An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses

Friedl, Andrée; Aegerter, C.; Saner, E.; Meier, Diane E.; Beer, Jürg H.

doi:10.1007/s15010-011-0193-6

Cited by 16 publications

(11 citation statements)

References 22 publications

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“…This mistrust possibly stems from the discrepancy between the claim for self-determination and for demarcation from traditional hierarchies on one hand and a lack of academic education concerning evidence based decision-making and thus a certain dependency on aforementioned authorities on the other hand. This might be one of the reasons to explain the differences in intervention effects in nurses and physicians [7, 8]. The “one size fits all” approach of educational intervention components might not work.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, rates among nurses - the HCWs in closest contact with patients - are remarkably lower than those of physicians [5–7]. Vaccination rates in Switzerland are similarly low, with studies finding about 15% coverage rates among nurses [8, 9].…”

Section: Introductionmentioning

confidence: 99%

“…Studies show that educational interventions as well as providing easier access to the influenza vaccine raise vaccination rates among physicians but have very little effect on nursing staff [7, 8]. For the development of effective interventions it is especially important to better understand nurses’ perception and to identify specific barriers in this group of healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

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Reasons why nurses decline influenza vaccination: a qualitative study

et al. 2017

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BackgroundTo explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still, vaccination rates remain very low, particularly in nursing staff. While several studies have explored barriers for healthcare workers to get vaccinated, most have used a quantitative approach.MethodsData were collected by in-depth individual semi-structured interviews with 18 nurses from a range of fields, positions in organizational hierarchy, work experience and hospitals in two German-speaking cantons in Switzerland. Interviews were transcribed and analysed using conventional content analysis.ResultsThree interconnected themes explaining why nurses decline influenza vaccination were identified: Firstly, the idea of maintaining a strong and healthy body, which was a central motif for rejecting the vaccine. Secondly, the wish to maintain decisional autonomy - especially over one's body and health. Thirdly, nurses' perception of being surrounded by an untrustworthy environment, which restricts their autonomy and seemingly is in opposition to their goal of maintaining a strong and healthy body.ConclusionNurses tend to rely on conventional health beliefs rather than evidence based medicine when making their decision to decline influenza vaccination. Interventions to increase influenza vaccination should be tailored specifically for nurses. Empowering nurses by promoting decision-making skills and by strengthening their appraisal may be important factors to consider when planning future interventions to improve vaccination rates. The teaching of evidence-based decision-making should be integrated on different levels, including nurses' training curricula, their workspace and further education.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reasons why nurses decline influenza vaccination: a qualitative study

et al. 2017

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“…3 The researchers implemented an intensive campaign with free vaccination for 1687 employees of a 400-bed teaching hospital from 2003-2007. During the intervention period, vaccination coverage improved only marginally (from 20% to 27%); at the end of the follow-up period in 2009, coverage was 26%. 3 The researchers implemented an intensive campaign with free vaccination for 1687 employees of a 400-bed teaching hospital from 2003-2007. During the intervention period, vaccination coverage improved only marginally (from 20% to 27%); at the end of the follow-up period in 2009, coverage was 26%.…”

Section: and Is Disappointing In Switzerlandmentioning

confidence: 99%

Influenza vax coverage varies in US healthcare workers . . .

2011

Pharmacoecon. Outcomes News

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“…Vaccination rates among nurses are typically lower than those of physicians . While studies show interventions focusing on providing information and easier access to the vaccine have increased vaccination rates among physicians, they seem to have very little effect on nursing staff . This has led a number of hospitals to implement more authoritarian approaches, including declination forms, mandatory wearing of masks, unpaid leave during influenza season, switching to another lower‐risk unit, and mandatory vaccination for nurses declining influenza vaccination .…”

Section: Introductionmentioning

confidence: 99%

Nurses’ attitudes towards enforced measures to increase influenza vaccination: A qualitative study

Pless

Shaw

McLennan

et al. 2017

Influenza Resp Viruses

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BackgroundDespite studies demonstrating that the annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients, vaccination rates remain very low, particularly in nursing staff. Educational programmes have failed to improve rates, which has led to a diverse range of enforced approaches being advocated and implemented.ObjectivesTo examine the attitudes of non‐vaccinated nursing staff towards various enforced measures aimed at increasing rates of influenza vaccination.MethodsSemi‐structured qualitative interviews with a purposive sample of 18 non‐vaccinated nurses, working in units with high‐risk patients at two hospitals in Switzerland. Analysis of interviews was done using conventional content analysis.ResultsNurses were critical of enforced measures. However, measures that include an element of choice were perceived as more acceptable. Declination forms and mandatory vaccinations as part of the employment requirements were found to be the most accepted measures.ConclusionThe perception of choice is crucial to the acceptance of a measure. Respect for choice and autonomy has a positive effect on behavioural change.Mandatory influenza vaccination as a condition of new (and perhaps ongoing) employment could be a feasible, effective and ethical measure to increase vaccination rates among nurses who oppose vaccination.

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An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses

Abstract: Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.

Cited by 16 publications

References 22 publications

Reasons why nurses decline influenza vaccination: a qualitative study

Reasons why nurses decline influenza vaccination: a qualitative study

Influenza vax coverage varies in US healthcare workers . . .

Nurses’ attitudes towards enforced measures to increase influenza vaccination: A qualitative study

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