Seasonal influenza vaccination of healthcare workers: systematic review of qualitative evidence.
Seasonal influenza vaccination of healthcare workers: systematic review of qualitative evidence.
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DOI：
10.1186/s12913-017-2703-4
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发表时间：
2017-11-15
影响因子：
2.8
通讯作者：
Sowden A
中科院分区：
文献类型：
--
作者：
Lorenc T;Marshall D;Wright K;Sutcliffe K;Sowden A
大多数国家建议医护人员（HCW）季节性接种流感疫苗，以保护自己和患者。然而，在许多情况下，覆盖率仍然很低。为提高采用率，实施了一系列战略。定性证据有助于理解干预措施的背景，包括为什么干预措施可能无法达到预期效果。本研究旨在综合有关医护人员对季节性流感疫苗接种的看法和经验的证据。定性证据的系统评价。我们检索了MEDLINE、EMBASE和CINAHL，并纳入了报告了关于HCW季节性流感疫苗接种的实质性定性数据的英语研究。调查结果按主题进行了综合。25项研究被纳入审查。医护人员可能有动机接受疫苗接种，以保护自己和病人免受感染。然而，一系列的信念可能会成为疫苗接种的障碍，包括对副作用的担忧，对疫苗有效性的怀疑，以及认为流感不是一种严重的疾病。卫生保健工作者重视他们在疫苗接种决策方面的自主权和专业责任。实施促进接种疫苗的干预措施可能面临来自医务工作者个人信仰以及目标组织内管理层和员工之间关系的障碍。医护人员的疫苗接种行为需要在医护人员相互之间、与管理人员和患者之间的关系中加以理解。促进疫苗接种的干预措施应考虑到目标医务工作者的个人信念和实施这些措施的组织背景。本文的在线版本（10.1186/s12913-017-2703-4）包含补充材料，可供授权用户使用。
Most countries recommend that healthcare workers (HCWs) are vaccinated seasonally against influenza in order to protect themselves and patients. However, in many cases coverage remains low. A range of strategies have been implemented to increase uptake. Qualitative evidence can help in understanding the context of interventions, including why interventions may fail to achieve the desired effect. This study aimed to synthesise evidence on HCWs’ perceptions and experiences of vaccination for seasonal influenza. Systematic review of qualitative evidence. We searched MEDLINE, EMBASE and CINAHL and included English-language studies which reported substantive qualitative data on the vaccination of HCWs for seasonal influenza. Findings were synthesised thematically. Twenty-five studies were included in the review. HCWs may be motivated to accept vaccination to protect themselves and their patients against infection. However, a range of beliefs may act as barriers to vaccine uptake, including concerns about side-effects, scepticism about vaccine effectiveness, and the belief that influenza is not a serious illness. HCWs value their autonomy and professional responsibility in making decisions about vaccination. The implementation of interventions to promote vaccination uptake may face barriers both from HCWs’ personal beliefs and from the relationships between management and employees within the targeted organisations. HCWs’ vaccination behaviour needs to be understood in the context of HCWs’ relationships with each other, with management and with patients. Interventions to promote vaccination should take into account both the individual beliefs of targeted HCWs and the organisational context within which they are implemented. The online version of this article (10.1186/s12913-017-2703-4) contains supplementary material, which is available to authorized users.
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影响因子：
5.5
作者：
Khodyakov, Dmitry;Uscher-Pines, Lori;Harris, Katherine
通讯作者：
Harris, Katherine
影响因子：
4.5
作者：
Lehmann, Birthe A.;Ruiter, Robert A. C.;Kok, Gerjo
通讯作者：
Kok, Gerjo
影响因子：
2.9
作者：
Kliner M;Keenan A;Sinclair D;Ghebrehewet S;Garner P
通讯作者：
Garner P
DOI：
10.1071/nb10042
发表时间：
2010-09-01
期刊：
New South Wales public health bulletin
影响因子：
--
作者：
Leask, Julie;Helms, Charles M;McIntyre, Peter B
通讯作者：
McIntyre, Peter B
影响因子：
4.5
作者：
Manuel, DG;Henry, B;Naus, M
通讯作者：
Naus, M