title: Influenza vaccination and decisional conflict among regulated and unregulated direct nursing care providers in long-term-care homes.
abstract: The purpose of this study was to determine whether direct nursing care providers have decisional conflict about receiving influenza vaccinations and characteristics associated with decisional conflict. The researchers used a self-administered questionnaire mailed to direct nursing care providers in two long-term-care organizations. Most direct nursing care providers in both organizations (80% and 93%, respectively) intended to get the influenza vaccine. Unregulated direct nursing care providers had more decisional conflict than regulated providers, especially related to feeling uninformed about the pros and cons of influenza vaccination. Unclear valuing of the pros and cons of influenza vaccination was related to the age of the direct care providers in both organizations. Decisional conflict and influenza vaccination practices may be determined, in part, by age and by the culture of a health care organization. A decision aid to improve knowledge and clarify values may improve decision quality and increase influenza vaccination rates.
authors.affiliation: Elisabeth Bruyere Research Institute, Ottawa, Ontario, Canada.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Sullivan
authors.forename: Donna
authors.initials: D
authors.lastname: Pierrynowski-Gallant
authors.forename: Larry
authors.initials: L
authors.lastname: Chambers
authors.forename: Annette
authors.initials: A
authors.lastname: O'Connor
authors.forename: Sherry
authors.initials: S
authors.lastname: Bowman
authors.forename: Shelly
authors.initials: S
authors.lastname: McNeil
authors.forename: Robert
authors.initials: R
authors.lastname: Strang
authors.forename: Frank
authors.initials: F
authors.lastname: Knoefel
mesh_terms: D000328:Adult; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D003657:Decision Making; D005161:Facility Regulation and Control; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control*; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009656:North America; D009735:Nursing Homes; D009740:Nursing Staff; D014611:Vaccination / Q000706:statistics & numerical data*