Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception

Winston, Lori; Wagner, Stephanie; Chan, S.B.

doi:10.1016/j.vaccine.2014.06.001

Cited by 25 publications

(27 citation statements)

References 29 publications

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“…This finding ties in with past research which has revealed that HCWs opposed mandatory seasonal influenza vaccination by invoking personal autonomy and freedom of choice [20,21]. In our study, the non-vaccinating HCWs invoked a number of personal reasons as to why they had refused, e.g.…”

Section: Discussionsupporting

confidence: 85%

Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers

Marcu

Rubinstein

Michie

et al. 2015

Vaccine

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Section: Discussionsupporting

confidence: 85%

Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers

Marcu

Rubinstein

Michie

et al. 2015

Vaccine

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“…Nurses are involved in direct patient care and would be expected to have high vaccine coverage. Between 80 and 90% of HCP should be vaccinated to fully benefit from interruption of disease transmission as recommended by international scholars and health organisations (Jaiyeoba, Villers, Soper, Korte, & Salgado, ; Winston, Wagner, & Chan, ). Refusal to be vaccinated is related to outbreaks of communicable diseases, such as measles, varicella and pertussis (Salmon, Dudley, Glanz, & Omer, ).…”

Section: Discussionmentioning

confidence: 99%

Determinants of nurses’ willingness to receive vaccines: Application of the health belief model

Chen

Hsu

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To assess the willingness of nurses to receive vaccines as recommended by Taiwan's “Immunization Recommendations for Healthcare Personnel” (IRHCP), as well as the factors associated with their willingness. Background Immunisation for healthcare personnel (HCP) is a means of reducing pathogen transmission. Also, vaccinating HCP reduces personnel and labour costs during an epidemic. Methods A cross‐sectional study was conducted. A self‐administered questionnaire survey targeting nurses working in various service units at three hospitals was used. In total, 413 nurses completed the questionnaire. The main outcome measure was the willingness to receive vaccines recommended by the IRHCP, and the variables we assessed included knowledge regarding the IRHCP, individual perceptions (perceived risk of contracting the infection, perceived severity of the infection and perceived transmissibility after disease onset), perceived benefits and barriers to the vaccination, cues to the vaccination and demographics. This study followed the STROBE checklist for reporting this study. Results The willingness of nurses to receive vaccines recommended by the IRHCP was high; the highest level of willingness was for the hepatitis B vaccine. The nurses’ willingness to receive various vaccines recommended by the IRHCP was predicted by the knowledge regarding the IRHCP and perceived transmissibility after disease onset. Except the diphtheria–tetanus–acellular pertussis vaccine, perceived benefits and perceived barriers were also predictors of the willingness to receive vaccines. Conclusions Our results showed that interventions focusing on increasing the knowledge regarding the IRHCP and perceived transmissibility after disease onset, emphasising the benefits of the vaccination and reducing the perceived barriers to the vaccination are needed to increase nurses’ willingness to receive vaccines. Relevance to clinical practice It is suggested using health education courses and mass media broadcasts at the individual and societal levels to raise awareness regarding the benefits of vaccines and enhance nurse’ confidence in vaccination programs.

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“…Therefore, in the initial public health messaging of similar future policies, healthcare organizations should be clear about the relationship between government and the pharmaceutical industry to counter public mistrust. Studies of attitudes of both HCWs who worked at organizations with mandatory vaccination or alternative programs (such as mandatory vaccine or mask policies) and those who worked at organizations with voluntary programs reflect similar themes [39–41]. …”

Section: Discussionmentioning

confidence: 99%

Examining Perceptions about Mandatory Influenza Vaccination of Healthcare Workers through Online Comments on News Stories

et al. 2015

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BackgroundThe aim of this study was to understand online public perceptions of the debate surrounding the choice of annual influenza vaccinations or wearing masks as a condition of employment for healthcare workers, such as the one enacted in British Columbia in August 2012.MethodsFour national and 82 local (British Columbia) Canadian online news sites were searched for articles posted between August 2012 and May 2013 containing the words “healthcare workers” and “mandatory influenza vaccinations/immunizations” or “mandatory flu shots and healthcare workers.” We included articles from sources that predominantly concerned our topic of interest and that generated reader comments. Two researchers coded the unedited comments using thematic analysis, categorizing codes to allow themes to emerge. In addition to themes, the comments were categorized by: 1) sentiment towards influenza vaccines; 2) support for mandatory vaccination policies; 3) citing of reference materials or statistics; 4) self-identified health-care worker status; and 5) sharing of a personal story.Results1163 comments made by 648 commenters responding to 36 articles were analyzed. Popular themes included concerns about freedom of choice, vaccine effectiveness, patient safety, and distrust in government, public health, and the pharmaceutical industry. Almost half (48%) of commenters expressed a negative sentiment toward the influenza vaccine, 28% were positive, 20% were neutral, and 4% expressed mixed sentiment. Of those who commented on the policy, 75% did not support the condition to work policy, while 25% were in favour. Of the commenters, 11% self-identified as healthcare workers, 13% shared personal stories, and 18% cited a reference or statistic.InterpretationThe perception of the influenza vaccine in the comment sections of online news sites is fairly poor. Public health agencies should consider including online forums, comment sections, and social media sites as part of their communication channels to correct misinformation regarding the benefits of HCW influenza immunization and the effectiveness of the vaccine.

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Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception

Cited by 25 publications

References 29 publications

Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers

Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers

Determinants of nurses’ willingness to receive vaccines: Application of the health belief model

Examining Perceptions about Mandatory Influenza Vaccination of Healthcare Workers through Online Comments on News Stories

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