Which determinants should be targeted to increase influenza vaccination uptake among health care workers in nursing homes?

Akker, Ingrid Looijmans-van den; Delden, J.J.M. van; Verheij, Th.J.M.; Essen, G A van; Sande, Marianne A. B. van der; Hulscher, Marlies; Hak, Eelko

doi:10.1016/j.vaccine.2009.05.013

Cited by 76 publications

(86 citation statements)

References 34 publications

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“…However, this study, unlike the findings in the literature (18)(19) shows that the higher level of education was the best predictor of adherence rates, the contrary was found here. Technicians and nursing assistants (93.5% and 93.8%, respectively) were vaccinated a little more than nurses (89.3%).…”

Section: Discussioncontrasting

confidence: 99%

“…The positive association found in this study, longer time between professional and vaccination against influenza had also been observed previously (19) . In this perspective, investing in those with less time of graduation, the main current workforce of the UH/ UFSC and that, in principle, remain longer in the institution, must be one of the goals of the educational measures that may be implemented.…”

Section: Discussionsupporting

confidence: 92%

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Influenza vaccination among nursing professionals: reality and challenges

et al. 2012

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Objective: To determine the profile, vaccination status and the motivating factors that lead nurses of a university hospital to get vaccinated against influenza in order to maximize coverage through adequate operational/educational strategies. Methods: Cross-sectional descriptive study with a sample size of 265 nurses. Results: Vaccination coverage was found to be 49.8% in 2009, 92.4% in 2010 and 95.4% in 2011. The professional profile with better adherence to vaccination was the mid level, female, 41-50 years, separated/divorced, not living with people susceptible to influenza, except chronic patient, also with more than one employment bond, placed at emergency where they often have contact with patients, trained and working for over 20 years, vaccinated in their own work sector, motivated by self-protection. Conclusion: The coverage percentage of 92.5% in 2010 and 95.4% in 2011, were considered exceptional within the current global reality. Educational actions within the institution created an incorporated culture of biosafety related to the topic. Keywords: Influenza vaccines; Nursing; Health knowledge, attitudes, practice; Health education resumo Objetivo: Determinar o perfil, a situação vacinal e os fatores motivadores que levam profissionais de enfermagem de hospital universitário a se vacinarem contra Influenza visando à maximização da cobertura por meio de estratégias operacionais/ educativas adequadas. Métodos: Estudo transversal descritivo com amostra de 265 profissionais de enfermagem. Resultados: A cobertura vacinal encontrada foi de 49,8% em 2009, 92,4% em 2010 e 95,4% em 2011. O perfil do profissional mais aderente à vacinação foi o de nível médio, feminino, 41-50 anos, separado/ divorciado, não co-habitante com susceptíveis à Influenza, exceto doente crônico, mais de um vínculo empregatício, lotado na emergência, contato frequente com pacientes, formado e trabalhando há mais de 20 anos, vacinado no próprio setor de trabalho, motivado por autoproteção. Conclusão: Os percentuais de cobertura de 92,5%, em 2010, e de 95,4%, em 2011, foram considerados excepcionais dentro da atual realidade mundial. Ações educativas criaram dentro da instituição uma cultura de biossegurança bem incorporada relacionada ao tema. Descritores: Vacinas contra influenza; Enfermagem; Conhecimentos, atitudes e prática em saúde; Educação em saúde ResumenObjetivo: Determinar el perfil, la situación de las vacunaciones y los factores motivadores que llevan a los profesionales de enfermería de un hospital universitario a vacunarse contra la Influenza con el objetivo de lograr la máxima cobertura por medio de estrategias operacionales/ educativas adecuadas. Métodos: Estudio transversal descriptivo realizado con una muestra de 265 profesionales de enfermería. Resultados: La cobertura de vacunaciones encontrada fue del 49,8% en el 2009, 92,4% en el 2010 y 95,4% en el 2011. El perfil del profesional más adherente a la vacunación fue el de nivel medio, femenino, 41-50 años, separado/divorciado, no cohabitante con susceptibilida...

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Influenza vaccination among nursing professionals: reality and challenges

et al. 2012

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“…8,9 Many studies have largely examined the reasons for rejecting or accepting influenza vaccination among HCWs and the most effective interventions for improving vaccine acceptance, some of them seem to indicate that oldest HCWs, who never got vaccinated, are quite difficult to immunize. [10][11][12][13][14][15][16][17][18][19][20] In contrast a study performed in 2011 indicates that vaccination coverage was significantly more frequent in medical residents who were vaccinated against influenza at least once in the previous 5 influenza seasons. 21 In fact educating and promoting the importance of influenza vaccination early in a medical student's career with a multifaceted intervention is described as an effective strategy to improve vaccination compliance and a positive attitude toward influenza prevention among future physicians.…”

Section: Introductionmentioning

confidence: 99%

Medical students' attitude toward influenza vaccination: Results of a survey in the University of Bari (Italy)

Gallone

Cappelli

Fortunato

et al. 2017

Human Vaccines & Immunotherapeutics

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Influenza vaccination is strongly recommended for Italian healthcare professionals, but vaccine coverage is low. Since 2012, vaccination is also offered to medical students as part of the National Immunization Plan; however, few Medical Schools has implemented the plan so far. To study determinants of vaccination compliance, we conducted a survey among medical students at the University of Bari, where influenza vaccination has been actively offered since 2013. Information was obtained by means of an online anonymous questionnaire administered in April 2014. We enrolled 669 students, 383 (57%) vaccinated; 54% were female and the average age was 23.9 § 4.9 y. Determinants of getting vaccinated were analyzed in a multivariate logistic model. Receiving invitation from the University (aOR D 3.8; 95%CI D 1.2-12.3; p D 0.026), the opinion that vaccine is safe (aOR D 2.8; 95%CI D 1.5-5.0; p D 0.001) and useful (aOR D 3.4; 95%CI D 1.7-6.7; p<0.0001), a specific training about influenza vaccination during the course (aOR D 1.5; 95%CI D 1.1-2.1; p D 0.043), and considering himself as at a major risk of influenza complication (aOR D 1.8; 95% CI D 1.1-2.9; p D 0.001) were significantly associated with vaccine acceptance. Active invitation and training are confirmed as key actions (as in children vaccination strategies) and, according to our results, they could be routinely used to promote vaccination in hard-toreach groups such as healthcare workers.

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“…6 Nevertheless, there are various barriers to vaccination in HCW, including the fear of adverse effects, doubts about vaccine effectiveness, revaccination year after year, and underestimation of the severity of influenza. [7][8][9][10][11] A recent systematic review 12 indicates that influenza vaccination campaigns for HCW based on educational interventions do not seem to increase coverage in the hospital setting. Campaigns tend to focus on the evaluation of the coverage finally obtained, and their impact on educational goals is not usually assessed.…”

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confidence: 99%