Nurses' attitudes and beliefs about influenza and the influenza vaccine: A summary of focus groups in Alabama and Michigan

Willis, Bayo C.; Wortley, Pascale M.

doi:10.1016/j.ajic.2006.07.009

Cited by 64 publications

(59 citation statements)

References 10 publications

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“…While there have been several studies internationally exploring barriers for HCWs to get vaccinated, to our knowledge, most studies have used a quantitative survey approach [14, 15]. The few qualitative studies were conducted in the USA [10, 16]. …”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Reasons why nurses decline influenza vaccination: a qualitative study

et al. 2017

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“…[1][2][3][4] Major barriers to vaccination include misconceptions about the rationale for vaccination, perceived ineffectiveness of the vaccine, perceived unlikelihood of contracting influenza, potential side effects, fear of injection, and lack of time. [5][6][7] The recent emergence of pandemic human influenza A (H1N1) in 2009 is stressing the health care system because of the lack of immunity in the public and the associated mortality and morbidity. 8,9 The possibility of genetic reassortment between different subtypes of influenza giving rise to more resistant genotype is another concern, which may potentially lead to new pandemics.…”

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confidence: 99%

Exploring determinants of acceptance of the pandemic influenza A (H1N1) 2009 vaccination in nurses

Lee

Chan

et al. 2010

American Journal of Infection Control

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This study investigated the anticipated vaccination rate against pandemic human influenza A (H1N1) 2009 in the health care setting. Self-administered questionnaires were used to assess nurses' acceptance of vaccination against seasonal flu and H1N1. They were sent to nurses by post through various nurses' unions before initiation of the vaccination program. Only 13.3% of the respondents planned to receive the H1N1 vaccine, compared with 37.5% for the seasonal influenza vaccine. Vaccination against seasonal influenza in the preceding season strongly predicted the likelihood of H1N1 vaccination. The main reason cited for H1N1 vaccination was self-protection, and reasons for rejecting vaccination included possible side effects, ineffectiveness of the vaccine, and the mild nature of the disease. Personal contact with patients with H1N1 or severe acute respiratory syndrome at work did not significantly increase the likelihood of receiving the H1N1 vaccine. More than 40% of the respondents were undecided at the time of the survey. The promotion of vaccination against seasonal influenza may play a role in improving H1N1 vaccination coverage. Efforts are needed to address concerns about vaccination risk and to incorporate H1N1 vaccination in standard infection control practice with policy support.

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“…This finding is also confirmed by other studies where increasing convenience was believed to be the key for vaccine uptake. 27 In future vaccination programs in Hong Kong, special attention should be paid to nightshift staff.…”

Section: Discussionmentioning

confidence: 99%

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

Chen¹,

King

et al. 2010

Healthcare infection

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Annual influenza epidemics continue to cause worldwide morbidity, mortality and societal disruption, especially among the aged residents of residential care homes for the elderly (RCHEs). Vaccination remains the most effective measure to prevent influenza and its associated complications. The seasonal influenza vaccine uptake rates among RCHE staff were much lower than that among residents. In order to increase uptake of influenza vaccination among RCHE staff in Hong Kong, this study developed and evaluated a multimodal vaccine promotion program (VPP) based on identified factors affecting vaccination acceptance or refusal within the Hong Kong Chinese context. Vaccine acceptance was found to be significantly associated with belief in vaccine efficacy, duration of service, staff group and providing direct care to residents. The focus group study revealed that RCHE staff's belief in the efficacy and safety of the vaccine played a major role in vaccine acceptance. VPP effectiveness was evaluated with a cluster randomised controlled trial among RCHEs with staff vaccination rates below 50%. Compared with 2008/09, the 2009/10 mean staff vaccination rates increased significantly in both the intervention (39.4% to 59.6% (P < 0.001)) and control groups (36.3% to 47.6% (P = 0.008)). RCHE staff in the intervention group had a higher vaccination rate than in the control group (59.6% versus 47.6%, P = 0.072). This program reinforces the importance of a comprehensive and culturally sensitive approach to promote influenza vaccination for RCHE staff.

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Nurses' attitudes and beliefs about influenza and the influenza vaccine: A summary of focus groups in Alabama and Michigan

Cited by 64 publications

References 10 publications

Reasons why nurses decline influenza vaccination: a qualitative study

Reasons why nurses decline influenza vaccination: a qualitative study

Exploring determinants of acceptance of the pandemic influenza A (H1N1) 2009 vaccination in nurses

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

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