Qualitative motivators and barriers to pandemic vs. seasonal influenza vaccination among healthcare workers: A content analysis |
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| Affiliation: | 1. Ontario Agency for Health Promotion and Protection, Infection Prevention and Control, Toronto, ON, Canada;2. University of Ottawa, Faculty of Medicine, Ottawa, ON, Canada;3. The Ottawa Hospital, Ottawa, ON, Canada;4. Ottawa Hospital Research Institute, Ottawa, ON, Canada;5. University of Ottawa Institute of Mental Health Research, Ottawa, Canada;1. Public Health Wales, Swansea, Wales, United Kingdom;2. Abertawe Bro Morgannwg University Health Board, Princess of Wales Hospital, Bridgend, Wales, United Kingdom;3. Public Health Wales, Temple of Peace and Health, Cardiff, Wales, United Kingdom;4. Abertawe Bro Morgannwg University Health Board, Port Talbot, Wales, United Kingdom;1. Department of Work & Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands;2. Department of Psychology, Rutgers University, 152 Frelinghuysen Road, Piscataway, NJ 08854-8020, United States;1. School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor 45700, Malaysia;2. Department of Pharmacy Services, Northwest General Hospital & Research Center, Peshawar, Pakistan;3. Department of Pharmacy, University of Swabi, Pakistan;1. Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada;2. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;3. Institute for Clinical Evaluative Sciences, Toronto, Canada;4. Department of Family Medicine and Community Medicine, Toronto, Canada;5. University Health Network, Toronto, Canada;6. Bruyère Research Institute, Ottawa, Canada;7. Départment des sciences de la santé communautaire, Université de Sherbrooke, Longueuil, Canada;8. Institut national de santé publique du Québec, Longueuil, Canada;9. Direction de santé publique, Agence de la santé et des services sociaux de la Montérégie, Longueuil, Canada;10. Vaccine Evaluation Center, University of British Columbia, Vancouver, Canada;1. Department of Family Medicine, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;2. Public Health Institution of Turkey, 1st Family Health Center, Family Medicine Clinic Samsun Training and Research Hospital Kadıköy Samsun, Rize, Turkey;3. Turkey Public Health Office, Saricam Mehmet Akif Ersoy Family Medicine Center, Ministery of Health, Adana, Turkey;4. Turkey Public Health Office, Zumrutevler Number 1 Family Medicine Clinic, Istanbul, Turkey;5. Department of Biostatistics and Medical Informatics, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;6. Department of Psychiatry, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;7. Department of Virology, Istabul University Faculty of Medicine 34093Fatih/Çapa, İstanbul, Turkey;1. General Directorate of Health Affairs, Hail Region, Saudi Arabia;2. King Abdulla Medical City, Makkah, Saudi Arabia |
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| Abstract: | IntroductionInfluenza is a major concern across healthcare environments. Annual vaccination of healthcare workers (HCW) remains a key mode of influenza prevention in healthcare settings. Yet influenza vaccine coverage among HCWs continues to be below recommended targets, in pandemic and non-pandemic settings. Thus, the primary objective of this analysis is to identify motivators and barriers to pandemic (panINFLU) and seasonal influenza vaccination (sINFLU) through the qualitative analysis of HCW provided reasons driving HCW's personal vaccination decisions.MethodsData were collected from a multi-professional sample of HCWs via a cross-sectional survey study, conducted at a tertiary-care hospital in Ontario, Canada. HCW provided and ranked qualitative reasons for personal (1) panINFLU (pH1N1) and (2) sINFLU (2008/2009 season) vaccine uptake and avoidance were used to identify key vaccination motivators and barriers through content analysis methodology.ResultsMost HCW vaccination motivators and barriers were found to be similar for panINFLU and sINFLU vaccines. Personal motivators had the greatest impact on vaccination (panINFLU 29.9% and sINFLU 33.9%). Other motivators included preventing influenza in loved ones, patients, and community, and awareness of HCW role in influenza transmission. In contrast, concerns of vaccine safety and limited HCW knowledge of influenza vaccines (panINFLU 46.2% and sINFLU 37.3%).HCW vaccination during the pandemic was motivated by panINFLU related fear, epidemiology, and workplace pro-vaccination policies. HCW perceptions of accelerated panINFLU vaccine development and vaccine safety compromises, negative views of external sources (i.e. media, pharmaceutical companies, and regulatory agencies) and pandemic management strategies were barriers specific to panINFLU vaccine.ConclusionsHCW panINFLU and sINFLU vaccine coverage can increase if future vaccination programs (1) highlight personal vaccination benefits (2) emphasize the impact HCW non-vaccination on family members, patients and community, (3) address HCW vaccine related knowledge gaps, and (4) implement pro-vaccination workplace policies consistent with those in place at the study site during pH1N1. |
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| Keywords: | pH1N1 Pandemic influenza vaccine Seasonal influenza vaccine Healthcare workers Qualitative analysis Content analysis |
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