The European Journal of Health Economics

, Volume 10, Issue 2, pp 227–231 | Cite as

Factors affecting nurses’ decision to get the flu vaccine

Original Paper

Abstract

The objective of this study was to identify factors that influence the decision whether or not to get the influenza (flu) vaccine among nurses in Israel by using the health belief model (HBM). A questionnaire distributed among 299 nurses in Israel in winter 2005/2006 included (1) socio-demographic information; (2) variables based on the HBM, including susceptibility, seriousness, benefits, barriers and cues to action; and (3) knowledge about influenza and the vaccine, and health motivation. A probit model was used to analyze the data. In Israel, the significant HBM categories affecting nurses’ decision to get a flu shot are the perceived benefits from vaccination and cues to action. In addition, nurses who are vaccinated have higher levels of (1) knowledge regarding the vaccine and influenza, (2) perceived seriousness of the illness, (3) perceived susceptibility, and (4) health motivation than do those who do not get the vaccine. Immunization of healthcare workers may reduce the risk of flu outbreaks in all types of healthcare facilities and reduce morbidity and mortality among high-risk patients. In order to increase vaccination rates among nurses, efforts should be made to educate them regarding the benefits of vaccination and the potential health consequences of influenza for their patients, and themselves.

JEL Classification

I11 I10 I18 C13 

Keywords

Health belief model Influenza Nurses Questionnaire Vaccination 

Notes

Acknowledgments

We would like to thank Tammar Baram for assistance in data collection, and we also thank Naomi Eldor and Elioz Hefer for their help. The financial support of the Max Stern Academic College of Emek Yezreel is gratefully acknowledged. We also thank the two anonymous referees for their helpful comments and suggestions, which improved the final version of the paper. An earlier version of this paper was presented at the 6th National Conference on Health Policy, The National Institute for Health Policy and Health Services Research, Tel-Aviv, 2007.

References

  1. 1.
    Blue, C.L., Valley, J.M.: Predictors of influenza vaccine: acceptance among healthy adult workers. AAOHN. J. 50(5), 227–235 (2002)Google Scholar
  2. 2.
    Canning, H.S., Phillips, J., Allsup, S.: Health care worker beliefs about influenza vaccine and reasons for non-vaccination: a cross-sectional survey. J. Clin. Nurs. 14(8), 922–925 (2005). doi:10.1111/j.1365-2702.2005.01190.x CrossRefGoogle Scholar
  3. 3.
    Habib, S., Rishpon, S., Rubin, L.: Influenza vaccination among healthcare workers. Isr. Med. Assoc. J. 2(12), 899–901 (2000)Google Scholar
  4. 4.
    Central bureau of statistics (CBS): 2003. Health survey, October 1999–September 2000, general findings, Jerusalem, Publication no. 1200 (Hebrew)Google Scholar
  5. 5.
    Chapman, G.B., Coups, E.J.: Time preferences and preventive health behavior: acceptance of the influenza vaccine. Med. Decis. Making. 19(3), 307–314 (1999). doi:10.1177/0272989X9901900309 CrossRefGoogle Scholar
  6. 6.
    Hofmann, F., Ferracin, C., Marsh, G., Dumas, R.: Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 34(3), 142–147 (2006). doi:10.1007/s15010-006-5109-5 CrossRefGoogle Scholar
  7. 7.
    Lundstrom, T., Pugliese, G., Bartley, J., Cox, J., Guither, C.: Organizational and environmental factors that affect worker health and safety and patient outcomes. Am. J. Infect. Control. 30, 93–106 (2002). doi:10.1067/mic.2002.119820 CrossRefGoogle Scholar
  8. 8.
    Nexoe, J., Kragstrup, J., Sogaard, J.: Decision on influenza vaccination among the elderly: a questionnaire study based on the health belief model and the multidimensional locus of control theory. Scand. J. Prim. Health. Care. 17(2), 105–110 (1999). doi:10.1080/028134399750002737 CrossRefGoogle Scholar
  9. 9.
    O’Reilly, F.W., Cran, G.W., Stevens, A.B.: Factors affecting influenza vaccine uptake among health care workers. Occup. Med. (Lond). 55(6), 474–479 (2005). doi:10.1093/occmed/kqi099 CrossRefGoogle Scholar
  10. 10.
    Poland, G.A., Tosh, P., Jacobson, R.M.: Requiring influenza vaccination for health care workers: seven truths we must accept. Vaccine 23, 2251–2255 (2005). doi:10.1016/j.vaccine.2005.01.043 CrossRefGoogle Scholar
  11. 11.
    Rosenstock, I.M.: The health belief model and preventive behavior. Health. Educ. Monogr. 2, 27–59 (1974)Google Scholar
  12. 12.
    Shahrabani, S., Benzion, U.: The Effects of socio-economic factors on the decision to be vaccinated: the case of flu-shot vaccination. Isr. Med. Assoc. J. 8, 630–634 (2006)Google Scholar
  13. 13.
    Steiner, M., Vermeulen, L.C., Mullahy, J., Hayney, M.S.: Factors influencing decisions regarding influenza vaccination and treatment: a survey of healthcare workers. Infect. Control. Hosp. Epidemiol. 23, 625–627 (2002). doi:10.1086/501984 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Shosh Shahrabani
    • 1
  • Uri Benzion
    • 1
    • 2
  • Gregory Yom Din
    • 3
    • 4
  1. 1.Economics and Management DepartmentMax Stern Academic College of Emek YezreelEmek YezreelIsrael
  2. 2.Department of EconomicsBen-Gurion UniversityBeer-ShevaIsrael
  3. 3.Golan Research InstituteUniversity of HaifaKatzrinIsrael
  4. 4.Ohalo CollegeKatzrinIsrael

Personalised recommendations