Synthesis Matrix 1-5

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Author/ Date	Aim of Study	Type of Literature/ Type of Method	Results/ Conclusion	Strengths/ Limitations	Thematic Codings	Setting/ Context
Anikeeva, O. (2009)	Examine the implications for requiring the influenza vaccination for health care workers.	Research.	Despite vaccination benefits with requiring influenza vaccination, the vaccination rate remains lower than the recommended levels to achieve herd immunity.	Research is mostly based on opinions and data already provided, not a study.	There are ethical issues for requiring influenza vaccination in health care workers despite the benefits of herd immunity	Research into ethics for policies requiring influenza vaccinations in health care workers.
Leask, J. (2010)	Examine the views of health care workers about the possibility of a mandatory influenza vaccination.	Cohort study - interviews.	A higher percentage of this group supported mandating influenza vaccination rates than that of those who did not support it. However, including influenza in the mandated vaccinations would bring up 4 major issues to be addressed.	Getting opinions of the professionals in the health care setting provide insight into opinions and behaviors of workers in that field.	Mandatory vaccinations and immunizations for health care workers.	37 health care workers from New South Wales, Australia.
Van Buynder, P.G. (2015)	To determine the benefits of health care worker vaccination over the mask policy: a look at cost effectiveness and reduction in absenteeism.	Review and retrospective cohort study.	Those vaccinated had less absenteeism than those who were not vaccinated for the influenza season, as compared to pre-influenza season.	All data of employees was used from pre-influenza season and during influenza season where sick hours are easily recorded.	Vaccinations reduce cost for health facilities by also reducing absenteeism.	Employees of Fraser Health Authority in the years 2012/2013. Not including volunteers and contracted workers.
Scatigna, M. (2016)	Examine the variables that determine whether a health care worker gets vaccinations and exploring possible mechanisms for mediating this process.	Cross - sectional study.	Education and knowledge of vaccinations from self reportings in health care workers was low for all categories. A mediation mechanism was seen as a possible advantage.	Self reported data and anonymous questionnaires are not necessarily reliable because who knows how a person interprets something or whether or not they are accurately reporting information.	Vaccination education and implementation for health care workers was low and mediation efforts to encourage vaccinations are likely helpful to raise the number of people vaccinated.	334 Health care workers from a local hospital in L’Aquila, Italy took part in an anonymous questionnaire and self reported data.
Maltezou, H. (2016)	Determining the necessity for immunizations/vaccinations amount health care workers and looking at public health policies surrounding these issues.	Research article and review.	Voluntary immunization and vaccination policies have not demonstrated adequate immunization and vaccination	There is a wide range of data for immunizations and vaccination practices and policies over time which is a strength and limitation at the same time.	Voluntary immunization and vaccination policies and practices.	Research on data about voluntary immunization and vaccination practices and policies over the past 3 decades.