Pojdi na slovensko stran članka / Go to the article page in Slovene
Improving influenza vaccination coverage at the University Medical Centre Ljubljana with workplace health promotion project
Nataša Dernovšček Hafner & Tanja Udrih Lazar
Full text (pdf) | Views: 45 | Written in English. | Published: September 15, 2021
https://doi.org/10.20419/2021.30.544 | Cited By: CrossRef (0)
Abstract: Seasonal influenza vaccination is one of the keys to preventing the spread of this disease. The seasonal influenza vaccination rate is very low for the general Slovenian population (the average rate from the 2015/16 season to the 2019/20 season is 4.3%) and also for healthcare employees (between 2009 and 2019, the average vaccination rate among healthcare workers in Slovenia was 12.9%), and it does not ensure sufficient community protection from the disease. At the beginning of the 2016/17 season, the University Medical Centre Ljubljana (UMCL) launched its first-ever occupational health promotion project with the slogan “I don’t pass on the flu! I get vaccinated to protect myself and others.” The goal of the project was to reach as many employees as possible and increase the general vaccination rate because those working in healthcare have a significantly greater risk of catching influenza than the rest of the working population. By being vaccinated, they protect not only themselves and their families against the disease, but also their patients. The project encouraged all employees to receive the free vaccination, especially those groups that had had lower vaccination rates over the past years. The support of the institution’s executive staff and the heads of individual divisions was key to securing the required funds and suitable conditions for carrying out the project. Different communication tools were used in the project. The promotion strategy increased vaccination coverage at the UMCL from under 10.0% to 13.9% in 2016, 20.9% in 2017, 21.7% in 2018, and 30.1% in 2019. Workplace health promotion can make a difference. The examples of good practice have made a substantial difference and will be taken into account in planning and organizing vaccination activities during future influenza seasons. This practical model can be used in other hospital settings as well.
Keywords: influenza vaccination, healthcare workers, workplace health promotion, motivational factors
Cite:
Dernovšček Hafner, N., & Udrih Lazar, T. (2021). Improving influenza vaccination coverage at the University Medical Centre Ljubljana with workplace health promotion project. Psihološka obzorja, 30, 182–186. https://doi.org/10.20419/2021.30.544
Reference list
Anikeeva, O., Braunack-Mayer, A., & Rogers, W. (2009). Requiring influenza vaccination for health care workers. American Journal of Public Health, 99(1), 24–29. CrossRef
Australian Technical Advisory Group on Immunisation (2017). The Australian Immunisation Handbook (10th ed). Australian Government Department of Health. Retrieved August 10, 2020, from https://immunisationhandbook.health.gov.au/vaccine-preventable-diseases/influenza-flu
Black, C. L., Yue, X., Ball, S. W., Fink, R., de Perio, M. A., Scott Laney, A., Williams, W. W., Lindley, M. C., Graitcer, S. B., Lu, P.-J., Devlin, R., & Greby, S. M. (2017). Influenza vaccination coverage among health care personnel - United States, 2016-17 influenza season. MMWR, Morbidity and mortality weekly report, 66(38), 1009–1015. CrossRef
Bosilj, M. (2020). Analiza precepljenosti zdravstvenih delavcev proti gripi v Sloveniji med leti 2009 in 2019 [Analysis of flu vaccination rate among healthcare workers in Slovenia between the years 2009 and 2019] [Master's thesis, University of Maribor, Faculty of Health Sciences]. Digital Library of University of Maribor. https://dk.um.si/IzpisGradiva.php?id=76454
Bull, A. L., Bennet, N., Pitcher, H. C., Russo, P. L., & Richards, M. J. (2007). Influenza vaccine coverage among health care workers in Victorian public hospitals. The Medical Journal of Australia, 186(4), 185–186. CrossRef
Buxton Bridges, C., Thompson, W. W., Meltzer, M. I., Reeve, G. R., Talamonti, W. J., Cox, N. J., Lilac H. A., Hall, H., Klimov, A., & Fukuda, K. (2000). Effectiveness and cost-benefit of influenza vaccination of healthy working adults: A randomized controlled trial. JAMA, 284(13), 1655–1663. CrossRef
Carman, W. F., Elder, A. G., Wallace, L. A., McAulay, K., Walker, A., Murray, G. D., & Stott, D. J. (2000). Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: A randomized controlled trial. Lancet, 355(14), 889–893. CrossRef
Centers for Disease Control and Prevention. (1986). Recommendations for prevention and control of influenza: Recommendations of the Immunization Practices Advisory Committee. Centers for Disease Control, Department of Health and Human Services. Annals of Internal Medicine, 105(3), 399–404. CrossRef
