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Staff influenza vaccination: lessons learned.

Sherri L LaVela1, Marcia W Legro, Frances M Weaver

  • 1Spinal Cord Injury Quality Enhancement Research Initiative, Social Science Analyst, Department of Veterans Affairs, Edward Hines Jr VA Hospital, Hines, Illinois, USA.

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|November 24, 2004
PubMed
Summary

Health care workers (HCWs) in spinal cord injury/disorders (SCI/D) care have low influenza vaccination rates (50%). Vaccination is crucial for protecting vulnerable patients from respiratory complications.

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Area of Science:

  • Medicine
  • Public Health
  • Infectious Disease

Background:

  • Respiratory complications are a leading cause of death and illness in individuals with spinal cord injury/disorders (SCI/D).
  • Influenza vaccination among health care workers (HCWs) is a strategy to mitigate infection risk in vulnerable patient populations.
  • Understanding HCW vaccination behaviors is key to improving patient safety in SCI/D care.

Purpose of the Study:

  • To assess influenza vaccination rates among HCWs at Veterans Health Administration (VHA) SCI/D centers.
  • To explore HCW beliefs, motivations, and barriers related to influenza vaccination.
  • To examine the association between HCW vaccination status and their recommendation of the vaccine to SCI/D patients.

Main Methods:

  • Cross-sectional survey distributed to HCWs across 23 VHA SCI/D centers.

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  • Data collected on vaccination status, reasons for receipt or non-receipt, and vaccine recommendation practices.
  • Statistical analysis to determine vaccination rates and associations.

    • Main Results:

    • The overall influenza vaccination rate among SCI/D staff was 50%, with nurses having the lowest rates.
    • The primary reason for vaccination was self-protection; concern about side effects was the main reason for non-vaccination.
    • HCWs who recommended the influenza vaccine to patients were significantly more likely to be vaccinated themselves (60%).

    Conclusions:

    • Influenza vaccination coverage among HCWs in SCI/D settings is suboptimal.
    • Addressing HCW concerns about side effects may improve vaccination uptake.
    • Vaccinated HCWs are more likely to advocate for patient vaccination, highlighting the importance of HCW immunization for patient safety.