"I don't see an added value for myself": a qualitative study exploring the social cognitive variables associated with influenza vaccination of Belgian, Dutch and German healthcare personnel
"I don't see an added value for myself": a qualitative study exploring the social cognitive variables associated with influenza vaccination of Belgian, Dutch and German healthcare personnel
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DOI：
10.1186/1471-2458-14-407
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发表时间：
2014-04-28
影响因子：
4.5
通讯作者：
Kok, Gerjo
中科院分区：
文献类型：
--
作者：
Lehmann, Birthe A.;Ruiter, Robert A. C.;Kok, Gerjo
工作背景：卫生当局建议医护人员（HCP）接种流感疫苗，以减少流感向易感患者的传播。最近的研究几乎完全使用定量问卷，以确定疫苗接种行为的决定因素。访谈使HCP自由地表达为什么他们认为他们是（不）愿意接种流感疫苗against influenza.Methods：通过半结构化的一对一访谈与123比利时，荷兰和德国HCP，原因和反对接种疫苗，流感疫苗接种的经验，打算接种疫苗和可能的障碍，以及愿意建议流感疫苗接种的患者进行了调查。数据处理与QSR NVivo 8.0和分析使用的演绎和一般的归纳approaches.Results的组合：在各国，自我保护，病人保护，保护家庭成员的最重要的原因，接种流感疫苗。不接种流感疫苗的原因是害怕疫苗引起的副作用、低风险认知、不相信流感疫苗的有效性、组织障碍、误解和不明确的负面情绪。在比利时、德国和荷兰，HCP决定是否接种流感疫苗的社会认知变量似乎相似，尽管有些分歧浮出水面需要对这些社会认知变量进行定量调查，以确定社会认知变量在解释接种疫苗意图方面的重要性以及本研究中发现的国家之间相似性和差异的重要性。
Background: Health Authorities recommend influenza vaccination of healthcare personnel (HCP) to decrease the transmission of influenza to vulnerable patients. Recent studies have almost exclusively used quantitative questionnaires in order to identify determinants of vaccination behaviour. Interviews enable HCP to express freely why they think they are (not) willing to get vaccinated against influenza.Methods: By means of semi-structured one-on-one interviews with 123 Belgian, Dutch and German HCP, reasons for and against vaccination, experiences with influenza vaccination, intention to get vaccinated and possible barriers, as well as willingness to advice influenza vaccination to patients were investigated. Data were processed with QSR NVivo 8.0 and analysed using a combination of a deductive and a general inductive approach.Results: Across countries, self-protection, patient protection, and protection of family members were reported as most important reasons to get vaccinated against influenza. Reasons to not get vaccinated against influenza were fear of side effects caused by the vaccine, a low risk-perception, the disbelief in the effectiveness of influenza vaccination, organizational barriers, misconceptions, and undefined negative emotions.Conclusions: The social cognitive variables underlying the decision of HCP to get vaccinated against influenza (or not) seem to be similar in Belgium, Germany, and the Netherlands, even though some differences surfaced. A quantitative investigation of those social cognitive variables is needed in order to determine the importance of the social cognitive variables in explaining the intention to get vaccinated and the importance of the similarities and differences between countries that have been found in this study.