A Successful Strategy for Improving the Influenza Immunization Rates of Health Care Workers without a Mandatory Policy

Gacell, H Guanche; Arias, Ariadna Villanueva; García, Erika Ruiz; Alfonso, R.

doi:10.15171/ijoem.2015.595

Cited by 8 publications

(9 citation statements)

References 5 publications

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“…Although targeted educational strategies may be needed to resolve misconceptions, immunization programs focusing solely on education result in only minimal increases in coverage rates . Evaluations of programs targeting nurses suggest that multipronged approaches are necessary to address the myriad reasons for vaccine hesitancy and refusal in this occupational group …”

Section: Discussionmentioning

confidence: 99%

Factors associated with influenza vaccination among healthcare workers in acute care hospitals in Canada

Hussain

McGeer

McNeil

et al. 2018

Influenza Resp Viruses

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BackgroundInfluenza vaccine coverage rates among healthcare workers (HCWs) in acute care facilities in Canada remain below national targets.ObjectiveTo determine factors associated with influenza vaccine uptake among HCWs.MethodsThis secondary analysis of a prospective cohort study included HCWs aged 18‐69 years, working ≥20 h/wk in a Canadian acute care hospital. Questionnaires were administered to participants in the fall of the season of participation (2011/12‐2013/14) which captured demographic/household characteristics, medical histories, occupational, behavioural and risk factors for influenza. Generalized estimating equation logistic regression was used to determine factors associated with vaccine uptake in the season of participation.ResultsThe adjusted odds ratio for influenza vaccination in the current season was highest for those vaccinated in 3 of 3 previous seasons (OR 156; 95% CI 98, 248) followed by those vaccinated in 2 of 3 and 1 of 3 previous seasons when compared with those not vaccinated. Compared with nurses, physicians (OR 4.2; 95% CI 1.4, 13.2) and support services staff (OR 1.8; 95% CI 1.3, 2.4) had higher odds ratios for vaccine uptake. Conversely, HCWs identifying as Black had lower odds of uptake compared with those with European ancestry (OR 0.44, 95% CI 0.26‐0.75) when adjusted for other factors in the model.ConclusionHealthcare workers differ in their annual uptake of influenza vaccine based on their past vaccination history, occupation and ethnicity. These findings indicate a need to determine whether there are other vaccine‐hesitant groups within healthcare settings and learn which approaches are successful in increasing their uptake of influenza vaccines.

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Section: Discussionmentioning

confidence: 99%

Factors associated with influenza vaccination among healthcare workers in acute care hospitals in Canada

Hussain

McGeer

McNeil

et al. 2018

Influenza Resp Viruses

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“…For example, a recently published paper reports the effect of employing a multifaceted program on influenza vaccine coverage. 18…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, several studies have shown similar results. 16,18,21,22 Aypak, et al , found that 79.2% of staff aged ≤25 years and more than 90% of older group were immune. 16 Urbizondo, et al , 22 reported seroprotection in 94.4% of HCWs aged ≤30 years and in 97.0% of older ones.…”

Section: Discussionmentioning

confidence: 99%

Seroprotection against Vaccine-Preventable Diseases amongst Health Care Workers in a Community Hospital, Qatar

Garcell

Arias

García

et al. 2016

Int J Occup Environ Med

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“…High influenza immunization rates have also been achieved in a few health-care facilities through consistent multimodal strategies without a mandatory policy [ 77 , 78 , 79 , 80 ]. Of note, the baseline immunization rates in most of these studies were well above the influenza immunization rates that are recorded globally (<30%).…”

Section: Immunization Policies For Hcpsmentioning

confidence: 99%

“…Of note, the baseline immunization rates in most of these studies were well above the influenza immunization rates that are recorded globally (<30%). Successful voluntary-based approaches are demanding in terms of human resources, time, and health-care facility commitment [ 77 , 78 , 79 , 80 , 81 , 82 ]. Sustainability of high vaccine uptake rates is also difficult to achieve [ 51 ].…”

Section: Immunization Policies For Hcpsmentioning

confidence: 99%

Immunization of Health-Care Providers: Necessity and Public Health Policies

Maltezou

Poland

2016

Healthcare

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Health-care providers (HCPs) are at increased risk for exposure to vaccine-preventable diseases (VPDs) in the workplace. The rationale for immunization of HCPs relies on the need to protect them and, indirectly, their patients from health-care-associated VPDs. Published evidence indicates significant immunity gaps for VPDs of HCPs globally. Deficits in knowledge and false perceptions about VPDs and vaccines are the most common barriers for vaccine uptake and may also influence communication about vaccines between HCPs and their patients. Most countries have immunization recommendations for HCPs; however, there are no universal policies and significant heterogeneity exists between countries in terms of vaccines, schedules, frame of implementation (recommendation or mandatory), and target categories of HCPs. Mandatory influenza immunization policies for HCPs have been implemented with high vaccine uptake rates. Stronger recommendations for HCP immunization and commitment at the level of the health-care facility are critical in order to achieve high vaccine coverage rates. Given the importance to health, mandatory immunization policies for VPDs that can cause serious morbidity and mortality to vulnerable patients should be considered.

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A Successful Strategy for Improving the Influenza Immunization Rates of Health Care Workers without a Mandatory Policy

Cited by 8 publications

References 5 publications

Factors associated with influenza vaccination among healthcare workers in acute care hospitals in Canada

Factors associated with influenza vaccination among healthcare workers in acute care hospitals in Canada

Seroprotection against Vaccine-Preventable Diseases amongst Health Care Workers in a Community Hospital, Qatar

Immunization of Health-Care Providers: Necessity and Public Health Policies

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