Influenza Immunization: Improving Compliance of Healthcare Workers
Autor: | J. C. Schira, Werner Wunderli, Stéphan Juergen Harbarth, Claire-Anne Siegrist, Didier Pittet |
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Rok vydání: | 1998 |
Předmět: |
Influenza Vaccines/ administration & dosage
Microbiology (medical) Health Knowledge Attitudes Practice medicine.medical_specialty Epidemiology Psychological intervention Cross Infection/ prevention & control Hospitals University Nursing Influenza Human Health care Humans Medicine ddc:616 Geriatrics Cross Infection business.industry Vaccination Hospital Bed Capacity 500 and over Vaccine efficacy Confidence interval Personnel Hospital Institutional repository Infectious Diseases Vaccination/psychology/ utilization Immunization Influenza Vaccines Family medicine Guideline Adherence Influenza Human/ prevention & control Personnel Hospital/psychology/statistics & numerical data business Switzerland |
Zdroj: | Infection Control and Hospital Epidemiology, Vol. 19, No 5 (1998) pp. 337-342 |
ISSN: | 1559-6834 0899-823X |
DOI: | 10.2307/30141375 |
Popis: | OBJECTIVE: In spite of yearly recalls, influenza immunization rates of healthcare workers (HCWs) remained low (10%) at the University Hospitals of Geneva. This study was conducted to identify HCWs' reasons for rejection of immunization, to design specific intervention methods based on these reasons, and to evaluate the impact of such interventions. METHODS: Three departments with high-risk patients (geriatrics, obstetrics, and pediatrics) were selected as main targets. Questionnaires were distributed in these units. Based on HCWs' perceptions, different intervention methods were designed and used either in these departments only (educational conferences, on-site availability of a vaccination nurse) or in the whole institution (posters, personal letters). Immunization rates were collected throughout the institution. RESULTS: 797 completed questionnaires from 1,092 HCWs (73%) were returned. Major reasons for immunization rejection were confidence that their bodies' self-defense mechanisms would ward off infection (32%), perception of low exposure risk (23%), and doubts concerning vaccine efficacy (19%). The use of intervention methods designed to address these factors increased influenza immunization rates in the three targeted departments from 13% (95% confidence interval [CI95], 11.4-15.6) in 1995 and 1996 to 37% (CI95, 34.5-40.3) in the following season (P |
Databáze: | OpenAIRE |
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