Psychosocial determinants of consistent influenza vaccination uptake by nurses. Lim, D. W., Lee, L. T., & Chow, A. Annals of the Academy of Medicine Singapore, 44(10 SUPPL. 1):S158, 2015.
Psychosocial determinants of consistent influenza vaccination uptake by nurses [link]Paper  abstract   bibtex   
Background & Hypothesis: Influenza causes significant morbidity annually. Vaccination of healthcare staff substantially reduces nosocomial influenza. However, staff's vaccination uptake is low. Our study aimed to examine nurses' perceptions and attitudes towards influenza vaccination, and determine psychosocial factors associated with consistent annual vaccination uptake. Method(s): We conducted a cross-sectional study on nurses who have worked at least 2 years at Tan Tock Seng Hospital in May 2012. A 43-item self-administered questionnaire was used to evaluate perceptions and attitudes towards influenza vaccination. Principal component analysis was used to derive the latent factor structure that was later applied in the multivariable analysis. Result(s): A total of 650 nurses completed the survey; 58% nurses perceived influenza vaccination to be beneficial. On univariate analysis, age (OR 1.040, 95% CI 1.019-1.061), years of working in current hospital (OR 1.038, 95% CI 1.011-1.062), perceived vaccination benefits (OR 1.156, 95% CI 0.988- 1.353) and vaccination accessibility (OR 1.193, 95% CI 1.017-1.402) were associated with consistent vaccination (vaccination for 2 consecutive years). Nurses who perceived influenza vaccination as being beneficial were 1.5 times more likely to be consistently vaccinated (OR 1.525, 95% CI 1.113- 2.090). Among nurses aged \textless=29 years, hospital's promotional efforts were negatively associated with consistent vaccination uptake (OR 0.836, 95% CI 0.676-1.033). In contrast, promotional efforts were positively associated with vaccination compliance in nurses aged \textgreater29 years (OR 1.357, 95% CI 1.053-1.749) Discussion & Conclusion(s): Perceived benefits of vaccination and hospital's promotional efforts were determinants of consistent influenza vaccination uptake. Education on vaccination benefits and promotional efforts targeting older nurses can enhance uptake.
@article{lim_psychosocial_2015,
	title = {Psychosocial determinants of consistent influenza vaccination uptake by nurses},
	volume = {44},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/44VolNo10Oct2015/SHBC_Final_2.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed16&NEWS=N&AN=72150649},
	abstract = {Background \& Hypothesis: Influenza causes significant morbidity annually. Vaccination of healthcare staff substantially reduces nosocomial influenza. However, staff's vaccination uptake is low. Our study aimed to examine nurses' perceptions and attitudes towards influenza vaccination, and determine psychosocial factors associated with consistent annual vaccination uptake. Method(s): We conducted a cross-sectional study on nurses who have worked at least 2 years at Tan Tock Seng Hospital in May 2012. A 43-item self-administered questionnaire was used to evaluate perceptions and attitudes towards influenza vaccination. Principal component analysis was used to derive the latent factor structure that was later applied in the multivariable analysis. Result(s): A total of 650 nurses completed the survey; 58\% nurses perceived influenza vaccination to be beneficial. On univariate analysis, age (OR 1.040, 95\% CI 1.019-1.061), years of working in current hospital (OR 1.038, 95\% CI 1.011-1.062), perceived vaccination benefits (OR 1.156, 95\% CI 0.988- 1.353) and vaccination accessibility (OR 1.193, 95\% CI 1.017-1.402) were associated with consistent vaccination (vaccination for 2 consecutive years). Nurses who perceived influenza vaccination as being beneficial were 1.5 times more likely to be consistently vaccinated (OR 1.525, 95\% CI 1.113- 2.090). Among nurses aged {\textless}=29 years, hospital's promotional efforts were negatively associated with consistent vaccination uptake (OR 0.836, 95\% CI 0.676-1.033). In contrast, promotional efforts were positively associated with vaccination compliance in nurses aged {\textgreater}29 years (OR 1.357, 95\% CI 1.053-1.749) Discussion \& Conclusion(s): Perceived benefits of vaccination and hospital's promotional efforts were determinants of consistent influenza vaccination uptake. Education on vaccination benefits and promotional efforts targeting older nurses can enhance uptake.},
	language = {English},
	number = {10 SUPPL. 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Lim, D. W. and Lee, L. T. and Chow, A.},
	year = {2015},
	keywords = {*Singapore, *health, *human, *influenza vaccination, *nurse, cross- sectional study, education, health care, hospital, hypothesis, influenza, morbidity, principal component analysis, questionnaire, social psychology, univariate analysis, vaccination},
	pages = {S158},
}

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