Douville Lauren E, Myers Angela, Jackson Mary Anne, Lantos John D
Center for Practical Bioethics, Children's Mercy Hospitals and Clinics, and University of Missouri at Kansas City School of Medicine, Kansas City, MO 64108, USA.
Arch Pediatr Adolesc Med. 2010 Jan;164(1):33-7. doi: 10.1001/archpediatrics.2009.252.
To determine the attitudes, beliefs, and knowledge of children's hospital health care workers toward mandatory influenza vaccination.
Self-administered, Web-based questionnaire.
A large, tertiary children's hospital.
A random sample of 585 health care workers, including physicians, nurses, and all other hospital employees. Outcome Measure Attitudes of health care workers toward mandatory policies for annual influenza vaccination of health care workers as related to their opinions on safety, effectiveness, and knowledge about influenza and influenza vaccination.
Many employees (70%) thought influenza vaccination should be mandatory for health care workers who did not have a medical contraindication. Nearly everyone, 363 of 391 (94%), who favored mandatory immunization had been immunized themselves. Of those who opposed mandatory immunization, 45 of 81 (55.6%) had been immunized (P < .001). Individuals who supported mandatory policies were more likely to believe that the vaccine is safe for both children and adults. There was no significant difference between the percentages of promandate and antimandate employees who believed influenza was dangerous for the patients where they work (66.5% and 62%, respectively, P = .07). Only 29% of antimandate employees believed they were at high risk of contracting influenza, compared with 51% of promandate employees (P < .001).
Approval of mandatory influenza vaccine policies was high; however, attitudes about the dangers of influenza for patients were not associated with acceptance of mandatory vaccination policies for health care workers. Educational efforts targeting health care workers' fears and misconceptions about influenza vaccines might help to decrease the reservoir of unimmunized health care workers.
确定儿童医院医护人员对强制性流感疫苗接种的态度、信念和知识水平。
基于网络的自填式问卷。
一家大型三级儿童医院。
585名医护人员的随机样本，包括医生、护士和其他所有医院员工。结果指标 医护人员对医护人员年度流感疫苗接种强制性政策的态度，以及他们对安全性、有效性的看法，和对流感及流感疫苗的了解。
许多员工（70%）认为，对于没有医学禁忌的医护人员，流感疫苗接种应是强制性的。在391名赞成强制免疫的人中，几乎所有人（363人，94%）自己都接种过疫苗。在反对强制免疫的人中，81人中有45人（55.6%）接种过疫苗（P <.001）。支持强制政策的人更有可能认为该疫苗对儿童和成人都是安全的。支持和反对强制政策的员工中，认为流感对他们工作场所的患者有危险的比例没有显著差异（分别为66.5%和62%，P = 0.07）。只有29%的反对强制接种的员工认为自己感染流感的风险很高，而支持强制接种的员工这一比例为51%（P <.001）。
对强制性流感疫苗政策的认可度很高；然而，对流感对患者危险性的态度与对医护人员强制接种疫苗政策的接受程度无关。针对医护人员对流感疫苗的恐惧和误解开展教育工作，可能有助于减少未接种疫苗的医护人员数量。
