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      Knowledge, attitudes, risk perception of influenza and influenza vaccination among final year nursing students in Singapore: an exploratory study

      abstract
      1 ,
      Antimicrobial Resistance and Infection Control
      BioMed Central
      3rd International Conference on Prevention and Infection Control (ICPIC 2015)
      16-19 June 2015

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          Abstract

          Introduction In Singapore, Influenza causes about 600 deaths (out of 15,000) affecting people who are over 65 years old ('Ministry of Health: FAQs', 2014). Influenza vaccination benefits health-care workers (HCWs) and reduces influenza-related morbidity and mortality in high-risk patients. However, only 25% of student nurses have reported having received seasonal or H1N1 vaccination [1]. Objectives To explore the relationship among final year nursing students’ knowledge, risk perception, health beliefs and their influenza vaccination behaviours and uptake in Singapore. Study design This study utilised a non-experimental, cross-sectional exploratory quantitative study design. Methods Convenience sampling was used to recruit 868 final year nursing students in Singapore from October 2013 to January 2014. Two survey forms were used to collect data: (i) Participants’ Demographic Information sheet and (ii) King’s Nurses Influenza Vaccination Questionnaire (KNIVQ). Results Student nurses’ vaccination rates were 15.7% for Seasonal Influenza vaccine and 5.4% for Influenza A (H1N1) vaccine. Findings revealed a relationship between vaccination uptake rates and knowledge and risk perception and student nurses’ perceived health locus of control (p<0.05). The results also described the different level of student nurses’ vaccination behaviours and their vaccination recommendation to patients. Vaccinated student nurses were also more likely to recommend the Influenza vaccine to their patients in the future. Conclusion The findings provide valuable input enabling policy makers develop measures to improve influenza vaccination awareness and take-up rates among students, encouraging them to be patient advocates regarding importance of influenza vaccination for health prevention and promotion. Disclosure of interest None declared.

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          Nurses' knowledge and risk perception towards seasonal influenza and vaccination and their vaccination behaviours: a cross-sectional survey.

          Seasonal influenza has become a serious public health problem worldwide and vaccination is recognized as the most effective preventative measure. Healthcare workers can be the vectors of influenza outbreaks. Data suggest that nurses' vaccination remains suboptimal worldwide. To explore the relationship among nurses' knowledge, risk perception and their vaccination behaviours and the reasons for vaccination uptake. A cross-sectional survey. Participants were recruited from the nurses enrolled on continuing professional education courses at a large university in London. A sample of 522 nurses returned completed questionnaires (response rate 77.7%). Most of the respondents were women, worked in hospitals and had direct patient contact. The mean years qualified as a nurse were 11.9 ± 8.75 years. The survey instrument examined nurses' knowledge about influenza and vaccination, risk perception towards influenza and pandemics, vaccination behaviours and reasons for vaccination acceptance or refusal. The survey also collected data regarding gender, age, highest educational qualification, work place, clinical specialty, qualified years as a nurse, and whether they had direct patient contact. The influenza vaccination rate among the respondents was 36% with about 41% never vaccinated. Nurses with a high knowledge level were more likely to get vaccinated compared to those with a low knowledge level (p<0.001). Vaccination rates between the high risk perception and low risk perception groups were different (p=0.019). Sentinel knowledge items were associated with nurses' vaccination status. Several risk perception items including personal vulnerability to influenza or H1N1, mortality risk of H1N1, and the likelihood of transmitting influenza to patients were also predictors of vaccination uptake. Vaccinated nurses were more likely to recommend vaccination to their patients (p<0.001). The most frequent reason for vaccination refusal was concern about the side-effects of the vaccination while self-protection was the most frequent reason for vaccination uptake. This study confirmed a relationship between knowledge, risk perception and vaccination behaviours among nurses. The identified sentinel items of knowledge and risk perception could inform future vaccination campaigns. The clinical specialty of nurses and the importance of accessibility to vaccination as predictors of vaccine uptake require further exploration. Copyright © 2011 Elsevier Ltd. All rights reserved.
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            Student nurses' reasons behind the decision to receive or decline influenza vaccine: a cross-sectional survey.

            This cross-sectional questionnaire survey examined influenza vaccination among 430 student nurses. Only 12.2% (95% CI 9.1-15.3%) of student nurses received the seasonal vaccine regularly with 27.6% (95% CI 23.3-31.8%) ever having received seasonal or pandemic H1N1 vaccine. Intention to be vaccinated was associated with having previously been vaccinated (p<0.001) but not whether the vaccine was perceived as beneficial (p=0.36). Previous influenza illness was associated with having the influenza vaccine (p<0.001). The most frequently reported reason for receiving the seasonal influenza vaccine was being deemed at risk (42.4%) and for H1N1 vaccine was because it was offered for free (32.6%). For both vaccines the most reported reason for not being vaccinated was a perception of it not being needed. Student nurses form a substantial and influential part of the future healthcare workforce but to translate the widely held acceptance that influenza vaccine is beneficial into actual uptake, a more targeted and persuasive message is needed. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              Author and article information

              Conference
              Antimicrob Resist Infect Control
              Antimicrob Resist Infect Control
              Antimicrobial Resistance and Infection Control
              BioMed Central
              2047-2994
              2015
              16 June 2015
              : 4
              : Suppl 1
              : P19
              Affiliations
              [1 ]Nursing, JurongHealth, Singapore
              Article
              2047-2994-4-S1-P19
              10.1186/2047-2994-4-S1-P19
              4474685
              d74d7e99-79f3-4da4-935c-635a8a3cf539
              Copyright © 2015 Leong; licensee BioMed Central Ltd.

              This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

              3rd International Conference on Prevention and Infection Control (ICPIC 2015)
              Geneva, Switzerland
              16-19 June 2015
              History
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              Poster Presentation

              Infectious disease & Microbiology
              Infectious disease & Microbiology

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