title: Sociocognitive predictors of the intention of healthcare workers to receive the influenza vaccine in Belgian, Dutch and German hospital settings.
abstract: BACKGROUND
  Influenza vaccination of healthcare workers (HCWs) is recommended to prevent the transmission of influenza to vulnerable patients. Nevertheless, vaccination coverage rates of HCWs in European countries have been low.
  
  
  OBJECTIVE
  To investigate the relative and combined strength of sociocognitive variables, from past research, theory and a qualitative study, in explaining the motivation of HCWs to receive the influenza vaccine.
  
  
  METHODS
  An anonymous, online questionnaire was distributed among HCWs in hospital settings in Belgium, Germany and the Netherlands between February and April 2013.
  
  
  RESULTS
  Attitude and past vaccination uptake explained a considerable amount of variance in the intention of HCWs to receive the influenza vaccine. Moreover, low perceived social norms, omission bias, low moral norms, being older, having no patient contact, and being Belgian or Dutch (compared with German) increased the probability of having no intention to receive the influenza vaccine compared with being undecided about vaccination. High intention to receive the influenza vaccine was shown to be more likely than being undecided about vaccination when HCWs had high perceived susceptibility of contracting influenza, low naturalistic views, and lower motivation to receive the vaccine solely for self-protection.
  
  
  CONCLUSIONS
  Country-specific interventions and a focus on different sociocognitive variables depending on the intention/lack of intention of HCWs to receive the influenza vaccine may be beneficial to promote vaccination uptake.
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. Electronic address: birthe.lehmann@maastrichtuniversity.nl.
authors.forename: B A
authors.initials: BA
authors.lastname: Lehmann
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
authors.forename: R A C
authors.initials: RA
authors.lastname: Ruiter
authors.affiliation: Orbis Medisch en Zorgconcern, Sittard, The Netherlands.
authors.forename: D
authors.initials: D
authors.lastname: van Dam
authors.affiliation: Betriebsärztlicher Dienst, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Wicker
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
authors.forename: G
authors.initials: G
authors.lastname: Kok
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001530:Belgium; D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006761:Hospitals; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control* / Q000523:psychology; D033182:Intention; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: Healthcare personnel; Hospital; Influenza vaccination; Sociocognitive predictors