tetano
Editor, Senior Moderator
Vaccine. 2014 Jul 1. pii: S0264-410X(14)00790-7. doi: 10.1016/j.vaccine.2014.06.001. [Epub ahead of print]
Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception.
Winston L1, Wagner S2, Chan S3.
Author information
Abstract
The ethical debate over mandatory healthcare worker (HCW) influenza vaccination is a heated one. Our study hospital instituted a mandatory employee influenza vaccination policy for the 2009-2010 influenza season during the highly publicized pandemic of the H1N1 "Swine Flu." Under this mandate there was no informed declination option, and termination of employment was the consequence for noncompliance. Our objective was to examine HCW perceptions of the H1N1 influenza virus, the vaccine, and the strict mandated vaccination policy. A survey was designed, distributed, and anonymously collected. In total, 202 completed questionnaires were obtained via accidental sampling by the investigators achieving a 100% response rate. Data analysis showed that 31.7% of surveyed HCWs felt the mandate was an infringement on their rights and 3.5% of HCWs would electively seek employment elsewhere. Significantly more nurses and clerks/technicians were opposed to the mandate compared to other types of employees. 96% felt that the mandating hospital should be liable should a significant adverse effect occur from receiving the vaccine. While the mandate helped to increase HCW influenza vaccination rates dramatically, the strict consequence of employment termination created negative feelings of coercion. Adopting a policy that includes a declination option with mandatory masking during influenza season might be a more widely acceptable and still adequate approach.
Copyright ? 2014 Elsevier Ltd. All rights reserved.
KEYWORDS:
H1N1 influenza; Healthcare workers; Mandatory; Penalty; Policy; Vaccine
PMID:
24996124
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24996124
Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception.
Winston L1, Wagner S2, Chan S3.
Author information
Abstract
The ethical debate over mandatory healthcare worker (HCW) influenza vaccination is a heated one. Our study hospital instituted a mandatory employee influenza vaccination policy for the 2009-2010 influenza season during the highly publicized pandemic of the H1N1 "Swine Flu." Under this mandate there was no informed declination option, and termination of employment was the consequence for noncompliance. Our objective was to examine HCW perceptions of the H1N1 influenza virus, the vaccine, and the strict mandated vaccination policy. A survey was designed, distributed, and anonymously collected. In total, 202 completed questionnaires were obtained via accidental sampling by the investigators achieving a 100% response rate. Data analysis showed that 31.7% of surveyed HCWs felt the mandate was an infringement on their rights and 3.5% of HCWs would electively seek employment elsewhere. Significantly more nurses and clerks/technicians were opposed to the mandate compared to other types of employees. 96% felt that the mandating hospital should be liable should a significant adverse effect occur from receiving the vaccine. While the mandate helped to increase HCW influenza vaccination rates dramatically, the strict consequence of employment termination created negative feelings of coercion. Adopting a policy that includes a declination option with mandatory masking during influenza season might be a more widely acceptable and still adequate approach.
Copyright ? 2014 Elsevier Ltd. All rights reserved.
KEYWORDS:
H1N1 influenza; Healthcare workers; Mandatory; Penalty; Policy; Vaccine
PMID:
24996124
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24996124