Increasing vaccination rates among health care workers using unit "champions" as a motivator.

ABSTRACT Key members (a.k.a. "champions") within specific work units were provided with a brief training session designed to increase awareness of the benefits associated with influenza vaccination. The champions were responsible for encouraging members of their work units to accept an influenza vaccination and in some cases had the requisite training to administer the vaccination on site. Work units were randomly assigned to either champion present or champion absent conditions. Results show increased vaccination compliance for groups where a champion was present (N = 23). An independent sample t-test revealed a significant difference between the two groups t = 2.30, p < .03 which resulted in a percentage change from 41% in the unchampioned group to 52% in the championed group. Analyses which included only those units that had a fully trained champion (N = 13) produced a similar percentage increase in vaccine uptake from 41% to 54% (although this did not reach statistical significance; p = .08). Overall, the presence of a unit champion did produce a clinically relevant increase in vaccination rates in championed work units. This result has implications for future vaccination campaigns in hospital settings. Future research targeting the barriers and drivers of influenza vaccination among HCWs is recommended.

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    ABSTRACT: BACKGROUND: 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. METHODS: 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. RESULTS: 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 (F(7,299) = 2.51, P < .05), influenza-related absenteeism (F(7,269) = 3.6, P < .001), and perceptions of patient safety climate (F(7,304) = 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. CONCLUSION: The RPA framework is a valid health promotion tool for improving patient safety, targeting specific groups for interventions, and improving HCP influenza vaccination rates.
    American journal of infection control 02/2013; · 3.01 Impact Factor
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    ABSTRACT: BACKGROUND Influenza can spread among students, teachers, and staff in school settings. Vaccination is the most effective method to prevent influenza. We determined 2012-2013 influenza vaccination coverage among school employees, assessed knowledge and attitudes regarding the vaccine, and determined factors associated with vaccine receipt.METHODS We surveyed 412 (49%) of 841 employees at 1 suburban Ohio school district in March 2013. The Web-based survey assessed personal and work characteristics, vaccine receipt, and knowledge and attitudes regarding the vaccine.RESULTSOverall, 238 (58%) respondents reported getting the 2012-2013 influenza vaccine. The most common reason for getting the vaccine was to protect oneself or one's family (87%). Beliefs that the vaccine was not needed (32%) or that it was not effective (21%) were the most common reasons for not getting it. Factors independently associated with vaccine receipt were having positive attitudes toward the vaccine, feeling external pressure to get it, and feeling personal control over whether to get it.CONCLUSIONS Influenza vaccine coverage among school employees should be improved. Messages encouraging school employees to get the vaccine should address misconceptions about the vaccine. Employers should use methods to maximize employee vaccination as part of a comprehensive influenza prevention program.
    Journal of School Health 09/2014; 84(9). · 1.50 Impact Factor
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    ABSTRACT: Vaccination of health care workers (HCWs) is an important patient safety initiative. It prevents influenza infection among patients and reduces staff illness and absenteeism. Despite these benefits, HCW influenza immunization uptake is low. Therefore, strategies to achieve high immunization coverage in HCWs, barriers to uptake, and perceptions of mandatory influenza immunization policies were discussed in key informant interviews with influenza immunization program planners. We conducted telephone interviews with 23 influenza immunization program planners from 21 organizations (7 acute care hospitals, 6 continuing care facilities, and 8 public health organizations) across Canada. We used content analysis to identify themes from the interviews. Participants used a variety of promotional and educational activities, and many vaccine delivery approaches, to support HCW immunization programs. Barriers to achieving high coverage in HCWs included misconceptions about the safety and effectiveness of the influenza vaccine, negative personal experiences associated with the vaccine, and antivaccine sentiments. Participants mentioned mandatory influenza immunizations as a solution to low coverage. However, they identified challenges with this approach such as obtaining support from stakeholders, enforcement, and limiting personal autonomy. Participants believed immunization coverage in health care organizations will continue to be suboptimal using existing program strategies. Although participants discussed mandatory immunization as a way to improve uptake, potential obstacles will need to be addressed for this to be implemented successfully.
    American Journal of Infection Control 08/2013; · 2.33 Impact Factor