title: Immunisation attitudes, knowledge and practices of health professionals in regional NSW.
abstract: OBJECTIVE
  This study investigated the immunisation knowledge, attitudes and practices among health professionals in two regional Area Health Services of NSW with low and high immunisation rates. It also compared these factors between the areas and between the health professional groups.
  
  
  METHODS
  A self-administered questionnaire was posted in 2006 to health professionals, located within the North Coast and Hunter New England Area Health Services, whose practice could include immunisation. This included general practitioners (GPs), practice nurses, community nurses, hospital nurses and midwives.
  
  
  RESULTS
  Out of 926 surveys sent, 434 were returned (47%). The great majority of the health professionals (97%) believed that vaccines were safe, effective and necessary. However, in approximately one-third of respondents, there were specific concerns about additives, immune system overload and the number of vaccines. Significantly more health professionals in the North Coast area believed that additives in vaccines may be harmful and that adding more vaccines to the schedule would make immunisation too complex. Among GPs, over half felt uncomfortable about giving more than two injections at the one visit.
  
  
  CONCLUSIONS
  Health professionals in this study had overall confidence in vaccines but had specific concerns about the number of vaccines given to children and vaccine content. These unfounded concerns may reduce parental confidence in immunisation.
  
  
  CONCLUSIONS
  There is value in governments and immunisation support workers continuing their efforts to maintain up-to-date knowledge among health professionals and support the delivery of appropriate and targeted information to address concerns about vaccines.
authors.affiliation: National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS), The Children's Hospital at Westmead and the Discipline of Paediatrics and Child Health, University of Sydney, NSW, Australia. JulieL3@chw.edu.au
authors.forename: Julie
authors.initials: J
authors.lastname: Leask
authors.forename: Helen E
authors.initials: HE
authors.lastname: Quinn
authors.forename: Kristine
authors.initials: K
authors.lastname: Macartney
authors.forename: Marianne
authors.initials: M
authors.lastname: Trent
authors.forename: Peter
authors.initials: P
authors.lastname: Massey
authors.forename: Chris
authors.initials: C
authors.lastname: Carr
authors.forename: John
authors.initials: J
authors.lastname: Turahui
mesh_terms: D002675:Child, Preschool; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data; D022542:Measles-Mumps-Rubella Vaccine; D020380:Needs Assessment; D009517:New South Wales; D011795:Surveys and Questionnaires
chemical_list: D022542:Measles-Mumps-Rubella Vaccine