Barriers associated with seasonal influenza vaccination uptake among nurses: A cross-sectional study

Year 2022, Volume: 12 Issue: 6, 872 - 876, 30.11.2022

Melike Yalçın Gürsoy Furkan Sağtaş

https://doi.org/10.16899/jcm.1185982

Cited By: 1

Abstract

Aim: The aim of this study is to evaluate the barriers associated with seasonal influenza vaccination uptake among nurses
Material and Method: This web-based survey conducted in Turkey, from November to December 2021. A cross-sectional study included 390 nurses. The data were collected online by the researchers through a survey form that prepared in line with the literature. Descriptive statistics and chi-square analysis were used to evaluate the data (p<0.05).
Results: A total of 69% (n=269) of the nurses had never received an influenza vaccine, and 10.3% (n=40) had received an influenza vaccine in the last year. Most common barrier to vaccination was the thought that the vaccine was ineffective (21.6%) and most encouraging factor was COVID-19 for nurses to be vaccinated. A significant relationship was observed between the work experience (in years), geographical region, education level, the institution of employment, perception of income status, alcohol consumption, presence of chronic disease, and vaccination (p<0.05).
Conclusion: The results of this study showed that more than half of the nurses did not get the influenza vaccine, and there are some barriers and against to getting vaccinated.

Keywords

Influenza Vaccine, Nurse, Barrier, Influenza Vaccine, Nurse, Barrier

Hemşirelerin mevsimsel grip aşısı yaptırma ile ilgili engelleri: Kesitsel bir çalışma

Abstract

Amaç: Bu çalışmanın amacı, hemşirelerin mevsimsel grip aşısı yaptırma önündeki engellerinin belirlenmesidir.
Gereç ve Yöntem: Bu web tabanlı anket, Kasım-Aralık 2021 tarihleri arasında Türkiye'de yapıldı. Kesitsel türde olan çalışmaya 390 hemşire dahil edildi. Veriler, araştırmacılar tarafından literatür doğrultusunda hazırlanan anket formu aracılığıyla çevrimiçi olarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve ki-kare analizi kullanıldı (p<0.05).
Bulgular: Hemşirelerin toplam %69'unun (n=269) hiç influenza aşısı yaptırmadığı ve %10,3'ünün (n=40) son bir yıl içinde influenza aşısı yaptırdığı belirlendi. Aşılamanın önündeki en yaygın engel aşının etkisiz olduğunu düşünme idi (%21,6). Hemşireleri aşı olmaya teşvik eden en önemli faktör ise COVID-19 idi. İş deneyimi (yıl olarak), coğrafi bölge, eğitim düzeyi, çalışılan kurum, gelir durumu algısı, alkol tüketimi, kronik hastalık varlığı ve aşı yaptırma arasında anlamlı ilişki gözlendi (p<0.05).
Sonuç: Bu çalışmanın sonuçları, hemşirelerin yarısından fazlasının grip aşısı olmadığını ve aşı yaptırmanın önünde bazı engellerin olduğunu göstermiştir.

