Factors associated with Influenza Vaccination Uptake among Nursing Staff in Brunei Darussalam
Keywords:
Influenza, Vaccination uptake, Vaccine hesitancy, Healthcare worker, NursesAbstract
Background Vaccine hesitancy in healthcare workers remains a complex issue, with influenza vaccination coverage varying between healthcare institutions, across cities and countries, and amongst different healthcare professions. This study aimed to assess influenza vaccination uptake among nursing staff in Brunei Darussalam and explore factors affecting decision making on influenza vaccination.
Methods This cross-sectional study on registered nursing staff used a web-based self-administered validated questionnaire to collect data on socio-demographics, history of influenza vaccination, reasons for and against influenza vaccination, knowledge and information access, as well as cultural and institutional values.
Findings The study received a response rate of 36%, with respondents being predominantly female (84.2%), working in the government sector (90.1%), and in hospital settings (78.5%). Majority of nurses (96.5%) perceived that influenza vaccination was effective in reducing transmission of influenza virus, although actual annual uptake was 33.5%. Main facilitators for receiving vaccination were upon the advice or directive of authorities and employer (>75%), and severity of influenza-related complications (62.5%).
Conclusions Despite having adequate knowledge of efficacy of influenza vaccination, there is sub-optimal uptake of influenza vaccination among nursing staff in Brunei Darussalam (33.5%). However, this uptake increased during the COVID-19 pandemic (67.3%). Periodic awareness, counseling and strategic occupational health interventions are some measures that can increase the coverage of influenza vaccination among healthcare workers.
References
Osterholm M, Kelley N, Manske J, Ballering K, Leighton T, Moore K. The compelling need for game-changing influenza vaccines. Available from: https://www.cidrap.umn.edu/sites/default/files/public/downloads/ccivi_report.pdf, accessed 11 June,
To K, Lai A, Lee K, Koh D, Lee S. Increasing the coverage of influenza vaccination in healthcare workers: Review of challenges and solutions. Journal of Hospital Infection. 2016; 94(2): 133-42. DOI: 10.1016/j.jhin.2016.07.003
Sibanda M, Meyer JC, Godman B, Burnett RJ. Low influenza vaccine uptake by healthcare workers caring for the elderly in South African old age homes and Primary Healthcare Facilities. BMC Glob Public Health. 2023; 23(1). DOI: 10.1186/s12889-022-14926-8
O’Lorcain P, Cotter S, Walsh C. Influenza vaccine uptake among healthcare workers and residents in public health care facilities in Ireland over nine influenza seasons (2011–2012 to 2019–2020). Vaccine. 2021; 39(40): 5954–62. DOI: 10.1016/j.vaccine.2021.07.082
World Health Organization. Vaccine hesitancy: A growing challenge for immunization programmes. 2015 [Internet]. Available from: https://www.who.int/news/item/18-08-2015-vaccine-hesitancy-a-growing-challenge-for-immunization-programmes, accessed 11 June, 2022.
Larson H, Jarrett C, Eckersberger E, Smith D, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012. Vaccine. 2014; 32(19): 2150-9. DOI: 10.1016/j.vaccine.2014.01.081
World Health Organization (WHO). Vaccine hesitancy (March 2012 to November 2014). Available from https://www.who.int/groups/strategic-advisory-group-of-experts-on-immunization/working-groups/vaccine-hesitancy-(march-2012-to-november-2014), accessed 11 June, 2022.
Strategic Advisory Group of Experts on Immunization (SAGE). Report of the SAGE working group on vaccine hesitancy. 2014. Available from https://www.asset-scienceinsociety.eu/sites/default/files/sage_working_group_revised_report_vaccine_hesitancy.pdf, accessed 11 June, 2022.
Members of the Western Pacific Region Global Influenza Surveillance Response System. Seasonal influenza vaccine policies, recommendations and use in the World Health Organization’s Western Pacific Region. Western Pac Surveill Response J. 2013; 4(3): 51-9. DOI: 10.5365/wpsar.2013.4.1.009
Yang KS, Fong YT, Koh D, Lim MK. High coverage of influenza vaccination among healthcare workers can be achieved during heightened awareness of impending threat. Ann Acad Med Singap. 2007; 36(6): 384-7. DOI: 10.47102/annals-acadmedsg.v36n6p384
Rashid ZZ, Jasme H, Liang HJ, Yusof MM, Sharani ZZ, Mohamad M, et al. Influenza vaccination uptake among healthcare workers at a Malaysian teaching hospital. Southeast Asian J Trop Med Public Health. 2015; 46(2): 215-25.
