Mandating influenza vaccination for healthcare workers

Sullivan, Seth J.; Jacobson, Robert M.

doi:10.1586/erv.09.118

Cited by 19 publications

(12 citation statements)

References 43 publications

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“…A recent survey among US HCW who reported working at a facility where vaccination was required by their employer, 98·1% were vaccinated 63 . Insufficient vaccine uptake levels have prompted numerous healthcare facilities in the USA to institute mandatory programmes for their HCW to protect patients 62,64,65 . Moreover, several US professional societies recommended that influenza vaccination of HCW be made mandatory, 66 and several studies showed support for this policy among HCW in the USA and medical students in Germany 67–70 .…”

Section: Discussionmentioning

confidence: 99%

Review: interventions to increase influenza vaccination among healthcare workers in hospitals

Hollmeyer¹,

Hayden²,

Mounts³

et al. 2012

Influenza Resp Viruses

124

117

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Please cite this paper as: Hollmeyer et al. (2012) Review: interventions to increase influenza vaccination among healthcare workers in hospitals. Influenza and Other Respiratory Viruses 7(4), 604–621.Annual influenza vaccination rates among hospital healthcare workers (HCW) are almost universally low despite recommendations from WHO and public health authorities in many countries. To assist in the development of successful vaccination programmes, we reviewed studies where interventions aimed to increase the uptake of influenza vaccination among hospital HCW. We searched PUBMED from 1990 up to December 2011 for publications with predetermined search strategies and of pre‐defined criteria for inclusion or exclusion. We evaluated a large number of ‘intervention programmes’ each employing one or more ‘intervention components’ or strategies, such as easy access to vaccine or educational activities, with the goal to raise influenza vaccine uptake rates in hospital HCW during one influenza season. Included studies reported results of intervention programmes and compared the uptake with the season prior to the intervention (historical control) or to another intervention programme within the same season that started from the same set of baseline activities. Twenty‐five studies performed in eight countries met our selection criteria and described 45 distinct intervention programmes. Most studies used their own facility as historical control and evaluated only one season. The following elements were used in intervention programmes that increased vaccine uptake: provision of free vaccine, easy access to the vaccine (e.g. through mobile carts or on‐site vaccination), knowledge and behaviour modification through educational activities and/or reminders and/or incentives, management or organizational changes, such as the assignment of personnel dedicated to the intervention programme, long‐term implementation of the strategy, requiring active declination and mandatory immunization policies. The number of these components applied appeared to be proportional to the increase in uptake. If influenza uptake in hospital HCW is to be increased on sustained basis, hospital managers need to be committed to conduct a well‐designed long‐term intervention programme that includes a variety of co‐ordinated managerial and organizational elements.

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Section: Discussionmentioning

confidence: 99%

Review: interventions to increase influenza vaccination among healthcare workers in hospitals

Hollmeyer¹,

Hayden²,

Mounts³

et al. 2012

Influenza Resp Viruses

124

117

View full text Add to dashboard Cite

show abstract

“…Thus, some HCWs do not want to be required to abide by vaccination policies, even though the majority of HCWs also believe vaccinations to be safe. While HCW vaccination requirements may be uncomfortable to some HCWs, it should be noted that there is also “no evidence to support concern that psychosocial harm from a mandatory policy…alienate[s] staff [or] damage[s] morale” (Sullivan, Jacobson, & Poland, , p. 1497).…”

Section: Discussionmentioning

confidence: 99%

Vaccination policies of Utah family practice clinics

Luthy

Kohler

Macintosh

et al. 2017

Journal of the American Association of Nurse Practitioners

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Background and purpose The purpose of this study was to collect information regarding healthcare worker (HCW) vaccination policies in Utah family practice clinics. Methods The study was conducted in Utah family practice clinics in the most densely populated counties in the state and was a cross‐sectional descriptive design. Data were collected from 91 family practice clinic managers. Descriptive statistics were performed, as well as a content analysis for open‐ended items. Conclusions HCWs are employed in environments where infectious diseases can be easily spread from person to person, thus, vaccinations can be instrumental in protecting the health of HCWs and patients alike. In Utah, 56.8% of family practice clinics had either no vaccination policy for HCWs or had a policy with no consequences for noncompliance. Utah family practice clinics need to implement changes to create and maintain HCW vaccination policies. Implications for practice Nurse practitioners can be leaders and change agents by working with their county and state health departments to create state‐wide policies that mirror the position statements from the American Nurses Association and the American Association of Nurse Practitioners.

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“…Sowohl die Patienten als auch das medizinische Personal sind durch nosokomiale Infektionsausbrüche gefährdet [3]. In zahlreichen Studien konnte nachgewiesen werden, dass die Impfung der medizinisch Beschäftigten die Morbidität und Mortalität der betreuten Patienten, beziehungsweise Altenheimbewohner senken kann [4,5,6,7,8,9,10].…”

Section: In Der Diskussion Influenza Im Deutschen Gesundheitswesenunclassified

Niedrige Influenzaimpfquoten bei Mitarbeitern im Gesundheitswesen

Wicker

Rabenau²,

Gottschalk³

et al. 2010

Bundesgesundheitsbl.

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Despite decades of effort to encourage healthcare workers (HCWs) to be immunized against influenza, vaccination levels remain insufficient in Germany, with only one in five HCWs receiving the annual influenza vaccination. To prevent nosocomial influenza outbreaks and to ensure the protection of patients and HCWs, new approaches to increase vaccination rates are needed. The experience in the USA has shown that declination forms have increased vaccination coverage. One possible approach for Germany would be a combination of declination forms with the exclusive use of vaccinated staff in defined areas. This approach would respect a HCWs decision to refuse medical treatment, while at the same time protecting vulnerable patients. In addition, the influenza vaccination rates of HCWs should be collected in order to evaluate the implementation of vaccination policies. Similar to the setting of desired vaccination coverage for the chronically ill, a clearly defined vaccination goal should be established for HCWs.

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Mandating influenza vaccination for healthcare workers

Cited by 19 publications

References 43 publications

Review: interventions to increase influenza vaccination among healthcare workers in hospitals

Review: interventions to increase influenza vaccination among healthcare workers in hospitals

Vaccination policies of Utah family practice clinics

Niedrige Influenzaimpfquoten bei Mitarbeitern im Gesundheitswesen

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