Centers for Disease Control and Prevention. (2020, January 3). Vaccine effectiveness: How well do the flu vaccines work? Questions & answers. Retrieved August 10, 2020, from https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm
Colombo, G. L., Ferro, A., Vinci, M., Zordan, M., & Serra, G. (2006). Cost-benefit analysis of influenza vaccination in a public healthcare unit. Therapeutics and Clinical Risk Management, 2(2), 219–226. CrossRef
Dernovšček Hafner, N., & Udrih Lazar, T. (2017). Cepljenje proti gripi v UKC Ljubljana: Poročilo o raziskavi 2017 [Influenza vaccination at the University Medical Center Ljubljana: Research report 2017]. University Medical Centre Ljubljana, Institute of Occupational, Traffic, and Sports Medicine. http://www.cilizadelo.si/e_files/content/Porocilo_o_cepljenju_proti_gripi.pdf
European Centre for Disease Prevention and Control. (2018). Seasonal influenza vaccination and antiviral use in EU/EEA Member States - Overview of vaccine recommendations for 2017-2018 and vaccination coverage rates for 2015-2016 and 2016-2017 influenza seasons. https://www.ecdc.europa.eu/sites/default/files/documents/seasonal-influenza-antiviral-use-2018.pdf
Franke, F., Felfe, J., & Pundt, A. (2014). The impact of health-oriented leadership on follower health: Development and test of a new instrument measuring health-promoting leadership. German Journal of Research in Human Resource Management, 28(1–2), 139–161. CrossRef
Grech, V., & Borg, M. (2020). Influenza vaccination in the COVID-19 era. Early Human Development, 148, Article 105116. CrossRef
Heinrich-Morrison, K., McLellan, S., McGinnes, U., Carroll, B., Watson, K., Bass, P., Worth, L. J, & Cheng, A. C. (2015). An effective strategy for influenza vaccination of healthcare workers in Australia: Experience at a large health service without a mandatory policy. BMC Infectious Diseases, 15(42). CrossRef
Hood, J., Smith, A., & Childre, F. (2009). Developing a "best practice" influenza vaccination program for health care workers - An evidence-based, leadership-modeled program. Official Journal of the American Association of Occupational Health Nurses, 57(8), 308–312. CrossRef
Kassianos, G. (2015). Willingness of European healthcare workers to undergo vaccination against seasonal influenza: Current situation and suggestions for improvement. Drugs in Context, 4, Article 212268. CrossRef
Kumar, R. D. C. (2013). Leadership in healthcare. Anaesthesia and Intensive Care Medicine, 14(1), 39–41. CrossRef
Kuster, S. P., Shah, P. S., Coleman, B. L., Lam, P-P., Tong A., Wormsbecker, A., & McGeer, A. (2011). Incidence of influenza in healthy adults and healthcare workers: A systematic review and meta-analysis. PLoS One, 6(10), Article e26239. CrossRef
Marshall, R. J., Tetu-Mouradjian, L. M., & Fulton, J. P. (2010). Increasing annual influenza vaccinations among healthcare workers in Rhode Island: A social marketing approach. Medicine and health, Rhode Island, 93(9), 271–278. CrossRef
Nichol, K. L., Lind, A., Margolis, K. L., Murdoch, M., McFadden, R., Hauge, M., Magnan, S., & Drake, M. (1995). The effectiveness of vaccination against influenza in healthy, working adults. The New England Journal of Medicine, 333(14), 889–893. CrossRef
Office of Disease Prevention and Health Promotion. (2010). Immunization and Infectious Diseases. Healthy People 2020. Retrieved August 10, 2021, from https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases
Skagert, K. (2010). Leadership in human service organisations: Conceptions, strategies and preconditions to promote and maintain health at work: Doctoral Thesis [Unpublished manuscript]. Department of Public Health and Community Medicine, University of Gothenburg.
Stuart, M. J. (2012). Review of strategies to enhance the uptake of seasonal influenza vaccination by Australian healthcare workers. Communicable diseases intelligence, 36(3), E268–E276.
Udrih Lazar, T., Stergar, E., & Zabukovec V. (2016). Zdravje in promocija zdravja pri delu [Health and health promotion at work]. In D. Miklič Milek & T. Udrih Lazar (Eds.), Čili za delo: Učbenik za promocijo zdravja pri delu (pp. 34–74). University Medical Centre Ljubljana, Institute of Occupational, Traffic, and Sports Medicine.
Univerzitetni klinični center Ljubljana. (2015, February). Poročilo o izvajanju letnega plana aktivnosti na področju preprečevanja in obvladovanja bolnišničnih okužb za leto 2014 in plan aktivnosti za leto 2015 [Report on the implementation of the annual plan of activities in the field of prevention and control of nosocomial infections for 2014 and the plan of activities for 2015] [Unpublished report].
Wilde, J. A., McMillan, J. A., Serwint, J., Butta, J., O'Riordan, M. A., & Steinhoff M. C. (1999). Effectiveness of influenza vaccine in health care professionals: A randomized trial. Jama, 281(10), 908–913. CrossRef
World Health Organization (1986, November 21). The Ottawa Charter for Health Promotion. https://www.who.int/healthpromotion/conferences/previous/ottawa/en/