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Factors affecting the decision of nursing students in Taiwan to be vaccinated against Hepatitis B infection
Author(s) -
Lin WenChuan,
Ball Carol
Publication year - 1997
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1046/j.1365-2648.1997.1997025709.x
Subject(s) - vaccination , medicine , hepatitis b , health care , intervention (counseling) , nursing care , family medicine , hepatitis a , nursing , hepatitis , immunology , economics , economic growth
Compliance with Hepatitis B vaccination for nurses has been reported to be low in Taiwan. Therefore, a study of nursing students’ views was conducted in Taiwan to discover possible reasons. As complex decision‐making was involved in taking the vaccine, a four‐level utility decision model underpinned by the Multi‐Attribute Utility theory was proposed to ascertain the relative contribution of the specific components of attitude and beliefs to the final decision and experience of being vaccinated against Hepatitis B infection. Results indicated that the ‘personal value of Hepatitis B vaccination’, in particular for ‘concern about the efficacy of the Hepatitis B vaccine’, ‘fear of pain from repeated injections’, ‘time’ and ‘money’, were the main determinants in relation to the uptake of the Hepatitis B vaccination. Such results were consistent with earlier findings based on the Health Belief Model. It appears that the greater the experience gained in nursing care the lower the rate of vaccination; the important items under the concept of ‘Personal value of Hepatitis B vaccination’ varied by ‘experience in nursing care’. The overall predictive validity was 67%, based on the utility decision model. When stratified by ‘experience in nursing care’, the prediction improved, ranging from 89% to 100%. Based on these findings, a specific intervention programme should be provided to change behaviour and improve the vaccination rate.