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Influenza vaccination rates among healthcare workers (HCWs) remain low. The purpose of this paper was toexamine the literature for factors that influence the acceptance of influenza vaccine by HCWs, 2) review theliterature to examine knowledge that HCWs have of influenza disease and influenza vaccination and 3) and point togaps in the research that may give guidance towards development of interventions to increase vaccine acceptance.By far the most common barrier noted in the studies was the misperception among HCWs, especially those in thenursing profession, that influenza vaccine causes severe side effects and/or causes influenza disease. In addition,there is lack of knowledge that HCWs can transmit influenza to their patients especially when the HCW come towork ill. There is a lack of understanding by many HCWs, especially nurses, that influenza is a serious and lifethreateningdisease. Although many HCWs are resistant to take an annual influenza shot, nurses have proven to bethe most resistant. If patients are to be provided with the benefits of vaccination against influenza then HCWs and inparticular nurses need to be convinced of the safety and effectiveness of the vaccine for their patients andthemselves. Therefore it is imperative that we discover why these HCWs have proven to be so resistant toacceptance of influenza vaccine, in order to achieve the 2020 goal of 60% vaccination rate among HCWs.
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