Improving Mandatory Vaccination Against Influenza: Minimizing Anxiety of Employees to Maximize Health of Patients

Am J Med Qual. 2018 Jul;33(4):372-382. doi: 10.1177/1062860617748738. Epub 2018 Jan 5.

Abstract

The objective was to describe qualitatively the attitudes among employees toward mandatory vaccination against influenza to ultimately improve such programs and prevent hospital-acquired influenza. Qualitative interviews were conducted with 21 employees at a freestanding children's hospital. Analysis of interview transcripts used grounded theory and the constant comparative method; codes were iteratively revised and refined as themes emerged. Themes emerged elucidating promoters and concerns. Promoters included a desire to protect self, family, and patients; perception of vaccination as part of professional responsibility; and free vaccination as a benefit from the organization. Concerns included negative feelings surrounding the forced nature and substantial anxiety about the physical injection. Participants expressed a strong desire for a private, compassionate, unhurried environment for the injection. Managing personal anxiety and a desire for privacy emerged as strong concerns among health care workers getting vaccinated at work. This information enabled future improvements in the mandatory vaccination campaign.

Keywords: employee vaccination; influenza vaccination.

MeSH terms

  • Adult
  • Anxiety / psychology*
  • Cross Infection / prevention & control
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Personnel / psychology*
  • Hospitals, Pediatric*
  • Humans
  • Influenza Vaccines / administration & dosage*
  • Influenza, Human / prevention & control*
  • Interviews as Topic
  • Leadership
  • Male
  • Middle Aged
  • Patient Safety
  • Professionalism
  • Qualitative Research
  • Work Engagement

Substances

  • Influenza Vaccines