Keywords

Grip aşısı, Hemşire, Bariyer

References

• 1. Jorgensen P, Mereckiene J, Cotter S, Johansen K, Tsolova S, Brown C. How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015. Vaccine. 2018 Jan 25;36(4):442-452.
• 2. Iuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, Cohen C, Gran JM, Schanzer D, Cowling BJ, Wu P, Kyncl J, Ang LW, Park M, Redlberger-Fritz M, Yu H, Espenhain L, Krishnan A, Emukule G, van Asten L, Pereira da Silva S, Aungkulanon S, Buchholz U, Widdowson MA, Bresee JS; Global Seasonal Influenza-associated Mortality Collaborator Network. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. Lancet. 2018 Mar 31;391(10127):1285-1300.
• 3. World Health Organization. (‎2018)‎. Influenza (Seasonal). World Health Organization. https://www.who.int/news-room/ fact-sheets/detail/influenza-(seasonal)
• 4. Paules CI, Sullivan SG, Subbarao K, Fauci AS. Chasing Seasonal Influenza - The Need for a Universal Influenza Vaccine. N Engl J Med. 2018 Jan 4;378(1):7-9.
• 5. World Health Organization. (‎2019)‎. How to implement seasonal influenza vaccination of health workers: an introduction manual for national immunization programme managers and policy makers: pilot version 2019. World Health Organization.
• 6. Advisory Committee on Immunization Practices, & Centers for Disease Control and Prevention. (2011). Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 60(RR-7), 1-45.
• 7. Hayward AC. Influenza vaccination of healthcare workers is an important approach for reducing transmission of influenza from staff to vulnerable patients. PLoS One. 2017;12(1):e0169023.
• 8. Jenkin DC, Mahgoub H, Morales KF, Lambach P, Nguyen-Van-Tam JS. A rapid evidence appraisal of influenza vaccination in health workers: An important policy in an area of imperfect evidence. Vaccine X. 2019;2:100036.
• 9. American Association of Colleges of Nursing. (2019). Nursing Fact Sheet. https://www.aacnnursing.org/news-Information/fact-sheets/nursing-fact-sheet
• 10. Ianni A, Tedeschi R, Marchetti A, et al. [The role of nurses in health education about vaccines: analysis of style and communication models of institutional vaccination campaigns]. Ig Sanita Pubbl. 2019;75(5):355-369.
• 11. Pless A, McLennan SR, Nicca D, Shaw DM, Elger BS. Reasons why nurses decline influenza vaccination: a qualitative study. BMC Nurs. 2017;16:20.
• 12. Lau LHW, Lee SS, Wong NS. The continuum of influenza vaccine hesitancy among nursing professionals in Hong Kong. Vaccine. 2020;38(43):6785-6793.
• 13. La Torre G, Mannocci A, Ursillo P, et al. Prevalence of influenza vaccination among nurses and ancillary workers in Italy: systematic review and meta analysis. Hum Vaccin. 2011;7(7):728-733.
• 14. Korkmaz N, Nazik S, Gümüştakım RŞ, et al. Influenza vaccination rates, knowledge, attitudes and behaviours of healthcare workers in Turkey: A multicentre study. Int J Clin Pract. 2021;75(1):e13659.
• 15. Torun SD, Torun F. Vaccination against pandemic influenza A/H1N1 among healthcare workers and reasons for refusing vaccination in Istanbul in last pandemic alert phase. Vaccine. 2010;28(35):5703-57
• 16. Yu J, Ren X, Ye C, Tian K, Feng L, Song Y, Cowling BJ, & Li Z. Influenza vaccination coverage among registered nurses in China during 2017-2018: An internet panel survey. Vaccines 2019;7(4):134. https://doi.org/10.3390/vaccines7040134
• 17. Kwok KO, Li KK, Lee SS, et al. Multi-centre study on cultural dimensions and perceived attitudes of nurses towards influenza vaccination uptake. J Hosp Infect. 2019;102(3):337-342.
• 18. Toska A, Saridi M, Wozniak G, Souliotis K, Korovesis K, Apostolopoulou E. Influenza vaccination among nurses in Greece. Am J Infect Control. 2012;40(3):276-278.
• 19. Smith S, Sim J, Halcomb E. Australian general practice nurse's knowledge, attitudes and practices regarding influenza vaccination: a cross-sectional survey. J Clin Nurs. 2016;25(17-18):2502-2510.
• 20. Johansen LJ, Stenvig T, Wey H. The decision to receive influenza vaccination among nurses in North and South Dakota. Public Health Nurs. 2012;29(2):116-125.
• 21. Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud. 2021;114:103854.
• 22. Paget J, Caini S, Cowling B, et al. The impact of influenza vaccination on the COVID-19 pandemic? Evidence and lessons for public health policies. Vaccine. 2020;38(42):6485-6486.
• 23. Arokiaraj MC. Considering Interim Interventions to Control COVID-19 Associated Morbidity and Mortality-Perspectives. Front Public Health. 2020;8:444.
• 24. Pavlič DR, Maksuti A, Podnar B, Kokalj Kokot M. Reasons for the low influenza vaccination rate among nurses in Slovenia. Prim Health Care Res Dev. 2020;21:e38.
• 25. Flanagan P, Dowling M, Gethin G. Barriers and facilitators to seasonal influenza vaccination uptake among nurses: A mixed methods study. J Adv Nurs. 2020;76(7):1746-1764.
• 26. Schumacher S, Salmanton-García J, Cornely OA, Mellinghoff SC. Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect. Infection. 2021;49(3):387-399
• 27. Cheung K, Ho SMS, Lam W. Factors affecting the willingness of nursing students to receive annual seasonal influenza vaccination: A large-scale cross-sectional study. Vaccine. 2017;35(11):1482-1487.
• 28. Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005 - 2016. PLoS One. 2017;12(1):e0170550.
• 29. Khalooei A, Shafiei Bafti M. Factors associated with seasonal ınfluenza vaccination among nursing staff of three teaching hospitals affiliated to Kerman University of Medical Sciences, Iran. Shiraz E-Med J, 2020;22(5):e102493.
• 30. Acero C, Razzaghi H, Black CL, Wesle MG, Jeddy Z, Lindley MC, de Perio MA, Laney AS, Lu PJ, Williams WW. Influenza vaccination coverage among health care personnel - United States, 2019–20 Influenza Season. Centers for Disease Control and Prevention, 2020, October.