scholarly journals Influenza Vaccination Coverage of Healthcare Workers in Nursing Homes in France and Related Determinants, 2018- 2019 Season: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Sophie Vaux ◽  
Laure Fonteneau ◽  
Anne-Gaëlle Venier ◽  
Arnaud Gautier ◽  
Sophan Soing Altrach ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Negative Binomial ◽  
Nursing Assistants ◽  
Influenza Vaccines ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background The burden of influenza morbidity and mortality in nursing homes (NH) is high. Vaccination of residents and healthcare workers (HCW) is the main prevention strategy. Despite recommendations, HCW vaccination coverage is generally low. Methods We performed a nationwide cross-sectional survey of NH using a single-stage stratified random sampling design to estimate influenza vaccination coverage in nursing home HCW in France during the 2019-2020 season, and to identify measures likely to increase it. A multivariate analysis was performed using a negative binomial regression. Results Overall influenza vaccination coverage in HCW was 31.9% (95% CI [29.7-34.1]). It varied according to occupational category: 75.5% [69.3-81.7] for physicians, 42.9% [39.4-46.4] for nurses, 26.7% [24.5-29.0] for nursing assistants, and 34.0% [30.1-38.0] for other paramedical personnel. When considering all professionals (i.e., HCW and non-medical professionals), overall vaccination coverage was 30.6% [28.2-33.0]. Vaccination coverage was higher in private nursing homes, in i) small nursing homes, ii) when vaccination was offered free of charge (RRa: 1.4, [1.1-1.8]), iii) when vaccination promotion for professionals included individual (RRa: 1.6 [1.1-2.1]) or collective (RRa: 1.3 [1.1-1.5]) information sessions, videos or games (RRa: 1.4 [1.2-1.6], iv) when information on influenza vaccines was provided (RRa: 1.2 [1.0-1.3], and finally, vi) when a vaccination point of contact - defined as an HCW who could provide reliable information on vaccination - was nominated within the nursing home (RRa: 1.7 [1.3-2.2]). Conclusions Urgent and innovative actions are required to increase coverage in HCW. Vaccination programmes should include free vaccination and education campaigns, and particularly target nursing assistants. The results of this nationwide study provide keys for improving influenza vaccination coverage in HCW. Programmes should ensure that information on influenza vaccines is provided by a vaccination point of contact in NH using attractive media. Combining the different prevention measures proposed could increase coverage in NH nationwide by over 50%.

scholarly journals Influenza Vaccination Hesitancy among Healthcare Workers in South Al Batinah Governorate in Oman: A Cross-Sectional Study

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 661
Author(s):  
Salah T. Al Awaidy ◽  
Zayid K. Al Mayahi ◽  
Malak Kaddoura ◽  
Ozayr Mahomed ◽  
Nathalie Lahoud ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
General Medicine ◽  
Knowledge Score ◽  
Vaccine Uptake ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

Background: Seasonal influenza infections are a major cause of morbidity and mortality worldwide. Healthcare workers (HCWs) are an important target group for vaccination against influenza due to their increased risk of infection and their potential to transmit the infection to their patients, families and communities. The aim of this study was to assess the potential hesitancy and its associated factors towards influenza vaccination amongst HCWs in the South Al Batinah governorate in Oman. Methods: A cross-sectional survey of 390 HCWs with direct or indirect patient contact was conducted in May and June 2019 using a self-administered questionnaire. Associations between HCW characteristics and vaccination status were examined using bivariate and multivariate analyses to identify the likelihood of vaccination against seasonal influenza among HCWs. Results: Overall, 60% of HCWs were vaccinated in the 2018/2019 season; vaccine uptake among nurses was 52% and uptake was higher among women. Self-protection and protection of the community were the most cited reasons for vaccine acceptance, with side effects being the main reason for hesitancy. Vaccinated respondents had a higher mean knowledge score (7.18; standard deviation SD: 2.14) than unvaccinated respondents (6.30; SD: 2.2). Odds of vaccination were highest among respondents who believed influenza vaccine should be mandatory for HCWs (Odds ratio (OR): 2.04 [1.30–3.18]), those working in the general medicine, emergency medicine, or intensive care units (OR: 1.92 [1.20–3.10]), nurses and doctors (OR: 1.75 [1.09–2.79]) and those who believe that HCWs should receive an influenza vaccine (OR: 1.35 [1.07–2.77]). Conclusions: The study provides valuable insights into the enablers and barriers of influenza vaccination practices among HCWs and may inform interventions to increase acceptance of vaccination.

