American Journal of Infection Control
Vol 42 | No. 3 | March 2014 | Pages 215-344
http://www.ajicjournal.org/current

Employee influenza vaccination in residential care facilities
Bettye A. Apenteng, PhD, Samuel T. Opoku, MBChB
http://www.ajicjournal.org/article/S0196-6553%2813%2901303-5/abstract

Abstract
Background
The organizational literature on infection control in residential care facilities is limited. Using a nationally representative dataset, we examined the organizational factors associated with implementing at least 1 influenza-related employee vaccination policy/program, as well as the effect of vaccination policies on health care worker (HCW) influenza vaccine uptake in residential care facilities.

Methods
The study was a cross-sectional study using data from the 2010 National Survey of Residential Care Facilities. Multivariate logistic regression analysis was used to address the study’s objectives.

Results
Facility size, director’s educational attainment, and having a written influenza pandemic preparedness plan were significantly associated with the implementation of at least 1 influenza-related employee vaccination policy/program, after controlling for other facility-level factors. Recommending vaccination to employees, providing vaccination on site, providing vaccinations to employees at no cost, and requiring vaccination as a condition of employment were associated with higher employee influenza vaccination rates.

Conclusion
Residential care facilities can improve vaccination rates among employees by adopting effective employee vaccination policies