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Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers

Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers
Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers
Background: healthcare workers (HCWs) are encouraged to get vaccinated during influenza pandemics to reduce their own, and patients’, risk of infection, and to encourage their patients to get immunised. Despite extensive research on HCWs’ receipt of vaccination, little is known about how HCWs articulate pandemic influenza vaccination advice to patients.

Aims: to explore HCWs’ uptake of the A/H1N1 vaccine during the pandemic of 2009–2010, their recommendations to patients at the time, and their anticipated choices around influenza vaccination under different pandemic scenarios.

Method: we conducted semi-structured interviews and focus groups with eight vaccinated and seventeen non-vaccinated HCWs from primary care practices in England. The data was analysed using thematic analysis.

Results: the HCWs constructed their receipt of vaccination as a personal choice informed by personal health history and perceptions of vaccine safety, while they viewed patients’ vaccination as choices made following informed consent and medical guidelines. Some HCWs received the A/H1N1 vaccine under the influence of their local practice organizational norms and values. While non-vaccinated HCWs regarded patients’ vaccination as patients’ choice, some vaccinated HCWs saw it also as a public health issue. The non-vaccinated HCWs emphasised that they would not allow their personal choices to influence the advice they gave to patients, whereas some vaccinated HCWs believed that by getting vaccinated themselves they could provide a reassuring example to patients, particularly those who have concerns about influenza vaccination. All HCWs indicated they would accept vaccination under the severe pandemic scenario. However, most non-vaccinated HCWs expressed reticence to vaccinate under the mild pandemic scenario.

Conclusions: providing evidence-based arguments about the safety of new vaccines and the priority of public health over personal choice, and creating strong social norms for influenza vaccination as part of the organizational culture, should increase uptake of influenza vaccination among primary care HCWs and their patients.
2267-2272
Marcu, Afrodita
25ba37d2-9068-4c58-8527-fb799152add3
Rubinstein, Helena
3003a23e-7d85-446d-9021-238636d10299
Michie, Susan
47e0a907-79cb-47d5-b5a9-82d2afe1747a
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Marcu, Afrodita
25ba37d2-9068-4c58-8527-fb799152add3
Rubinstein, Helena
3003a23e-7d85-446d-9021-238636d10299
Michie, Susan
47e0a907-79cb-47d5-b5a9-82d2afe1747a
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Marcu, Afrodita, Rubinstein, Helena, Michie, Susan and Yardley, Lucy (2015) Accounting for personal and professional choices for pandemic influenza vaccination amongst English healthcare workers. Vaccine, 33 (19), 2267-2272. (doi:10.1016/j.vaccine.2015.03.028).

Record type: Article

Abstract

Background: healthcare workers (HCWs) are encouraged to get vaccinated during influenza pandemics to reduce their own, and patients’, risk of infection, and to encourage their patients to get immunised. Despite extensive research on HCWs’ receipt of vaccination, little is known about how HCWs articulate pandemic influenza vaccination advice to patients.

Aims: to explore HCWs’ uptake of the A/H1N1 vaccine during the pandemic of 2009–2010, their recommendations to patients at the time, and their anticipated choices around influenza vaccination under different pandemic scenarios.

Method: we conducted semi-structured interviews and focus groups with eight vaccinated and seventeen non-vaccinated HCWs from primary care practices in England. The data was analysed using thematic analysis.

Results: the HCWs constructed their receipt of vaccination as a personal choice informed by personal health history and perceptions of vaccine safety, while they viewed patients’ vaccination as choices made following informed consent and medical guidelines. Some HCWs received the A/H1N1 vaccine under the influence of their local practice organizational norms and values. While non-vaccinated HCWs regarded patients’ vaccination as patients’ choice, some vaccinated HCWs saw it also as a public health issue. The non-vaccinated HCWs emphasised that they would not allow their personal choices to influence the advice they gave to patients, whereas some vaccinated HCWs believed that by getting vaccinated themselves they could provide a reassuring example to patients, particularly those who have concerns about influenza vaccination. All HCWs indicated they would accept vaccination under the severe pandemic scenario. However, most non-vaccinated HCWs expressed reticence to vaccinate under the mild pandemic scenario.

Conclusions: providing evidence-based arguments about the safety of new vaccines and the priority of public health over personal choice, and creating strong social norms for influenza vaccination as part of the organizational culture, should increase uptake of influenza vaccination among primary care HCWs and their patients.

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Published date: 5 May 2015
Organisations: Psychology

Identifiers

Local EPrints ID: 376070
URI: http://eprints.soton.ac.uk/id/eprint/376070
PURE UUID: 08b0e8ce-a04b-4df4-8bc5-413421933abd
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 23 Apr 2015 10:43
Last modified: 15 Mar 2024 03:00

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Contributors

Author: Afrodita Marcu
Author: Helena Rubinstein
Author: Susan Michie
Author: Lucy Yardley ORCID iD

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