Tam D, Lee S, Lee S. Impact of severe acute respiratory syndrome and the perceived Avian Influenza epidemic on the increased rate of Influenza vaccination among nurses in Hong Kong. Infect Control Hosp Epidemiol. 2008; 29(3): 256-61. DOI: 10.1086/527507
Scardina G, Ceccarelli L, Casigliani V, Mazzilli S, Napoletano M, Padovan M, et al. Evaluation of flu vaccination coverage among healthcare workers during a 3 years’ study period and attitude towards influenza and potential COVID-19 vaccination in the context of the pandemic. Vaccines. 2021; 9(7): 769. DOI: 10.3390/vaccines9070769
Lee S, Wong N, Lee S. Declining influenza vaccination coverage among nurses, Hong Kong, 2006–2012. Emerging Infectious Diseases. 2013; 19(10): 1660-3. DOI: 10.3201/eid1910.130195
World Health Organization (WHO). Immunization dashboard: Brunei Darussalam. Available from: https://immunizationdata.who.int/pages/profiles/brn.htm, accessed 23 July, 2023.
Ministry of Health, Brunei Darussalam. Health Information Booklet 2017. Available from https://www.moh.gov.bn/Downloadables/Health%20Information%20Booklet%20(HIB)%202017.pdf, accessed 11 June, 2022.
Kwok KO, Li KK, Lee SS, Chng PHY, Wei VWI, Ismail NH, et al. Multi-centre study on cultural dimensions and perceived attitudes of nurses towards influenza vaccination uptake. J Hosp Infect. 2019; 102(3): 337-42. DOI: 10.1016/j.jhin.2018.11.017
Poon C, Lee S, Lee S. Early uptake of seasonal influenza vaccines incorporated with pH1N1 strain among regularly vaccinated healthcare workers. J Infect Prev. 2012; 13(6): 200-5. DOI: 10.1177/1757177412458959
Alshammari T, AlFehaid L, AlFraih J, Aljadhey H. Health care professionals’ awareness of, knowledge about and attitude to influenza vaccination. Vaccines. 2014; 32(45): 5957-61. DOI: 10.1016/j.vaccine.2014.08.061
Alicino C, Iudici R, Barberis I, Paganino C, Cacciani R, Zacconi M, et al. Influenza vaccination among healthcare workers in Italy. Hum Vaccin Immunother. 2014; 11(1): 95-100. DOI: 10.4161/hv.34362
Toska A, Saridi M, Wozniak G, Souliotis K, Korovesis K, Apostolopoulou E. Influenza vaccination among nurses in Greece. Am J Infect Control. 2012; 40(3): 276-8. DOI: 10.1016/j.ajic.2011.04.050
McEwen M, Farren E. Actions and beliefs related to hepatitis B and influenza immunization among registered nurses in Texas. Public Health Nursing. 2005; 22(3): 230-9. DOI: 10.1111/j.0737-1209.2005.220306.x
Shahrabani S, Benzion U, Yom Din G. Factors affecting nurses’ decision to get the flu vaccine. Eur J Health Econ. 2008; 10(2): 227-31. DOI: 10.1007/s10198-008-0124-3
Ofstead C, Tucker S, Beebe T, Poland G. Influenza vaccination among registered nurses: Information receipt, knowledge, and decision-making at an institution with a multifaceted educational program. Infect Control Hosp Epidemiol. 2008; 29(2): 99-106. DOI: 10.1086/526431
Corace KM, Srigley JA, Hargadon DP, Yu D, MacDonald TK, Fabrigar LR, et al. Using behavior change frameworks to improve healthcare worker influenza vaccination rates: A systematic review. Vaccines. 2016; 34 (28): 3235-42. DOI: 10.1016/j.vaccine.2016.04.071
Schmidt P, Rauber D, Betsch C, Lidolt G, Denker M. Barriers of influenza vaccination intention and behavior – a systematic review of influenza vaccine hesitancy, 2005–2016. PLOS ONE. 2017; 12(1). DOI: 10.1371/journal.pone.0170550
Kong G, Lim N, Chin YH, Ng YP, Amin Z. Effect of COVID-19 pandemic on influenza vaccination intention: A meta-analysis and systematic review. Vaccines. 2022; 10(4): 606. DOI: 10.3390/vaccines10040606
Di Giuseppe G, Pelullo CP, Paolantonio A, Della Polla G, Pavia M. Healthcare workers’ willingness to receive influenza vaccination in the context of the COVID-19 pandemic: A survey in Southern Italy. Vaccines. 2021; 9(7): 766. DOI: 10.3390/vaccines9070766
Dettori M, Arghittu A, Deiana G, Azara A, Masia MD, Palmieri A, et al. Influenza vaccination strategies in healthcare workers: A cohort study (2018–21) in an Italian University Hospital. Vaccines. 2021; 9(9): 971. DOI: 10.3390/vaccines9090971
Trivedi A, Fontelera M, Ishak N, Lai A, Win K, Ismail K, Koh D. Healthcare workers’ preparedness and response during COVID-19 pandemic. Proceedings of Singapore Healthcare. 2021; 31: 1-9. DOI: 10.1177/201010582110507
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