scholarly journals Healthcare Workers’ Willingness to Receive Influenza Vaccination in the Context of the COVID-19 Pandemic: A Survey in Southern Italy

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 766
Author(s):  
Gabriella Di Giuseppe ◽  
Concetta P. Pelullo ◽  
Andrea Paolantonio ◽  
Giorgia Della Polla ◽  
Maria Pavia
Keyword(s):  
Side Effects ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Southern Italy ◽  
Hospitalized Patients ◽  
Cross Sectional Survey ◽  
Enabling Factors ◽  
Cross Sectional ◽  
To Receive

This cross-sectional survey was designed to evaluate hospital healthcare workers’ (HCWs) willingness to receive the influenza vaccination during the COVID-19 pandemic and to identify the related determinants, since it is plausible that the two epidemics will coexist in future winters. Overall, 68% out of 490 participants expressed their willingness to receive influenza vaccination in the 2020/21 season, with 95% of those ever and 45.8% of those never vaccinated in the previous six influenza seasons. Belief that influenza vaccine is useful in distinguishing influenza symptoms from those of COVID-19 and that the influenza vaccine is useful to prevent influenza in hospital settings, willingness to receive COVID-19 vaccination, having no concern about influenza vaccine side effects, concern about the possibility to transmit influenza to hospitalized patients, and influenza vaccination in previous years were all predictors of willingness to receive influenza vaccination. In the context of the COVID-19 pandemic, a relevant increase in the willingness to undergo influenza vaccination was reported. Therefore, interventions focused primarily on enabling factors are needed to promote the adherence to influenza vaccination in future seasons among HCWs.

scholarly journals Reasons for low influenza vaccination coverage – a cross-sectional survey in Poland

2011 ◽  
Vol 52 (2) ◽  
pp. 126-133 ◽  
Author(s):  
Przemyslaw Kardas ◽  
Anna Zasowska ◽  
Joanna Dec ◽  
Magdalena Stachurska
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Transcultural adaptation and psychometric evaluation of the mainland China version of Nursing Home Survey on Patient Safety Culture Questionnaire: a cross-sectional survey based on 50 nursing homes in China

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043994
Author(s):  
Yaqin Li ◽  
Yufei Cheng ◽  
Xiuying Hu ◽  
Longhao Zhang
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Safety Culture ◽  
Southwest China ◽  
Mainland China ◽  
Psychometric Evaluation ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Transcultural Adaptation

ObjectiveTo provide a validated Chinese-language measurement of the Nursing Home Survey on Patient Safety Culture (NHSOPS) in mainland China. The primary goal is to carry out a transcultural adaptation of the NHSOPS Questionnaire into Chinese and evaluate its psychometric properties.DesignA psychometric evaluation study is constructed. First, the ‘translation–back-translation–cultural adaptation’ and the pretesting procedure were followed to introduce the NHSOPS. Second, a cross-sectional survey was used to assess the psychometric properties for the mainland China version of the NHSOPS (M-NHSOPS), and a test–retest survey was then applied.Setting and participantsThe survey was carried out among 1397 nursing home staff from 50 nursing homes in Southwest China.Outcome measuresExploratory factor analysis (EFA) was used to assess the potential structure, and confirmatory factor analysis (CFA) was then applied. Reliability was assessed by the content validity index, Cronbach’s α and the test–retest value.ResultsAmong the 1397 respondents, 1211 were included (86.7%). EFA was used, and a nine-factor structure was explored. Five factors (Cronbach’s α ＞0.6) were selected into the new structure for the M-NHSOPS. Moreover, data showed that it was suitable for CFA, and convergent validity and discriminant validity were satisfactory. On the other hand, M-NHSOPS contains five dimensions and 22 items. The overall Cronbach’s α value was 0.883; the values of each dimension ranged from 0.648 to 0.913. Additionally, content validity showed significant performance. Eventually, test–retest reliability was 0.892, and each dimension was 0.713, 0.809, 0.924, 0.795 and 0.859, respectively (p<0.001).ConclusionsM-NHSOPS has acceptable reliability and satisfactory validity among staff of nursing homes in Southwest China, and further verification among samples in other regions of mainland China is required.

