{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T21:21:41Z","timestamp":1770758501078,"version":"3.50.0"},"reference-count":48,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Nephrol"],"abstract":"<jats:p>Introduction: Vaccination rates for influenza and COVID-19 remain low among people with chronic kidney disease (CKD). Nephrology care offers an opportunity to boost vaccination rates. Understanding provider perceptions can be key to developing effective intervention programs. Methods: We conducted a nationwide survey among nephrology care providers. In a questionnaire, we assessed the providers\u2019 agreement with potential barriers to recommending influenza and COVID-19 vaccines and perceptions of selected vaccination programs on their acceptability, appropriateness, and feasibility. Results: Between February and June 2023, 312 providers responded to the survey. Most providers agreed that there is sufficient evidence for influenza vaccines (270\/311, 86.8%) and that vaccines reduce the risk of serious complications of influenza (277\/310, 89.4%). However, 40\/312 (12.8%) felt that recommending influenza vaccines is less important than other issues they must address. By profession, more physicians agreed with the evidence (112\/123 or 91.1% vs. 39\/49 or 79.5% for NPs and 83\/101 or 82.2% for RNs, p = 0.007) than nurse practitioners (NPs) or nurses (RNs). The most perceived barrier was lack of self-efficacy: 95\/311 (30.5%) felt that many patients will not get vaccinated even if they recommend it. Similar responses were seen for COVID-19 vaccines. Regarding vaccination programs, 209\/235 (88.9%), 197\/224 (87.9%), and 183\/222 (82.4%) providers considered provider reminders acceptable, appropriate, and feasible. 209\/239 (87.4%), 198\/226 (87.6%), and 187\/224 (83.5%) did so for standing orders. Onsite\/walk-in vaccinations were viewed as acceptable by 192\/242 (79.3%) but less feasible (137\/222 or 61.7%). Fewer than 33% of providers perceived patient incentives as acceptable, appropriate, or feasible. Conclusions: Most nephrology care providers believe that influenza and COVID-19 vaccinations offer evidence-based benefits, with slightly higher belief among physicians compared to NPs or RNs. However, important barriers to vaccination remain. Standing orders, provider reminders, and onsite\/walk-in vaccination are favorably perceived by providers.<\/jats:p>","DOI":"10.1159\/000544935","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T12:02:13Z","timestamp":1748001733000},"page":"96-108","source":"Crossref","is-referenced-by-count":0,"title":["Nephrology Provider Perceptions about Recommending Influenza and COVID-19 Vaccines: A Nationwide Survey"],"prefix":"10.1159","volume":"57","author":[{"given":"Guangchen","family":"Zou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Appel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deidra 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