title: Factors affecting the decision of nursing students in Taiwan to be vaccinated against hepatitis B infection.
abstract: Compliance with Hepatitis B vaccination for nurses has been reported to be low in Taiwan. Therefore, a study of nursing students' view was conducted in Taiwan to discover possible reasons. As complex decision-making was involved in taking the vaccine, a four-level utility decision model underpinned by the Multi-Attribute Utility theory was proposed to ascertain the relative contribution of the specific components of attitude and beliefs to the final decision and experience of being vaccinated against Hepatitis B infection. Results indicated that the 'personal value of Hepatitis B vaccination', in particular for 'concern about the efficacy of the Hepatitis B vaccine', 'fear of pain from repeated injections', 'time' and 'money', were the main determinants in relation to the uptake of the Hepatitis B vaccination. Such results were consistent with earlier findings based on the Health Belief Model. It appears that the greater the experience gained in nursing care the lower the rate of vaccination; the important items under the concept of 'Personal value of Hepatitis B vaccination' varied by 'experience in nursing care'. The overall predictive validity was 67%, based on the utility decision model. When stratified by 'experience in nursing care', the prediction improved, ranging from 89% to 100%. Based on these findings, a specific intervention programme should be provided to change behaviour and improve the vaccination rate.
authors.affiliation: National Taipei College of Nursing, Taiwan.
authors.forename: W C
authors.initials: WC
authors.lastname: Lin
authors.forename: C
authors.initials: C
authors.lastname: Ball
mesh_terms: D000704:Analysis of Variance; D003657:Decision Making; D016002:Discriminant Analysis; D007722:Health Knowledge, Attitudes, Practice; D006509:Hepatitis B / Q000517:prevention & control*; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*; D008960:Models, Psychological; D009042:Motivation; D013338:Students, Nursing / Q000523:psychology*; D013624:Taiwan