scholarly journals The factors of adaptation to nursing homes in mainland China: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Changxian Sun ◽  
Yiting Yu ◽  
Xuxu Li ◽  
Yan Cui ◽  
Yaping Ding ◽  
...  
Keyword(s):  
Social Support ◽  
Nursing Home ◽  
Nursing Homes ◽  
Filial Piety ◽  
Mainland China ◽  
Stressful Events ◽  
Ageing Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care

Abstract Background China is one of the most rapidly ageing countries and has the largest ageing population in the world. The demand for long-term care is increasing. Nursing home placement is one of the most stressful events in a person’s life. Although research on relocation adjustment has been conducted in many countries, few studies have been related to the predictors of nursing home adjustment in mainland China. This study aimed to identify the predictors of nursing home adjustment in the context of filial piety in mainland China. Methods This was a descriptive study that employed a cross-sectional survey. A total of 303 residents from 22 nursing homes in Nanjing, China, were recruited. A structured questionnaire about residents’ characteristics, activities of daily living, social support, resilience, and nursing home adjustment was administered. Multiple linear regression was used to identify the predictors of adaptation to nursing homes. Results The predictors of nursing home adjustment were the satisfaction with services(β = .158, P < .01), number of diseases(β = −.091, P < .05), length of stay(β = .088, P < .05), knowledge of the purpose of admission (β = .092, P < .05), resilience(β = .483, P < .001) and social support(β = .186, P < .001). The total explained variance for this model was 61.6%. Conclusion Nursing staff members should assess the characteristics of residents to promote their better adjustment. Resilience had the most significant influence on the level of adaptation, which has been the primary focus of interventions to improve adjustment. The management of disease comorbidities in nursing homes should be standardized and supervised by the government. More volunteers from universities and communities should be encouraged to provide social support to residents. Moreover, a caring culture needs to be emphasized, and the value of filial piety should be advocated in nursing homes of East Asian countries.

scholarly journals Attitudes and Perception of Healthcare Workers Concerning Influenza Vaccination during the 2019/2020 Season: A Survey of Sicilian University Hospitals

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 686
Author(s):  
Claudio Costantino ◽  
Caterina Ledda ◽  
Raffaele Squeri ◽  
Vincenzo Restivo ◽  
Alessandra Casuccio ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Perceived Risk ◽  
Healthcare Workers ◽  
Multivariable Analysis ◽  
University Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
European Guidelines ◽  
Public Health Institutions ◽  
Coverage Rates

Influenza is an infectious disease with a high impact on the population in terms of morbidity and mortality, but despite International and European guidelines, vaccination coverage rates among healthcare workers (HCWs) remain very low. The aim of the present study was to evaluate influenza vaccination adherence in the three Sicilian University Hospitals of Catania, Messina, and Palermo and to understand the attitudes and perceptions of vaccinated healthcare workers and the main reasons for vaccination refusal. A cross-sectional survey through a self-administered questionnaire was conducted during the 2019/2020 influenza season. Overall, 2356 vaccinated healthcare workers answered the questionnaire. The main reason reported for influenza vaccination adherence during the 2019/2020 season was to protect patients. Higher self-perceived risk of contracting influenza and a positive attitude to recommending vaccination to patients were significantly associated with influenza vaccination adherence during the last five seasons via multivariable analysis. Fear of an adverse reaction was the main reason for influenza vaccine refusal. In accordance with these findings, Public Health institutions should develop and tailor formative and informative campaigns to reduce principal barriers to the immunization process and promote influenza vaccination adherence among HCWs.

scholarly journals 2557. Knowledge, Attitude, and Practices on Vaccination and Occupational Health Among Healthcare Workers in a Teaching Hospital in Mexico City

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S888-S888
Author(s):  
Claudia Lopez-Enriquez ◽  
Lucia Martinez-Hernandez ◽  
Jose-Juan Donis-hernandez ◽  
Margarita Virgen-Cuevas
Keyword(s):  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Poor Performance ◽  
Medical Specialty ◽  
Occupational Accidents ◽  
Work Place ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Self Administered Questionnaire

