ATTITUDES AND PRACTICES REGARDING INFLUENZA VACCINATION AMONG EMERGENCY DEPARTMENT PERSONNEL
ATTITUDES AND PRACTICES REGARDING INFLUENZA VACCINATION AMONG EMERGENCY DEPARTMENT PERSONNEL
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DOI：
10.1016/j.jemermed.2007.07.070
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发表时间：
2009-02-01
影响因子：
1.5
通讯作者：
Feldman, James A.
中科院分区：
文献类型：
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作者：
Fernandez, William G.;Oyama, Leslie;Feldman, James A.
在美国，与流感相关的感染给卫生保健系统和急诊科（ED）造成巨大负担。接种流感疫苗是预防发病和死亡的一种安全、具有成本效益的手段。我们试图通过评估艾德环境中卫生保健工作者对流感疫苗的知识、态度和实践，了解影响其专业和个人流感疫苗接种实践的因素。对波士顿一个城市学术医疗中心的所有全职艾德工作人员（护士、急诊医学住院医师和急诊医学系）进行了一项横断面研究，该中心每年治疗> 90，000例艾德患者。我们使用匿名的自填式问卷调查了关于个人流感疫苗接种的知识、态度和做法，以及对基于ED的流感疫苗接种计划的支持。在130名艾德工作人员中，126人完成了调查（97%的回复率）。总体而言，69%的受访者表示他们非常或极有可能在即将到来的流感季节之前接种疫苗。住院医生（94%）和主治医生（82%）比护士（42%）更有可能接种疫苗（p < 0.001）。今年可能接种疫苗的受访者更有可能支持艾德患者的疫苗接种计划（80%对55%的未接种疫苗的人，p < 0.001）。定期开展预防性疫苗接种治疗有效性的教育，消除对不良反应的误解，可能会减少疫苗接种计划的障碍。教育倡议可能会导致艾德提供者自己接受流感疫苗接种，这可能会增加对艾德患者流感疫苗接种计划的支持。(c)2009 Elsevier Inc.
In the United States, infections related to influenza result in a huge burden to the health care system and emergency departments (EDs). Influenza vaccinations are a safe, cost-effective means to prevent morbidity and mortality. We sought to understand the factors that contribute to the professional and personal influenza vaccination practices of health care workers in the ED setting by assessing their knowledge, attitudes, and practices with regards to the influenza vaccine. A cross-sectional study of all full-time ED staff (nurses, emergency medicine residents, and emergency medicine faculty) at an urban academic medical center in Boston treating > 90,000 ED patients annually, was performed. We examined knowledge, attitudes, and practices regarding personal influenza vaccination and support of an ED-based influenza vaccination program using an anonymous, self-administered questionnaire. Of 130 ED staff, 126 individuals completed the survey (97% response rate). Overall, 69% of respondents reported that they were very or extremely likely to be vaccinated before the coming influenza season. Residents (94%) and attending physicians (82%) were significantly more likely than nurses (42%) to be vaccinated (p < 0.001). Respondents likely to be vaccinated this year were more likely to support a vaccination program for ED patients (80% vs. 55% of those not vaccinated, p < 0.001). Providing regular education on the efficacy of preventive vaccination therapy and dispelling misconceptions regarding adverse effects may reduce barriers to vaccination programs. An educational initiative may result in acceptance of influenza vaccination by ED providers themselves, which could result in increased support for an influenza vaccination program for ED patients. (c) 2009 Elsevier Inc.