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Seasonal influenza significantly impacts global health, especially among high-risk groups such as the elderly. People aged ≥65 years have the highest morbidity and mortality due to influenza infections. Despite international recommendations, influenza vaccine-uptake rates remain low in many regions worldwide. In Jordan, data on influenza vaccine uptake in people aged ≥65 years is lacking. This study aimed to assess vaccination rates, knowledge, attitudes, and barriers among the elderly in Jordan. This national cross-sectional study included 455 adults aged ≥65 years living at representative sites in Jordan in Amman, Irbid, Zarqa, and Karak. The study questionnaire was based on the health belief model and included data on demographics, influenza vaccination history, and knowledge of, attitudes toward, perceptions of, and barriers to influenza vaccine uptake. Only 11.4% of participants received the influenza vaccine in the 2022-2023 season, while 30.1% had ever been vaccinated. Rural residents, higher-income groups, and those insured by private institutions demonstrated higher vaccination rates of 14% and 15.4%, respectively ( <0.05). Barriers to being vaccinated included perceived low susceptibility (43.7%), concerns about adverse effects (52.7%), and lack of social network recommendations (38.9%). Positive predictors included trust in vaccination guidelines, higher perceived risk, and health-care provider advice (P<0.001). Influenza vaccination rates among older adults in Jordan are low compared to regional and international data. Interventions tailored to address barriers are needed to improve awareness, accessibility, and trust to reduce influenza-related morbidity and mortality.

PurposeThe purpose of this paper is to explore the perceptions of operating room staff towards the use of the World Health Organization Surgical Safety Checklist in a tertiary hospital in Jordan.Design/methodology/approachThis was a qualitative descriptive study. Semi-structured interviews were conducted with a purposeful sample of 21 healthcare staff employed in the operating room (nurses, residents, surgeons and anaesthesiologists). The interviews were conducted in the period from October to December 2021. Thematic analysis was used to analyse the data.FindingsThree main themes emerged from data analysis namely compliance with the surgical safety checklist, the impact of surgical safety checklist, and barriers and facilitators to the use of the surgical safety checklist. The use of the checklist was seen as enabling staff to communicate effectively and thus to accomplish patient safety and positive outcomes. The perceived barriers to compliance included excessive workload, congestion and lack of training and awareness. Enhanced training and education were thought to improve the utilization of the surgical safety checklist, and help enhance awareness about its importance.Originality/valueWhile steps to utilize the surgical safety checklist by the operation room personnel may seem simple, the quality of its administration is not necessarily robust. There are several challenges for consistent, complete and effective administration of the surgical safety checklist by the surgical team members. Healthcare managers must employ interventions to eliminate barriers to and offer facilitators of adherence to the application of the surgical safety checklist, therefore promoting quality healthcare and patient safety.