Perceptions and influence of a hospital influenza vaccination policy

Elizabeth Daugherty Biddison, Kathleen A. Speck, Cynthia S Rand, Trish M. Perl

Research output: Contribution to journalArticle

Abstract

objective. Seasonal influenza is a significant cause of morbidity and mortality in the United States each year. Healthcare worker (HCW) influenza vaccination is associated with both decreased absenteeism among employees and improved outcomes among patients. However, HCW influenza vaccine uptake remains suboptimal. The objective of this study was to characterize HCWs' understanding of and response to a stringent vaccination policy. design, setting, and participants. A survey of 928 hospital staff at a tertiary academic medical center in Baltimore during the 2008-2009 influenza season. results. Of those surveyed, 75% (n=695) completed the survey; 623 respondents reported regular patient contact, and 91% of those reported vaccination in the current influenza season. However, only 60% reported consistently receiving the vaccine every year. Of those who were vaccinated, 8% (n=48) reported being vaccinated for the first time during that influenza season. A significant proportion (42%) of respondents were unaware of the major change in hospital policy regarding vaccination. Influences on the decision to be vaccinated varied significantly between those who are regularly vaccinated and those with inconsistent vaccination habits. Attitudes toward hospital policy varied significantly by race and clinical role. conclusions. Although 91% of respondents with regular patient contact reported being vaccinated for influenza in the 2008-2009 season, only 60% reported consistent annual vaccination. Misinformation regarding hospital policies is widespread. Improvements in vaccination rates will likely require multifaceted, targeted efforts focused on specific influences on less adherent groups. The identified variability in influences on the decision to be vaccinated suggests possible targets for future interventions.

Original languageEnglish (US)
Pages (from-to)449-455
Number of pages7
JournalInfection Control and Hospital Epidemiology
Volume32
Issue number5
DOIs
StatePublished - May 2011

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Human Influenza
Vaccination
Delivery of Health Care
Absenteeism
Baltimore
Influenza Vaccines
Habits
Vaccines
Communication
Surveys and Questionnaires
Morbidity
Mortality

ASJC Scopus subject areas

  • Microbiology (medical)
  • Epidemiology
  • Infectious Diseases

Cite this

Perceptions and influence of a hospital influenza vaccination policy. / Daugherty Biddison, Elizabeth; Speck, Kathleen A.; Rand, Cynthia S; Perl, Trish M.

In: Infection Control and Hospital Epidemiology, Vol. 32, No. 5, 05.2011, p. 449-455.

Research output: Contribution to journalArticle

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abstract = "objective. Seasonal influenza is a significant cause of morbidity and mortality in the United States each year. Healthcare worker (HCW) influenza vaccination is associated with both decreased absenteeism among employees and improved outcomes among patients. However, HCW influenza vaccine uptake remains suboptimal. The objective of this study was to characterize HCWs' understanding of and response to a stringent vaccination policy. design, setting, and participants. A survey of 928 hospital staff at a tertiary academic medical center in Baltimore during the 2008-2009 influenza season. results. Of those surveyed, 75{\%} (n=695) completed the survey; 623 respondents reported regular patient contact, and 91{\%} of those reported vaccination in the current influenza season. However, only 60{\%} reported consistently receiving the vaccine every year. Of those who were vaccinated, 8{\%} (n=48) reported being vaccinated for the first time during that influenza season. A significant proportion (42{\%}) of respondents were unaware of the major change in hospital policy regarding vaccination. Influences on the decision to be vaccinated varied significantly between those who are regularly vaccinated and those with inconsistent vaccination habits. Attitudes toward hospital policy varied significantly by race and clinical role. conclusions. Although 91{\%} of respondents with regular patient contact reported being vaccinated for influenza in the 2008-2009 season, only 60{\%} reported consistent annual vaccination. Misinformation regarding hospital policies is widespread. Improvements in vaccination rates will likely require multifaceted, targeted efforts focused on specific influences on less adherent groups. The identified variability in influences on the decision to be vaccinated suggests possible targets for future interventions.",
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