Understanding health care personnel's attitudes toward mandatory influenza vaccination

Background This study investigated the factors influencing influenza vaccination rates among health care personnel (HCP) and explored HCP's attitudes toward a policy of mandatory vaccination. Methods In September 2012, a 33-item Web-based questionnaire was administered to 3,054 HCP employed at...

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Veröffentlicht in:American journal of infection control 2014-06, Vol.42 (6), p.649-652
Hauptverfasser: Awali, Reda A., MD, MPH, Samuel, Preethy S., PhD, Marwaha, Bharat, MD, Ahmad, Nazir, MD, Gupta, Puneet, MBBS, Kumar, Vinod, MBBS, Ellsworth, Joseph, BS, Flanagan, Elaine, BSN, MSA, Upfal, Mark, MD, Russell, Jim, RN, BSN, Kaplan, Carol, BS, Kaye, Keith S., MD, MPH, Chopra, Teena, MD, MPH
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container_end_page 652
container_issue 6
container_start_page 649
container_title American journal of infection control
container_volume 42
creator Awali, Reda A., MD, MPH
Samuel, Preethy S., PhD
Marwaha, Bharat, MD
Ahmad, Nazir, MD
Gupta, Puneet, MBBS
Kumar, Vinod, MBBS
Ellsworth, Joseph, BS
Flanagan, Elaine, BSN, MSA
Upfal, Mark, MD
Russell, Jim, RN, BSN
Kaplan, Carol, BS
Kaye, Keith S., MD, MPH
Chopra, Teena, MD, MPH
description Background This study investigated the factors influencing influenza vaccination rates among health care personnel (HCP) and explored HCP's attitudes toward a policy of mandatory vaccination. Methods In September 2012, a 33-item Web-based questionnaire was administered to 3,054 HCP employed at a tertiary care hospital in metropolitan Detroit. Results There was a significant increase in the rate of influenza vaccination, from 80% in the 2010-2011 influenza season (before the mandated influenza vaccine) to 93% in 2011-2012 (after the mandate) ( P  
doi_str_mv 10.1016/j.ajic.2014.02.025
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Methods In September 2012, a 33-item Web-based questionnaire was administered to 3,054 HCP employed at a tertiary care hospital in metropolitan Detroit. Results There was a significant increase in the rate of influenza vaccination, from 80% in the 2010-2011 influenza season (before the mandated influenza vaccine) to 93% in 2011-2012 (after the mandate) ( P  &lt; .0001). Logistic regression showed that HCP with a history of previous influenza vaccination were 7 times more likely than their peers without this history to receive the vaccine in 2011-2012. A pro-mandate attitude toward influenza vaccination was a significant predictor of receiving the vaccine after adjusting for demographics, history of previous vaccination, awareness of the hospital's mandatory vaccination policy, and patient contact while providing care ( P  = .01). Conclusions The increased rate of influenza vaccination among HCP was driven by both an awareness of the mandatory policy and a pro-mandate attitude toward vaccination. The findings of this study call for better education of HCP on the influenza vaccine along with enforcement of a mandatory vaccination policy.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2014.02.025</identifier><identifier>PMID: 24837116</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Attitude of Health Personnel ; Biological and medical sciences ; Employee attitude ; Epidemiology. Vaccinations ; Ethical ; Female ; General aspects ; Health Knowledge, Attitudes, Practice ; Hospitals ; Human viral diseases ; Humans ; Immunization ; Infection Control ; Infectious Disease ; Infectious diseases ; Influenza ; Influenza Vaccines ; Influenza, Human - prevention &amp; control ; Leadership ; Male ; Mandatory Programs ; Medical personnel ; Medical sciences ; Middle Aged ; Organizational Policy ; Personnel, Hospital - psychology ; Personnel, Hospital - statistics &amp; numerical data ; Pro-mandate attitude ; Questionnaires ; Surveys and Questionnaires ; Tertiary Care Centers ; Vaccination - psychology ; Vaccination - statistics &amp; numerical data ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases ; Web-based questionnaire</subject><ispartof>American journal of infection control, 2014-06, Vol.42 (6), p.649-652</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2014 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. 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Methods In September 2012, a 33-item Web-based questionnaire was administered to 3,054 HCP employed at a tertiary care hospital in metropolitan Detroit. Results There was a significant increase in the rate of influenza vaccination, from 80% in the 2010-2011 influenza season (before the mandated influenza vaccine) to 93% in 2011-2012 (after the mandate) ( P  &lt; .0001). Logistic regression showed that HCP with a history of previous influenza vaccination were 7 times more likely than their peers without this history to receive the vaccine in 2011-2012. A pro-mandate attitude toward influenza vaccination was a significant predictor of receiving the vaccine after adjusting for demographics, history of previous vaccination, awareness of the hospital's mandatory vaccination policy, and patient contact while providing care ( P  = .01). 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Methods In September 2012, a 33-item Web-based questionnaire was administered to 3,054 HCP employed at a tertiary care hospital in metropolitan Detroit. Results There was a significant increase in the rate of influenza vaccination, from 80% in the 2010-2011 influenza season (before the mandated influenza vaccine) to 93% in 2011-2012 (after the mandate) ( P  &lt; .0001). Logistic regression showed that HCP with a history of previous influenza vaccination were 7 times more likely than their peers without this history to receive the vaccine in 2011-2012. A pro-mandate attitude toward influenza vaccination was a significant predictor of receiving the vaccine after adjusting for demographics, history of previous vaccination, awareness of the hospital's mandatory vaccination policy, and patient contact while providing care ( P  = .01). Conclusions The increased rate of influenza vaccination among HCP was driven by both an awareness of the mandatory policy and a pro-mandate attitude toward vaccination. The findings of this study call for better education of HCP on the influenza vaccine along with enforcement of a mandatory vaccination policy.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>24837116</pmid><doi>10.1016/j.ajic.2014.02.025</doi><tpages>4</tpages></addata></record>
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subjects Adult
Aged
Attitude of Health Personnel
Biological and medical sciences
Employee attitude
Epidemiology. Vaccinations
Ethical
Female
General aspects
Health Knowledge, Attitudes, Practice
Hospitals
Human viral diseases
Humans
Immunization
Infection Control
Infectious Disease
Infectious diseases
Influenza
Influenza Vaccines
Influenza, Human - prevention & control
Leadership
Male
Mandatory Programs
Medical personnel
Medical sciences
Middle Aged
Organizational Policy
Personnel, Hospital - psychology
Personnel, Hospital - statistics & numerical data
Pro-mandate attitude
Questionnaires
Surveys and Questionnaires
Tertiary Care Centers
Vaccination - psychology
Vaccination - statistics & numerical data
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
Web-based questionnaire
title Understanding health care personnel's attitudes toward mandatory influenza vaccination
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