Hostname: page-component-797576ffbb-pxgks Total loading time: 0 Render date: 2023-12-04T19:48:09.487Z Has data issue: false Feature Flags: { "corePageComponentGetUserInfoFromSharedSession": true, "coreDisableEcommerce": false, "useRatesEcommerce": true } hasContentIssue false

Improving Rates of Influenza Vaccination Among Healthcare Workers: Educate; Motivate; Mandate?

Published online by Cambridge University Press:  02 January 2015

Thomas R. Talbot*
Departments of Medicine and Preventive Medicine, Vanderbilt University School of Medicine
A-2200 Medical Center North, 1161 21st Avenue South, Vanderbilt University Medical Center, Nashville, TN 37232 (


Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Originals Articles
Copyright © The Society for Healthcare Epidemiology of America 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)


1.Fiore, AE, Shay, DK, Haber, P, et al.Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56:154.Google Scholar
2.American College of Occupational and Environmental Medicine. ACOEM Consensus Opinion Statement: influenza control programs for healthcare workers. Available at: Accessed October 30, 2007.Google Scholar
3.American College of Physicians (ACP). ACP Board of Regents endorses health care worker vaccination. Available at: Accessed October 30, 2007.Google Scholar
4.American Nurses Association. Report to the Board of Directors on seasonal influenza vaccination for registered nurses. Available at: Accessed October 30,2007.Google Scholar
5.National Foundation of Infectious Diseases. Improving influenza vaccination rates in healthcare workers: strategies to increase protection for workers and patients. Available at: Accessed October 29, 2007.Google Scholar
6.Talbot, TR, Bradley, SE, Cosgrove, SE, Ruef, C, Siegel, JD, Weber, DJ. Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortages. Infect Control Hosp Epidemiol 2005;26:882890.Google Scholar
7.Dash, GP, Fauerbach, L, Pfeiffer, J, et al.APIC position paper: improving health care worker influenza immunization rates. Am J Infect Control 2004;32:123125.Google Scholar
8.Pearson, ML, Bridges, CB, Harper, SA. Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55:116.Google Scholar
9.Ofstead, CL, Tucker, SJ, Beebe, TJ, Poland, GA. Influenza vaccination among inpatient registered nurses: information receipt, knowledge, and decision-making in an institution with a multifaceted educational program. Infect Control Hosp Epidemiol 2007;29:99106 (in this issue).Google Scholar
10.Poland, GA, Ofstead, CL, Tucker, SJ, Beebe, TJ. Receptivity to mandatory influenza vaccination policies for healthcare workers among registered nurses working on inpatient units. Infect Control Hosp Epidemiol 2007;29:170173 (in this issue).Google Scholar
11.Centers for Disease Control and Prevention. Interventions to increase influenza vaccination of health-care workers—California and Minnesota. MMWR Morb Mortal Wkly Rep 2005;54:196199.Google Scholar
12.Carman, WF, Elder, AG, Wallace, LA, et al.Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:9397.Google Scholar
13.Potter, J, Stott, DJ, Roberts, MA, et al.Influenza vaccination of healthcare workers in long-term-care hospitals reduces the mortality of elderly patients. 7 Infect Dis 1997;175:16.Google Scholar
14.Hayward, AC, Harling, R, Wetten, S, et al.Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. BMJ 2006;333:1241.Google Scholar
15.King, JC Jr, Stoddard, JJ, Cagiani, MJ, et al.Effectiveness of school-based influenza vaccination. N Engl J Med 2006;355:25232532.Google Scholar
16.Hurwitz, ES, Haber, M, Chang, A, et al.Effectiveness of influenza vaccination of day care children in reducing influenza-related morbidity among household contacts. JAMA 2000;284:16771682.Google Scholar
17.Ghendon, YZ, Kaira, AN, Elshina, GA. The effect of mass influenza immunization in children on the morbidity of the unvaccinated elderly. Epidemiol Infect 2006;134:7178.Google Scholar
18.Polgreen, P, Beekmann, S, Chen, YY, Cavanaugh, J, Herwaldt, L. Components of influenza vaccination programs that predict higher vaccination rates: results of an EIN Survey. In: Program and abstracts of the 17th Annual Scientific Meeting of the Society for Healthcare Epidemiology of America (Baltimore). 2007:120. Abstract 210.Google Scholar
19.Beekmann, S, Talbot, TR, Septimus, E, Parry, MF, Chen, YY, Polgreen, P. Use of influenza vaccination declination statements in 17 U.S. hospitals: results of an IDSA-EIN Survey. In: Program and abstracts of the 45th Annual Meeting of the Infectious Diseases Society of America (IDSA) (San Diego). Arlington, VA: IDSA, 2007:185. Abstract 793.Google Scholar
20.Borlaug, G, Newman, A, Pfister, J, Davis, JP. Factors that influenced rates of influenza vaccination among employees of Wisconsin acute care hospitals and nursing homes during the 2005-2006 influenza season. Infect Control Hosp Epidemiol 2007;28:13981400.Google Scholar
21.Buchta, WG, Verdoon, CA, Schultz, GL. Effectiveness of declination statements in influenza vaccination programs for healthcare workers. In: Program and abstracts of the International Commission on Occupational Health Conference on Health Care Worker Health—2007 State-of-the-Art Conference (Vancouver, British Columbia, Canada). Elk Grove Village, IL: American College of Occupational and Environmental Medicine, 2007:307. Abstract 348217.Google Scholar
22.Bertin, M, Scarpelli, M, Proctor, AW, et al.Novel use of the intranet to document health care personnel participation in a mandatory influenza vaccination reporting program. Am J Infect Control 2007;35:3337.Google Scholar
23.Tennessee Department of Health. Rules of Tennessee Department of Health Board for Licensing Health Care Facilities, Chapter 1200-8-1. Available at: Accessed November 2, 2007.Google Scholar
24.Hagar, BA. 2007 National Influenza Vaccine Summit Immunization Excellence Awards—Virginia Mason Medical Center's mandatory vaccination campaign. Available at: Accessed October 30, 2007.Google Scholar
25.Rusk, J. Mandatory flu shots boost health care worker immunization rate at Virginia Mason. Infectious Disease News March 2006. Available at: Accessed October 30, 2007Google Scholar