title: Beliefs on mandatory influenza vaccination of health care workers in nursing homes: a questionnaire study from the Netherlands.
abstract: OBJECTIVE
  To assess whether nursing homes (NHs) made organizational improvements to increase influenza vaccination rates in healthcare workers (HCWs) and to quantify the beliefs of NH administrators on the arguments used in favor of implementation of mandatory influenza vaccination of HCWs.
  
  
  METHODS
  Anonymous questionnaire study.
  
  
  METHODS
  Dutch NHs.
  
  
  METHODS
  Dutch NH administrators.
  
  
  METHODS
  Influenza vaccination rates in NH residents and NH HCWs, organizational aspects of influenza vaccination of HCWs, and agreement of respondents with arguments in favor of implementation of mandatory influenza vaccination in HCWs.
  
  
  RESULTS
  Of the 310 distributed questionnaires, 185 were returned (response rate 59.7%). The average vaccination rate in NH HCWs was 18.8% and in NH residents was 91.6%. In all, 126 (68.1%) NHs had a written policy, 161 (87.0%) actively requested that their employees be immunized, and 161 (87.0%) offered information to HCWs in any way. Despite the fact that the majority of NH administrators (>69%) agreed with all arguments in favor of implementation of mandatory influenza vaccination, only a minority (24.3%) agreed that mandatory vaccination should be implemented if voluntary vaccination fails to reach sufficient vaccination rates.
  
  
  CONCLUSIONS
  Despite the low vaccination rate of NH HCWs, most NH administrators did not support mandatory influenza vaccination of NH HCWs.
authors.affiliation: Julius Center for Health Sciences and Primary Health Care, University Medical Center Utrecht, Utrecht, The Netherlands. i.looijmans@umcutrecht.nl
authors.forename: Ingrid
authors.initials: I
authors.lastname: Looijmans-van den Akker
authors.forename: Badyr
authors.initials: B
authors.lastname: Marsaoui
authors.forename: Eelko
authors.initials: E
authors.lastname: Hak
authors.forename: Johannes J M
authors.initials: JJ
authors.lastname: van Delden
mesh_terms: D001291:Attitude of Health Personnel; D006282:Health Personnel; D007252:Influenza Vaccines; D009426:Netherlands; D009735:Nursing Homes; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000592:standards / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines