Promotion of influenza vaccination among health care workers: findings from a tertiary care children's hospital in Italy
Promotion of influenza vaccination among health care workers: findings from a tertiary care children's hospital in Italy
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DOI：
10.1186/s12889-015-2067-9
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发表时间：
2015-07-24
影响因子：
4.5
通讯作者：
degli Atti, Marta Luisa Ciofi
中科院分区：
文献类型：
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作者：
Cozza, Vanessa;Alfonsi, Valeria;degli Atti, Marta Luisa Ciofi
背景资料：本研究的目的是：a）评估的态度和做法的卫生保健工作者（HCWs）对流感疫苗接种和他们的意见，关于疫苗接种促进工具包; B）估计医院HCWs的流感疫苗接种覆盖率（VC）。方法：班比诺Gesu儿童医院（OPBG）是一所学术医院在意大利。自2009年起，医务工作者可于工作时间内免费接受流感疫苗注射。2013年12月至12月，开展了一项基于标准化工具包的宣传运动。2013年12月，我们在医院病房样本中进行了一项横断面调查，基于自填问卷，包括参与者的特征;自我报告的流感疫苗接种史;接种或错过接种的原因;对工具包的意见。多变量逻辑分析用于评估流感疫苗接种状态的独立预测因素。结果：在191名参与调查的医务人员中，35.6%的医务人员报告在其一生中至少接种过一次流感疫苗，6.8%的医务人员坚持每年接种一次流感疫苗。服务年限和专业类别与疫苗接种显著且独立相关（服务年限> 10年的调整后OR：2.4，而服务年限< 5年的调整后OR：2.6，医生与护士相比）。患者保护是报告的接种疫苗的主要原因（34.3%）;认为流感是轻度疾病是未接种疫苗的主要原因（36.9%）;疫苗有效性差是错过年度复种的主要原因（28.8%）。总体而言，75%的受访者至少看到一种促销工具;其中65.6%的人认为这些信息有用。医院风险投资从2009年的30%下降到2012年的5%。2013年，VC为14%.Conclusions：在HCW中很难实现令人满意的流感VC。2013年，沿着工具包的实施，我们观察到医务工作者的疫苗接种覆盖率有所增加，但仍不尽如人意。应实施针对护士和最近雇用的HCW的量身定制的信息策略。此外，还应考虑建立十年期声明，在财务激励制度中增加流感疫苗接种或疫苗接种要求，以增加医务人员的流感风险。
Background: The aims of this study were: a) to evaluate attitudes and practices of health care workers (HCWs) towards influenza vaccination and their opinion regarding a vaccination promotion toolkit; b) to estimate hospital HCWs' influenza vaccination coverage rates (VC).Methods: The Bambino Gesu Children's Hospital (OPBG) is an academic hospital in Italy. Since 2009, free influenza vaccination is offered to HCWs during working hours. In October-December 2013, a communication campaign based on a standardized toolkit was conducted. In December 2013, we performed a cross-sectional survey in a sample of hospital wards, based on a self-administered questionnaire including participants' characteristics; self-reported influenza vaccination history; reasons for vaccination or missed vaccination; opinion regarding the toolkit. Multivariable logistic analysis was used to assess independent predictors of influenza vaccination status. Annual VC for years 2009-2013 was estimated by using the number of seasonal influenza vaccine doses administered to HCWs as numerator, and the number of hospital HCWs as denominator.Results: Out of 191 HCWs who participated in the survey, 35.6 % reported at least one influenza vaccination during their life; 6.8 % adhered to annual revaccination. Years of service and professional category were significantly and independently associated with vaccination (adjusted-OR: 2.4 for > 10 years of service, compared to < 5 years of service; adjusted-OR: 2.6 for physicians compared to nurses). Patient protection was the main reported reason for vaccination (34.3 %); considering influenza a mild disease was the main reason for non-vaccination (36.9 %); poor vaccine effectiveness was the main reason for missed annual revaccination (28.8 %). Overall, 75 % of respondents saw at least one promotion tool; 65.6 % of them found the information useful. Hospital VC decreased from 30 % in 2009, to 5 % in 2012. In 2013, VC was 14 %.Conclusions: Satisfactory influenza VC in HCWs is hard to achieve. In 2013, along with the toolkit implementation, we observed an increase in HCWs' vaccination coverage, nevertheless, it remained unsatisfactory. Tailored information strategies targeting nurses and recently employed HCWs should be implemented. Institution of declination statements, adding influenza vaccination to financial incentive systems, or vaccination requirements should also be considered to increase influenza VC among HCWs.