From: How to develop a program to increase influenza vaccine uptake among workers in health care settings?
Determinants | Objectives | Methods and strategies |
---|---|---|
Management level | Â | Â |
Having a written policy | Stimulating nursing homes to develop a written policy on influenza vaccination of HCWs | Informing management on effect of a written policy (outreach visit, written information) |
Actively requesting HCWs to get vaccinated | Actively requesting HCWs to get vaccinated | Executing the intervention program automatically leads to an active request |
Informing HCWs about influenza vaccination | Having HCWs informed on influenza vaccination | Informing HCWs by plenary meetings, discussion in smaller groups, invitation letter, leaflets, posters, video, website |
HCW level | Â | Â |
Presence of chronic illness | No objective set due to limited changeability | Â |
Working in health care for more than 15 years | No objective set due to limited changeability | Â |
Perceived high personal risk | Awareness among HCWs of being at risk for an influenza infection and knowing how high this risk is | - Provide risk information (plenary meeting, leaflets, website) - Evaluate own behaviour in smaller groups - Show a video with role-models |
Perceived reduction of personal risk | HCWs being convinced that vaccination is effective in reducing the personal risk for an influenza infection | - Provide effectiveness information concerning reduction of personal risk (plenary meeting, leaflets, posters, website) - Interactive information provision by discussion in smaller groups - Show a video with role models |
Perceived reduction of risk to infect patients | HCWs being convinced that vaccination is effective in reducing the risk to infect patients with influenza | - Providing effectiveness information concerning the reduction of infecting patients (leaflets, posters, website, plenary meeting) - Interactive information provision by discussion in smaller groups - Show a video with role-models |
Awareness of the existence of a guideline | HCWs being aware of existence of guideline | Mention the existence of the guideline in program materials (leaflets, website, information meeting) |
Agreement with this guideline | HCWs understanding reasoning of guideline | - Explain guideline (leaflets, website, plenary meetings) - Discuss the guideline in smaller groups |
Social influence of people close to the HCWs | Also informing people close to the HCWs | Send a personal invitation letter for the plenary meetings to the home address of all HCWs together with an information leaflet |
Influence of media attention for avian influenza | HCWs understand what avian influenza is and how it relates to annual human influenza | - Explain avian influenza on website |
All HCWs should get vaccinated | HCWs understand the ethical aspects of influenza vaccination among HCWs | - Explain and discuss ethical aspects (leaflets, website) - Show a video with role-models - Discussion in smaller groups |
HCWs should get vaccinated because of their duty not to harm | HCWs understand the ethical aspects of influenza vaccination among HCWs | - Explain and discuss ethical aspects (leaflets, website) - Show a video with role-models - Discussion in smaller groups |
Information received through an information meeting | Conducting an information meeting | Execute an information meeting with plenary information on influenza and influenza vaccination and discussion in smaller groups |
Information received from a nursing home physician | Having preferably a physician a local program coordinator | Nursing home physician signing invitation letters and shows his support during information meetings |