve their knowledge and beneficence, which would improve patient safety in hospitals.

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