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Correlation Between Healthcare Workers' Knowledge of Influenza Vaccine and Vaccine Receipt

Published online by Cambridge University Press:  02 January 2015

Richard A. Martinello*
Affiliation:
Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut Section of Infectious Diseases, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut Quality Improvement and Support Services, Yale-New Haven Hospital, New Haven, Connecticut
Laura Jones
Affiliation:
Quality Improvement and Support Services, Yale-New Haven Hospital, New Haven, Connecticut
Jeffrey E. Topal
Affiliation:
Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut Quality Improvement and Support Services, Yale-New Haven Hospital, New Haven, Connecticut
*
VA Connecticut, 950 Campbell Ave. 111-1, West Haven, CT 06516

Abstract

Objective:

Influenza vaccine receipt by healthcare workers (HCWs) is important because HCWs are at risk for occupational exposure to influenza and may act as vectors in the nosocomial transmission of influenza. HCWs were surveyed to determine whether belief in commonly held influenza vaccine misconceptions was associated with influenza vaccine acceptance.

Design:

Cross-sectional study.

Setting:

A large urban teaching hospital.

Method:

A self-administered survey was used to assess nursing and physician staff influenza vaccine knowledge, current vaccination status, and potential reasons for vaccine declination.

Results:

Two hundred twelve of 215 surveys were completed. The overall influenza vaccination rate was 73%. Physician staff were significantly more likely to have been vaccinated compared with nursing staff (82% vs 62%, respectively; P = .0009). HCWs answering the 5 influenza vaccine basic knowledge questions correctly were significantly more likely to have been vaccinated than those responding incorrectly to any question (84% vs 64%, respectively; P = .002). This association was present in the nursing group where 80% of those answering the knowledge questions correctly were vaccinated, but only 49% of those answering incorrectly were vaccinated (P = .000005). However, in the physician group, there was no significant difference in the influenza vaccination rates between those answering correctly and those answering incorrectly (P = .459).

Conclusion:

Belief in commonly held influenza vaccine misconceptions was significantly associated with influenza vaccine declination among nursing staff and may act as a barrier to greater rates of influenza vaccination. Reasons for influenza vaccine nonreceipt may differ between nursing and physician staff.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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References

1. Potter, J, Stott, DJ, Roberts, AG, et al. Influenza vaccination of health care workers in long-term care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:16.Google Scholar
2. Carman, WF, Elder, AG, Wallace, LA, et al. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:9397.Google Scholar
3. Wilde, JA McMillan, JA, Serwint, J, Butta, J, O'Riordan, MA Steinhoff, MC. Effectiveness of influenza vaccine in healthcare professionals: a randomized trial. JAMA 1999;281:908913.Google Scholar
4. Centers for Disease Control and Prevention. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2001;50(RR-4):163.Google Scholar
5. Walker, FJ, Singleton, JA Lu, PJ, Strikas, RA. Influenza vaccination of healthcare workers in the United States, 1989-97 Infect Control Hosp Epidemiol 2000;21:113. Abstract.Google Scholar
6. Heimberger, T, Chang, HG, Shaikh, M, Crotty, L, Morse, D, Birkhead, G. Knowledge and attitudes of healthcare workers about influenza: why are they not getting vaccinated? Infect Control Hosp Epidemiol 1995;16:412414.Google Scholar
7. Nafziger, DA Herwaldt, LA. Attitudes of internal medicine residents regarding influenza vaccination. Infect Control Hosp Epidemiol 1994;15:3235.Google Scholar
8. Begue, RE, Gee, SQ. Improving influenza immunization among healthcare workers. Infect Control Hosp Epidemiol 1998;19:518520.Google Scholar
9. Watanakunakorn, C, Ellis, G, Gemmel, D. Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993;14:1720.CrossRefGoogle ScholarPubMed
10. Muto, CA Sistrom, MG, Farr, BM. Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic. Am J Infect Control 2000;28:273276.CrossRefGoogle ScholarPubMed
11. Lankford, MG, Zembower, TR, Trick, WE, Hacek, DM, Noskin, GA, Peterson, LR. Influence of role models and hospital design on hand hygiene of health care workers. Emerg Infect Dis 2003;9:217223.CrossRefGoogle Scholar
12. Harbarth, S, Siegrist, CA, Schira, JC, Wunderli, W, Pittet, D. Influenza immunization: improving compliance of healthcare workers. Infect Control Hosp Epidemiol 1998;19:337342.Google Scholar