Determinants of seasonal influenza vaccination hesitancy among healthcare personnel: An integrative review

Abstract

Aims and objectives:To explore the determinants of and behaviour change models for seasonal influenza vaccination compliance among healthcare personnel.Background: COVID-19 vaccine hesitancy among healthcare personnel may be better understood by exploring determinants of seasonal influenza vaccine hesitancy. Design: Integrative literature review.Methods: A systematic search was conducted in accordance with PRISMA guidelines.Six thousand and forty-eight articles were screened. Seventy-eight met inclusion criteria. Due to the heterogeneity of included articles, a narrative synthesis was conducted utilising a conceptual matrix to identify thematic categories.Results: Six thematic categories were identified as influencing HCP SIV compliance: 'perceived vulnerability', 'trust', 'past behaviour', 'professional duty', 'access and convenience' and 'knowledge and experience'. The Health Belief Model (HBM) was the most commonly utilised health behaviour change model within the seasonal influenza vaccination context. Few studies have examined seasonal influenza vaccine acceptance and uptake within the Australian HCP context, particularly involving community care and aged care. Conclusions: Factors that appear to relate to influenza vaccination compliance amongHCP can be grouped according to several thematic categories, and they also appear influential in COVID-19 vaccine uptake. In particular, an emerging focus on 'trust' or the more emotive considerations of decision-making around health-protective behaviours requires further exploration in the context of a pandemic. Efforts to influence these domains to increase compliance, however, are likely to be impeded by a lack of a well-developed and tested behaviour change model.Relevance to clinical practice: Healthcare personnel (HCP) face high levels of occupational exposure to seasonal influenza every year. An emerging focus on 'trust' and the more emotive considerations of decision-making around health-protective behaviours requires further exploration in the context of a pandemic.

Acceptance of influenza vaccination and associated factors among teachers in China: A cross-sectional study based on health belief model

“…In the benefit and barrier dimensions, teachers who disagreed with the negative effects of the influenza vaccine and thought it was effective were more likely to accept the vaccination. These findings were also found among teachers in Poland, 12 Greece 14 and America, 15 and were similar to results from the study of HCWs, 46 elders, 47 and other group of people. 48 , 49 A belief in the efficacy and safety of vaccines was a sign of vaccine confidence.…”

Models of determinants of COVID-19 vaccine hesitancy in non-pregnant and pregnant population: Review of current literature”

“… 22–26 Studies have used the HBM to assess parent attitudes toward childhood vaccinations. 27–32 Globally, the HBM has been used to assess general vaccine hesitancy in Nigeria, 33 the United States, 29 and Korea; 30 measles and rubella vaccines in Romania and Japan; 27 , 34 shingles vaccines in the United Kingdom; 35 influenza vaccines in the United States, 36–39 Japan, 27 and Australia; 40 human papilloma virus vaccines in the United States; 28 , 31 , 41–48 and COVID-19 vaccines in the United States, 21 , 44–46 China, 47–53 Bangladesh, 54–56 Turkey, 22 Canada, 23 Vietnam, 57 France, 58 Saudi Arabia, 59 and Pakistan. 60 Several other studies applied HBM to create interventions to increase vaccine knowledge and uptake, 16 and to create new scales of vaccine attitudes and intentions to assess the effectiveness of health campaigns and advertising.…”

“…The HBM has been used to explore vaccine attitudes about vaccinations with various schedules. The model has been used to assess annual vaccinations; 36 , 40 vaccinations given a few times, such as the human papillomavirus vaccination; 28 , 41 and the childhood vaccination schedule. 29 , 32 While most studies analyze the behaviors of one method of vaccination schedule, a study in Japan explored attitudes toward both influenza and rubella vaccination in tandem.…”

Healthcare Workers’ Attitudes toward Influenza Vaccination: A Behaviour and Social Drivers Survey

“…This means that HCWs increased their comprehensive knowledge of IV and showed a favourable attitude; however, they did not change their stubborn opinion about influenza. Many reviews on influenza vaccination consistently indicated that HCWs were hesitant towards IV on the grounds that they were not at risk of contracting influenza and its severe outcomes [ 8 , 22 ]. It is essential to improve HCWs’ perception of the risk of influenza and IV literacy.…”