Can the Health Belief Model and moral responsibility explain influenza vaccination uptake among nurses?

Abstract

Aims The aim of this study was to examine the prevalence and the factors associated with influenza vaccination among nurses in Hong Kong based on the Health Belief Model. The role of moral responsibility was also examined. Background Influenza vaccination is the most effective way to prevent influenza infection. Nurses are recommended to receive influenza vaccination annually. However, the rate of vaccination among nurses in Hong Kong is low. Design A cross‐sectional study. Method A survey was conducted among 214 nurses between January ‐ March 2017. Result The prevalence of having ever received influenza vaccination, having received influenza vaccination in the last influenza season and having intention to receive influenza vaccination in the coming influenza season were 64.5%, 29.0% and 23.3% respectively. Results from multiple stepwise logistic regressions showed that perceived benefits of influenza vaccination and having received recommendations from colleagues were associated with higher chances of having ever received influenza vaccination. Perceived susceptibility of influenza, perceived benefits of influenza vaccination and perceived moral responsibility were associated with higher chances of having received influenza vaccination in the last influenza season, whereas perceived barriers of influenza vaccination were associated with lower chances. Furthermore, perceived susceptibility of influenza and perceived benefits of influenza vaccination were associated with higher chances of having the intention to receive influenza vaccination in the coming influenza season, whereas perceived barriers were associated with lower chances. The moderating effect of perceived moral responsibility was not significant. Conclusion Health promotion should make use of the Health Belief Model and increase moral responsibility to increase influenza vaccination rate among nurses.

Seasonal influenza self-vaccination behaviours and attitudes among nurses in Southeastern France

“…Population: Nurses in Southeastern France various information sources, the source of such campaigns should be considered and broader efforts made by the MoH to increase nurses' trust in them. Additionally, as has also been found among doctors and nurses elsewhere, 11,12 healthcare professionals who believe that they have a professional responsibility to protect patients are more likely to accept SIV. Focusing on the notion of professional responsibility could therefore be a promising avenue.…”

“…We created a score of trust in different sources of vaccination information by adding nurses' responses on a Likert scale (range [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]; Cronbach's alpha = 0.7).…”

“…Studies elsewhere have also shown that healthcare professionals who believe they have a professional responsibility to protect patients are more likely to accept SIV. 11,12…”

How to Improve Compliance with Protective Health Measures during the COVID-19 Outbreak: Testing a Moderated Mediation Model and Machine Learning Algorithms

“…However, studies have focused on specific aspects of civic engagement, such as perceived moral responsibility. For example, a recent study [ 13 ] investigating the vaccination rate among nurses in Hong Kong considering HBM constructs and using perceived moral responsibility as a moderator found an insignificant effect. Furthermore, previous studies have examined individuals’ level of information regarding community health concerns during pandemics (including the current COVID-19 pandemic), demonstrating a positive association between knowledge about a specific threat and preventive behaviors [ 16 , 32 , 33 ].…”

Assessing Preventive Health Behaviors from COVID-19 Based on the Health Belief Model (HBM) among People in Golestan Province: A Cross-Sectional Study in Northern Iran

“…The general acceptance and popularity of the health belief model is due to its high predictive power (12). The model is designed to explain the reasons why people do not participate in the prevention program and is based on the hypothesis that the individuals' preventive behavior is affected by their beliefs in being at risk (perceived susceptibility), the seriousness of risk (perceived severity), existence of a way to reduce the incidence or severity of disease (perceived benefits), and higher costs versus the benefits of action (perceived barriers), and thus they participate in screening and prevention activities based on the evaluation of these factors (13,14).…”