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Seasonal influenza vaccination of healthcare workers: systematic review of
qualitative evidence.
BMC Health Serv Res. 2017 Nov 15;17(1):732
Authors: Lorenc T, Marshall D, Wright K, Sutcliffe K, Sowden A
Abstract
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
PMID: 29141619
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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