title: Understanding motivators and barriers of hospital-based obstetric and pediatric health care worker influenza vaccination programs in Australia.
abstract: Understanding motivators and barriers of health care worker (HCW) vaccination programs is important for determining strategies to improve uptake. The aim of this study was to explore key drivers and HCW decision making related to recommended vaccines and seasonal influenza vaccination programs. We used a qualitative approach with semi-structured one-to-one interviews with 22 HCWs working at a tertiary pediatric and obstetric hospital in South Australia. A thematic analysis and coding were used to examine data. Key motivators that emerged included: sense of responsibility, convenience and ease of access, rotating trolleys, the influenza vaccine being free, basic knowledge about influenza and influenza vaccination, peer pressure, personal values and family culture, as well as the culture of support for the program. Personal decisions were the major barrier to HCWs receiving the influenza vaccine which were predominantly self-protection related or due to previous experience or fear of adverse reactions. Other barriers that emerged were misconceptions about the influenza vaccine, needle phobia and privacy concerns. This study identified both attitudinal and structural barriers that could be addressed to improve uptake of the seasonal influenza vaccine.
authors.affiliation: a Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital , North Adelaide , South Australia , Australia.|b School of Medicine, University of Adelaide , Adelaide , South Australia , Australia.
authors.forename: Jane L
authors.initials: JL
authors.lastname: Tuckerman
authors.affiliation: c School of Population Health, University of Adelaide , Adelaide , South Australia , Australia.
authors.forename: Lexa
authors.initials: L
authors.lastname: Shrestha
authors.affiliation: a Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital , North Adelaide , South Australia , Australia.|b School of Medicine, University of Adelaide , Adelaide , South Australia , Australia.|d Robinson Research Institute, University of Adelaide , Adelaide , South Australia , Australia.
authors.forename: Joanne E
authors.initials: JE
authors.lastname: Collins
authors.affiliation: a Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital , North Adelaide , South Australia , Australia.|b School of Medicine, University of Adelaide , Adelaide , South Australia , Australia.|c School of Population Health, University of Adelaide , Adelaide , South Australia , Australia.|d Robinson Research Institute, University of Adelaide , Adelaide , South Australia , Australia.
authors.forename: Helen S
authors.initials: HS
authors.lastname: Marshall
mesh_terms: D001291:Attitude of Health Personnel; D003428:Cross Infection / Q000517:prevention & control*; D003657:Decision Making; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D005260:Female; D006282:Health Personnel; D006776:Hospitals, Pediatric; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control*; D007407:Interviews as Topic; D008297:Male; D013021:South Australia; D062606:Tertiary Care Centers; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data*
keywords: attitudes; barriers; health care workers; influenza; motivators; vaccination