RESUMEN
BACKGROUND: This research explored the role of attitudes in acceptance of organizational change initiatives. METHODS: A survey assessed factors associated with health care provider (HCP) likelihood to accept seasonal influenza vaccine policy changes. We evaluated the impact of knowledge and individual attitudes on this outcome measure. RESULTS: Knowledge of seasonal influenza vaccine and influenza recommendations was a significant predictor of HCP's attitudes toward vaccine at the individual (p<0.001), organizational (p<0.05), and legislative level (p<0.05). Mixed results were obtained when investigating the impact of knowledge on actual willingness to accept vaccine, suggesting that knowledge was only a significant predictor at the organizational (p<0.05) and legislative levels (p<0.05). Attitudes fully mediated the impact of knowledge at both the organizational and legislative levels. INTERPRETATION: Knowledge of seasonal influenza and vaccine recommendations is an important, but insufficient predictor of willingness to accept policy change.
Asunto(s)
Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/psicología , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Aceptación de la Atención de Salud/psicología , Vacunación/psicología , Adulto , Canadá/epidemiología , Femenino , Política de Salud/legislación & jurisprudencia , Humanos , Gripe Humana/epidemiología , Masculino , Programas Obligatorios/legislación & jurisprudencia , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Análisis de Regresión , Estaciones del Año , Encuestas y Cuestionarios , Vacunación/legislación & jurisprudenciaRESUMEN
This commentary reviews the recommendations presented in the lead paper from the perspective of a safety association for healthcare and community services. We highlight the challenges of collecting employee safety-related data for comparative purposes. Preliminary research findings from AWARE-NS baseline assessments are presented to emphasize the situation in the province of Nova Scotia. An established provincial data management system that tracks occupational health and safety events and outcomes is reviewed to note its value to the healthcare system. Although the need to have a consistent framework for the healthcare sector is paramount, we argue that worker safety-related indicators are often overlooked or embedded within patient safety indicators. A call for more consistent employee safety-specific indictors is made.
Asunto(s)
Servicios de Salud Comunitaria , Instituciones de Salud , Salud Laboral , Nueva Escocia , Estándares de ReferenciaRESUMEN
Key members (a.k.a. "champions") within specific work units were provided with a brief training session designed to increase awareness of the benefits associated with influenza vaccination. The champions were responsible for encouraging members of their work units to accept an influenza vaccination and in some cases had the requisite training to administer the vaccination on site. Work units were randomly assigned to either champion present or champion absent conditions. Results show increased vaccination compliance for groups where a champion was present (N = 23). An independent sample t-test revealed a significant difference between the two groups t = 2.30, p < .03 which resulted in a percentage change from 41% in the unchampioned group to 52% in the championed group. Analyses which included only those units that had a fully trained champion (N = 13) produced a similar percentage increase in vaccine uptake from 41% to 54% (although this did not reach statistical significance; p = .08). Overall, the presence of a unit champion did produce a clinically relevant increase in vaccination rates in championed work units. This result has implications for future vaccination campaigns in hospital settings. Future research targeting the barriers and drivers of influenza vaccination among HCWs is recommended.