+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Using a validated health promotion tool to improve patient safety and increase health care personnel influenza vaccination rates



Using a validated health promotion tool to improve patient safety and increase health care personnel influenza vaccination rates



American Journal of Infection Control 41(8): 691-696



This study employed the risk perception attitude (RPA) framework to determine whether health care personnel (HCP) influenza-related risk perceptions and efficacy beliefs could be used to segment individuals into meaningful groups related to vaccination uptake, absenteeism, and patient safety beliefs. After pilot interviews, a questionnaire was administered to 318 hospital-based HCP (80%) and nonclinical support staff (20%) in Lexington, KY, in 2011. Follow-up interviews were conducted with 29 respondents. Cluster analysis was used to create 4 groups that correspond to the RPA framework: responsive (high risk, strong efficacy), avoidance (high risk, weak efficacy), proactive (low risk, strong efficacy), and indifference (low risk, weak efficacy). A significant association was found between membership in 1 or more of the 4 RPA groups and the 3 study variables of interest: influenza vaccination uptake (F7,299 = 2.51, P < .05), influenza-related absenteeism (F7,269 = 3.6, P < .001), and perceptions of patient safety climate (F7,304 = 6.21, P < .001). A subset of respondents indicated the principal reasons for not getting vaccinated were "had one before and got sick anyway," "concerned about vaccine safety," and "no convenient time." In follow-up interviews, HCP indicated that employee vaccinations were altruistic, increased herd immunity, and important for patient safety. The RPA framework is a valid health promotion tool for improving patient safety, targeting specific groups for interventions, and improving HCP influenza vaccination rates.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036757852

Download citation: RISBibTeXText

PMID: 23394861

DOI: 10.1016/j.ajic.2012.09.027


Related references

Influenza vaccination acceptance and refusal rates among health care personnel. Southern Medical Journal 103(10): 993-998, 2010

Continuing to Move the Needle on Health Care Personnel Influenza Vaccination Rates. JAMA Network Open 1(2): E180144, 2018

Influenza Vaccination Rates Among Parents and Health Care Personnel in a German Neonatology Department. Vaccines 6(1):, 2018

New interventions to increase influenza vaccination rates in health care workers. American Journal of Infection Control 38(6): 476-481, 2010

High coverage and safety of influenza A (H1N1) 2009 monovalent vaccination among health care personnel in Thailand. American Journal of Infection Control 39(6): 525-528, 2011

Do declination statements increase health care worker influenza vaccination rates?. Clinical Infectious Diseases 49(5): 773-779, 2009

Measles vaccination in health care personnel: mandates, ethics, and patient safety. Vaccine 30(30): 4407-4408, 2012

Voluntary reporting of health care personnel seasonal influenza vaccination rates and the impact of universal policies in Illinois hospitals. Vaccine 31(3): 514-517, 2013

Ethical analyses of institutional measures to increase health care worker influenza vaccination rates. Vaccine 31(52): 6172-6176, 2013

A novel approach to improve influenza vaccination rates among health care professionals: a prospective randomized controlled trial. American Journal of Infection Control 36(4): 301-303, 2008

Health care provider and community interventions to improve influenza vaccination rates among medicare beneficiaries in rural Ohio. American Journal of Epidemiology 145(11 Suppl. ): S57, 1997

Estimated costs associated with improving influenza vaccination for health care personnel in a multihospital health system. Joint Commission Journal on Quality and Patient Safety 38(2): 67-72, 2012

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. American Journal of Public Health 104(11): 2060-2065, 2014

First, do no harm. Mandatory influenza vaccination for health care workers is a matter of patient safety. Trustee 64(9): 39-40 1, 2011

Influenza vaccination performance measurement among acute care hospital-based health care personnel--United States, 2013-14 influenza season. Mmwr. Morbidity and Mortality Weekly Report 63(37): 812-815, 2014