Reasons why nurses decline influenza vaccination: a qualitative study.
Reasons why nurses decline influenza vaccination: a qualitative study.
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DOI：
10.1186/s12912-017-0215-5
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发表时间：
2017
期刊：
影响因子：
3.2
通讯作者：
Elger BS
中科院分区：
文献类型：
--
作者：
Pless A;McLennan SR;Nicca D;Shaw DM;Elger BS
探讨未接种季节性流感疫苗的护理人员减少季节性流感疫苗接种的原因。医护人员每年接种流感疫苗，可降低脆弱患者的发病率和死亡率。尽管如此，疫苗接种率仍然很低，特别是在护理人员中。虽然有几项研究探讨了医护人员接种疫苗的障碍，但大多数研究都采用了定量方法。收集的数据进行了深入的个人半结构化访谈，18名护士从一系列领域，在组织层次结构，工作经验和医院在瑞士两个德语州的职位。采访记录和分析使用传统的内容分析。三个相互关联的主题解释了为什么护士拒绝流感疫苗接种：首先，保持强壮和健康的身体，这是一个中心主题拒绝疫苗的想法。第二，希望保持决策自主权-特别是对一个人的身体和健康。第三，护士认为自己被一个不值得信任的环境所包围，这限制了他们的自主权，似乎与他们保持强壮和健康的身体的目标背道而驰。护士倾向于依赖传统的健康信念，而不是循证医学时，他们决定拒绝流感疫苗接种。增加流感疫苗接种的干预措施应专门为护士量身定制。通过提高决策技能和加强对护士的评估来增强护士的能力，可能是规划未来干预措施以提高疫苗接种率时需要考虑的重要因素。循证决策的教学应在不同层面上进行整合，包括护士培训课程、工作场所和继续教育。
To explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still, vaccination rates remain very low, particularly in nursing staff. While several studies have explored barriers for healthcare workers to get vaccinated, most have used a quantitative approach. Data were collected by in-depth individual semi-structured interviews with 18 nurses from a range of fields, positions in organizational hierarchy, work experience and hospitals in two German-speaking cantons in Switzerland. Interviews were transcribed and analysed using conventional content analysis. Three interconnected themes explaining why nurses decline influenza vaccination were identified: Firstly, the idea of maintaining a strong and healthy body, which was a central motif for rejecting the vaccine. Secondly, the wish to maintain decisional autonomy - especially over one's body and health. Thirdly, nurses' perception of being surrounded by an untrustworthy environment, which restricts their autonomy and seemingly is in opposition to their goal of maintaining a strong and healthy body. Nurses tend to rely on conventional health beliefs rather than evidence based medicine when making their decision to decline influenza vaccination. Interventions to increase influenza vaccination should be tailored specifically for nurses. Empowering nurses by promoting decision-making skills and by strengthening their appraisal may be important factors to consider when planning future interventions to improve vaccination rates. The teaching of evidence-based decision-making should be integrated on different levels, including nurses' training curricula, their workspace and further education.