McCarthy Anne E, Lafleur Chantal, Sutherland Jane, Lam Po-Po, Roth Virginia, O'Connor Annette M, Chambers Larry W
The Ottawa Hospital, General Campus G-12, Division of Infectious Diseases, 501 Smyth Rd, Box 223, Ottawa, ON, K1H 8L6, Canada.
Can J Infect Control. 2010 Spring;25(1):21-4.
Healthcare workers (HCW) experience decisional conflict or uncertainty of the best alternative when deciding about influenza immunization. Despite free and easy access to influenza vaccine, and resource consuming campaigns, immunization rates among HCW remain unacceptably low. This is in part due to decisional conflict, which may be alleviated by a decision aid. To address this issue we developed the Ottawa Influenza Decision Aid (OIDA) to help HCW make an informed decision about influenza immunization. The OIDA was tested in a large acute care hospital during the influenza immunization campaign. We recruited HCWs from the Orthopaedic Ward and Logistical Services, using block randomization, to complete the OIDA and a feedback questionnaire. The majority (85%) of respondents that completed the OIDA felt that immunization was very important to avoid getting influenza and 95% were sure of the best choice for them. In response to the feedback questionnaire, 84% of respondents found the information clear and 77% concluded the OIDA helped them to recognize a decision. Results of this study support the OIDA as a useful tool for HCWs considering influenza immunization. This study is an important step towards evaluating the usefulness of the OIDA within prevention campaigns. Recommendations include evaluation of the OIDA by incorporating it into large-scale influenza immunization campaigns.
医护人员在决定是否接种流感疫苗时会经历决策冲突或对最佳选择的不确定性。尽管流感疫苗免费且易于获取，且开展了耗费资源的宣传活动，但医护人员的疫苗接种率仍低得令人无法接受。这部分是由于决策冲突，而决策辅助工具可能会缓解这种冲突。为解决这一问题，我们开发了渥太华流感决策辅助工具（OIDA），以帮助医护人员就流感疫苗接种做出明智的决定。在流感疫苗接种活动期间，OIDA在一家大型急症护理医院进行了测试。我们使用整群随机抽样方法，从骨科病房和后勤服务部门招募医护人员，让他们完成OIDA和一份反馈问卷。完成OIDA的大多数受访者（85%）认为接种疫苗对于预防流感非常重要，95%的受访者确定了最适合他们的选择。在对反馈问卷的回复中，84%的受访者认为信息清晰，77%的受访者得出结论，认为OIDA帮助他们做出了决定。这项研究的结果支持将OIDA作为考虑接种流感疫苗的医护人员的有用工具。这项研究是朝着评估OIDA在预防活动中的有用性迈出的重要一步。建议包括通过将OIDA纳入大规模流感疫苗接种活动来对其进行评估。
