tetano
Editor, Senior Moderator
Jing Zhanga,
Alison E. Whileb, Corresponding author contact information, E-mail the corresponding author,
Ian J. Normanb
a Second Military Medical University, School of Nursing, Shanghai, PR China
b King's College London, Florence Nightingale School of Nursing and Midwifery, London, UK
Received 13 December 2011. Revised 4 May 2012. Accepted 9 May 2012. Available online 26 May 2012.
http://dx.doi.org/10.1016/j.vaccine.2012.05.012, How to Cite or Link Using DOI
Abstract
This study aimed to estimate the vaccination coverage against the pandemic H1N1 influenza in a group of nurses and determine the factors associated with their vaccination behaviours. An anonymous, self-administered questionnaire was distributed to a convenience sample of nurses who were enrolled on continuing professional education courses in a university in London. The survey response rate was 77.7% (n = 522). A total of 172 (35.2%) nurses reported receiving the pandemic H1N1 vaccine in the 2009?2010 influenza season and only 22.3% of them had the intent to accept the vaccine in the next season. Compared to nurses with low knowledge scores, those with high knowledge scores were more likely to receive the pandemic H1N1 vaccine (p = 0.017), recommend the vaccine to their patients (p = 0.003), and have the willingness to recommend vaccination to patients in the future (p = 0.009). There was a higher vaccination rate among nurses with higher risk perception scores than with lower scores (p = 0.001). A small, positive correlation between H1N1 knowledge and risk perception scores was identified (p < 0.001) indicating that a high knowledge level was associated with high levels of risk perception. More male nurses received the H1N1 vaccine than females (p < 0.001) and there were a significant differences in the uptake among nurses from different clinical specialty groups (p < 0.001). About half of the vaccinated nurses reported the intent to be vaccinated again but only 8.1% of the unvaccinated nurses had the intent to receive the vaccine in the next season (p < 0.001). The pandemic H1N1 2009 influenza vaccination coverage among this nurse sample was sub-optional. Lack of knowledge and risk perception were predictors associated with the nurses? vaccination behaviours. The identified knowledge items should be addressed in future vaccination campaigns. The hindrances associated with continuing vaccination decision-making and factors contributing to the different vaccination coverage among clinical specialty groups require further exploration.
Highlights
► We surveyed 522 nurses of whom 33% had been vaccinated against H1N1. ► Vaccination was significantly higher among male (56.7%) compared to female (32.1%) nurses. ► There were significantly different vaccination rates among nurses working in different clinical specialties. ► Vaccinated nurses were significantly more likely to report recommending H1NI vaccination to patients. ► Lack of knowledge and risk perception predicted the nurses? vaccination behaviours.
http://www.sciencedirect.com/science/article/pii/S0264410X12007049
Alison E. Whileb, Corresponding author contact information, E-mail the corresponding author,
Ian J. Normanb
a Second Military Medical University, School of Nursing, Shanghai, PR China
b King's College London, Florence Nightingale School of Nursing and Midwifery, London, UK
Received 13 December 2011. Revised 4 May 2012. Accepted 9 May 2012. Available online 26 May 2012.
http://dx.doi.org/10.1016/j.vaccine.2012.05.012, How to Cite or Link Using DOI
Abstract
This study aimed to estimate the vaccination coverage against the pandemic H1N1 influenza in a group of nurses and determine the factors associated with their vaccination behaviours. An anonymous, self-administered questionnaire was distributed to a convenience sample of nurses who were enrolled on continuing professional education courses in a university in London. The survey response rate was 77.7% (n = 522). A total of 172 (35.2%) nurses reported receiving the pandemic H1N1 vaccine in the 2009?2010 influenza season and only 22.3% of them had the intent to accept the vaccine in the next season. Compared to nurses with low knowledge scores, those with high knowledge scores were more likely to receive the pandemic H1N1 vaccine (p = 0.017), recommend the vaccine to their patients (p = 0.003), and have the willingness to recommend vaccination to patients in the future (p = 0.009). There was a higher vaccination rate among nurses with higher risk perception scores than with lower scores (p = 0.001). A small, positive correlation between H1N1 knowledge and risk perception scores was identified (p < 0.001) indicating that a high knowledge level was associated with high levels of risk perception. More male nurses received the H1N1 vaccine than females (p < 0.001) and there were a significant differences in the uptake among nurses from different clinical specialty groups (p < 0.001). About half of the vaccinated nurses reported the intent to be vaccinated again but only 8.1% of the unvaccinated nurses had the intent to receive the vaccine in the next season (p < 0.001). The pandemic H1N1 2009 influenza vaccination coverage among this nurse sample was sub-optional. Lack of knowledge and risk perception were predictors associated with the nurses? vaccination behaviours. The identified knowledge items should be addressed in future vaccination campaigns. The hindrances associated with continuing vaccination decision-making and factors contributing to the different vaccination coverage among clinical specialty groups require further exploration.
Highlights
► We surveyed 522 nurses of whom 33% had been vaccinated against H1N1. ► Vaccination was significantly higher among male (56.7%) compared to female (32.1%) nurses. ► There were significantly different vaccination rates among nurses working in different clinical specialties. ► Vaccinated nurses were significantly more likely to report recommending H1NI vaccination to patients. ► Lack of knowledge and risk perception predicted the nurses? vaccination behaviours.
http://www.sciencedirect.com/science/article/pii/S0264410X12007049