Attitudes of healthcare workers to influenza vaccination

Whilst annual influenza vaccination is recommended for healthcare workers (HCWs), many remain unvaccinated. Our study aim was to identify the main motivators and barriers that influenced the decisions of HCWs regarding influenza vaccination.

A cross-sectional study design was employed using a survey for data collection. From June - September 2015, 327 HCWs employed at Canberra Hospital were surveyed. Data were collected on employment position, influenza vaccination history, reasons behind individual decisions on vaccination, and attitudes to ongoing vaccination. Both fixed and optional free-text responses were sought and analysed.

Major motivators for vaccination included protection of others, personal protection and professional habit. Major barriers to vaccination included concerns about vaccine safety and efficacy, and difficulties accessing vaccination. The main factors that would encourage unvaccinated staff to be vaccinated included protecting patients and family, and reassurance regarding the safety and efficacy of vaccination.

Both educational messages and operational strategies need to be implemented to optimise vaccine uptake. Educational material needs to focus on professional responsibility, the broad protective benefits of vaccination and misconceptions about the safety and efficacy of the vaccine. Operational strategies should cover workplace access to vaccination, communication on vaccination policies, and leadership from senior staff.