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.
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Vaccination rates among experienced and inexperienced nurses in the last 12 months were 26% and 17%, respectively.
Blue, C.L., Valley, J.M.: Predictors of influenza vaccine: acceptance among healthy adult workers. AAOHN. J. 50(5), 227–235 (2002)
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
Habib, S., Rishpon, S., Rubin, L.: Influenza vaccination among healthcare workers. Isr. Med. Assoc. J. 2(12), 899–901 (2000)
Central bureau of statistics (CBS): 2003. Health survey, October 1999–September 2000, general findings, Jerusalem, Publication no. 1200 (Hebrew)
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
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
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
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
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
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
Rosenstock, I.M.: The health belief model and preventive behavior. Health. Educ. Monogr. 2, 27–59 (1974)
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)
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
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.
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Shahrabani, S., Benzion, U. & Yom Din, G. Factors affecting nurses’ decision to get the flu vaccine. Eur J Health Econ 10, 227–231 (2009). https://doi.org/10.1007/s10198-008-0124-3