Making influenza vaccination mandatory for health care workers: the views of NSW Health administrators and clinical leaders.

Making influenza vaccination mandatory for health care workers: the views of NSW Health administrators and clinical leaders.
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DOI:
10.1071/nb10042
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发表时间:
2010-09-01
期刊:
New South Wales public health bulletin
影响因子:
--
通讯作者:
McIntyre, Peter B
McIntyre, Peter B
中科院分区:
其他
文献类型:
--
作者:
Leask, Julie;Helms, Charles M;McIntyre, Peter B

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在卫生保健工作者中保持高流感疫苗接种率的挑战使全世界的注意力集中在强制性措施上。2007年,新南威尔士州卫生部发布了一项政策指令,要求医护人员接受某些传染病的筛查/接种疫苗。继续建议每年接种流感疫苗,但不要求。本文介绍了新南威尔士州卫生管理人员和临床领导人对增加流感疫苗接种的要求的意见。在接受访谈的55名工作人员中,有45人作出了直接答复。其中,23人支持纳入,14人不支持,8人尚未决定。对访谈的分析表明,成功地将流感疫苗接种纳入当前的政策指令需要解决四个主要问题:(1)提供和传达支持政策指令的坚实证据基础;(2)解决工作人员对疫苗的担忧;(3)确保工作人员理解保护患者的必要性;以及(4)解决执行年度疫苗接种的后勤挑战。
The challenges of maintaining high influenza vaccination rates in health care workers have focused worldwide attention on mandatory measures. In 2007, NSW Health issued a policy directive requiring health care workers to be screened/vaccinated for certain infectious diseases. Annual influenza vaccine continued to be recommended but not required. This paper describes the views of NSW Health administrators and clinical leaders about adding influenza vaccination to the requirements. Of 55 staff interviewed, 45 provided a direct response. Of these, 23 supported inclusion, 14 did not and eight were undecided. Analysis of interviews indicated that successfully adding influenza vaccination to the current policy directive would require four major issues to be addressed: (1) providing and communicating a solid evidence base supporting the policy directive; (2) addressing the concerns of staff about the vaccine; (3) ensuring staff understand the need to protect patients; and (4) addressing the logistical challenges of enforcing an annual vaccination.