title: Employee designation and health care worker support of an influenza vaccine mandate at a large pediatric tertiary care hospital.
abstract: OBJECTIVE
  Determine predictors of support of a mandatory seasonal influenza vaccine program among health care workers (HCWs).
  
  
  METHODS
  Cross-sectional anonymous survey of 2443 (out of 8093) randomly selected clinical and non-clinical HCWs at a large pediatric network after implementation of a mandatory vaccination program in 2009-10.
  
  
  RESULTS
  1388 HCWs (58.2%) completed the survey and 75.2% of respondents reported agreeing with the new mandatory policy. Most respondents (72%) believed that the policy was coercive but >90% agreed that the policy was important for protecting patients and staff and was part of professional ethical responsibility. When we adjusted for attitudes and beliefs regarding influenza and the mandate, there was no significant difference between clinical and nonclinical staff in their support of the mandate (OR 1.08, 95% C.I. 0.94, 1.26).
  
  
  CONCLUSIONS
  Attitudes and beliefs regarding influenza and the mandate may transcend professional role. Targeted outreach activities can capitalize on beliefs regarding patient protection and ethical responsibility.
authors.affiliation: Division of Infectious Diseases, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. feemster@email.chop.edu
authors.forename: Kristen A
authors.initials: KA
authors.lastname: Feemster
authors.forename: Priya
authors.initials: P
authors.lastname: Prasad
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Smith
authors.forename: Chris
authors.initials: C
authors.lastname: Feudtner
authors.forename: Arthur
authors.initials: A
authors.lastname: Caplan
authors.forename: Paul
authors.initials: P
authors.lastname: Offit
authors.forename: Susan E
authors.initials: SE
authors.lastname: Coffin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D006282:Health Personnel / Q000331:legislation & jurisprudence / Q000523:psychology*; D006776:Hospitals, Pediatric / Q000331:legislation & jurisprudence / Q000639:trends; D006801:Humans; D007252:Influenza Vaccines / Q000627:therapeutic use*; D037141:Mandatory Programs / Q000331:legislation & jurisprudence / Q000639:trends; D008875:Middle Aged; D016272:Occupational Health / Q000331:legislation & jurisprudence
chemical_list: D007252:Influenza Vaccines