Abstract Background Vaccination is one of the most effective ways to prevent the transmission of certain bacterial and viral diseases and it has reduced the associated morbidity and mortality. WHO estimates that all over the world 59 million healthcare workers (HCWs) are exposed every day to multiple occupational hazards. Methods Cross-sectional survey of a sample of HCWs from a hospital in Mexico was conducted through an anonymous, self-administered questionnaire between October 2015 and May 2016. Results Of 930 HCWs 76% completed the questionnaire. Among responders 64% declared knowing the required vaccines. Specialties associated with greater knowledge in vaccines were: Internal medicine (70%) (P = 0.04) and Pediatrics (63%) (P = 0.003); however, only 31% and 34% respectively were vaccinated against influenza. The mean number of years since influenza vaccination was 1.5 ± 1.8 and only 30% workers reported having been vaccinated in the period 2015–2016; 61.2% referred at least one dose against hepatitis B with a mean of 4.4 ± 4.4 years since the application, 15% reported knowing their immune status for hepatits B. In total 65% have been vaccinated against Tdap/td with an average of 3.7 ± 3.9 years from application. The reasons for not getting vaccinated included: Not having access to vaccines in 34%, cost in 8%, fear of adverse events 8%, belief of not require to be vaccinated in 5%. A total of 82.5% HCWs have worked while been sick. Reasons: Sense of duty in 57%, perception of poor performance in 21%, not disappointing colleagues in 13% and not letting down patients in 8%. Better compliance in vaccination coverage was observed among laboratory personnel: OR 2.0 (95% CI 1.0–4.7; P = 0.04) and nursing staff: OR 1.5 (95% CI 1.0–2.3; P = 0.01). There was no difference in compliance by medical specialty (P = 0.5). In total 17% HCWS reported having some occupational accident in the last 10 ± 5 years. Working in the emergency room: OR 1.6 (IC95% 1.0–2.4, P = 0.01); Unit of Intensive Care OR: 1.5 (IC 95% 10–2.3; P = 0.3) and operating room OR: 1.5 (IC95% 09–2.5; P = 0.05) were risk factors for occupational accidents. Conclusion HCWs vaccination coverage and knowledge were poor. Considering the important role of HCWs in preventing diseases, it should be mandatory that all HCWs receive proper advice concerning vaccination at their work place. Disclosures All authors: No reported disclosures.

scholarly journals Gender, Socioeconomic, and Health Characteristics Associated with Influenza Vaccination Coverage (VC) among Italian Healthcare Workers: Secondary Analysis of a National Cross-Sectional Survey

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 298
Author(s):  
Pamela Barbadoro ◽  
Aura Brighenti ◽  
Giorgia Acquaviva ◽  
Alessandro Catalini ◽  
Francesca Diotallevi ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Older Workers ◽  
Healthcare Workers ◽  
Secondary Analysis ◽  
Healthcare Services ◽  
Health Care Facilities ◽  
Vaccine Uptake ◽  
Multilevel Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional

Influenza epidemics pose a great overload over health-care facilities with an increase in the burden of disease for patients and healthcare costs. Despite a well-established amount of research in the area, vaccination rates show room for improvement and more research is needed in finding systematic interventions useful in improving healthcare workers (HCWs) vaccination coverage (VC). The purpose of this study was to describe the self-reported frequency of influenza immunization in HCWs and to identify demographic, socioeconomic, lifestyle, and health factors associated with this practice in Italy. Data about 5823 workers participating in the Italian national survey about health and healthcare services utilization are analyzed in the present study. Overall, 18.8% of HCWs reported being vaccinated against seasonal flu. In the multilevel regression, older workers had a higher likelihood of vaccine uptake (OR: 6.07; 95% CI 4.72–7.79), similar to those with chronic conditions or poor self-perceived health status (OR: 2.18 95% CI 1.17–4.09). On the other hand, the results highlighted a lower rate of VC in female HCWs (OR: 0.73 95% CI 0.61–0.86). Data confirm the low compliance towards flu immunization among Italian HCWs and highlight an important gap to be investigated in women.

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