BACKGROUND To explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still, vaccination rates remain very low, particularly in nursing staff. While several studies have explored barriers for healthcare workers to get vaccinated, most have used a quantitative approach. METHODS Data were collected by in-depth individual semi-structured interviews with 18 nurses from a range of fields, positions in organizational hierarchy, work experience and hospitals in two German-speaking cantons in Switzerland. Interviews were transcribed and analysed using conventional content analysis. RESULTS Three interconnected themes explaining why nurses decline influenza vaccination were identified: Firstly, the idea of maintaining a strong and healthy body, which was a central motif for rejecting the vaccine. Secondly, the wish to maintain decisional autonomy - especially over one's body and health. Thirdly, nurses' perception of being surrounded by an untrustworthy environment, which restricts their autonomy and seemingly is in opposition to their goal of maintaining a strong and healthy body. CONCLUSION Nurses tend to rely on conventional health beliefs rather than evidence based medicine when making their decision to decline influenza vaccination. Interventions to increase influenza vaccination should be tailored specifically for nurses. Empowering nurses by promoting decision-making skills and by strengthening their appraisal may be important factors to consider when planning future interventions to improve vaccination rates. The teaching of evidence-based decision-making should be integrated on different levels, including nurses' training curricula, their workspace and further education.

中文翻译：

---

护士拒绝流感疫苗接种的原因：定性研究。

背景技术探讨未接种疫苗的护理人员季节性流感疫苗接种减少的原因。医护人员的年度流感疫苗接种减少了脆弱患者的发病率和死亡率。尽管如此，疫苗接种率仍然很低，尤其是在护理人员中。尽管有几项研究探讨了医护人员接种疫苗的障碍，但大多数研究使用定量方法。方法通过对来自18个护士的深入个人半结构式访谈进行了收集，这些访谈来自瑞士两个德语区的各个领域，组织层次，工作经验和医院。使用常规的内容分析来记录和分析访谈内容。结果确定了三个相互关联的主题，这些主题解释了为什么护士拒绝接种流感疫苗：保持身体强壮健康的想法，这是拒绝接种该疫苗的主要主题。其次，希望保持决策自主权，特别是在身体和健康方面。第三，护士的感觉是被不信任的环境所包围，这限制了他们的自主性，并且似乎与他们维持强壮健康的身体目标相反。结论护士在决定拒绝接种流感疫苗时倾向于依靠传统的健康观念，而不是循证医学。增加流感疫苗接种的干预措施应专为护士量身定制。在计划未来的干预措施以提高疫苗接种率时，可以通过提高决策技巧和加强评估能力来增强护士的能力。