Accounting for personal and professional choices for pandemic XXXX vaccination amongst English healthcare workers.

@entity1 @entity683 @entity12767 @entity281
BACKGROUND: @entity12767 ( @entity12767 ) are encouraged to get vaccinated during @entity683 pandemics to reduce their own, and @entity1 ', risk of @entity281 , and to encourage their @entity1 to get immunised. Despite extensive research on @entity12767 ' receipt of vaccination, little is known about how @entity12767 articulate pandemic @entity683 vaccination advice to @entity1 . AIMS: To explore @entity12767 ' uptake of the A/H1N1 vaccine during the pandemic of 2009-2010, their recommendations to @entity1 at the time, and their anticipated choices around @entity683 vaccination under different pandemic scenarios. METHOD: We conducted semi-structured interviews and focus groups with eight vaccinated and seventeen non-vaccinated @entity12767 from primary care practices in England. The data was analysed using thematic analysis. RESULTS: The @entity12767 constructed their receipt of vaccination as a personal choice informed by personal health history and perceptions of vaccine safety, while they viewed @entity1 ' vaccination as choices made following informed consent and medical guidelines. Some @entity12767 received the A/H1N1 vaccine under the influence of their local practice organizational norms and values. While non-vaccinated @entity12767 regarded @entity1 ' vaccination as @entity1 ' choice, some vaccinated @entity12767 saw it also as a public health issue. The non-vaccinated @entity12767 emphasised that they would not allow their personal choices to influence the advice they gave to @entity1 , whereas some vaccinated @entity12767 believed that by getting vaccinated themselves they could provide a reassuring example to @entity1 , particularly those who have concerns about @entity683 vaccination. All @entity12767 indicated they would accept vaccination under the severe pandemic scenario. However, most non-vaccinated @entity12767 expressed reticence to vaccinate under the mild pandemic scenario. CONCLUSIONS: Providing evidence-based arguments about the safety of new vaccines and the priority of public health over personal choice, and creating strong social norms for @entity683 vaccination as part of the organizational culture, should increase uptake of @entity683 vaccination among primary care @entity12767 and their @entity1 .
