Employer requirements and COVID-19 vaccination and attitudes among healthcare personnel in the U.S.: Findings from National Immunization Survey Adult COVID Module, August – September 2021

Lee, James T.; Hu, Sean; Zhou, Tianyi; Bonner, Kim; Kriss, Jennifer L.; Wilhelm, Elisabeth; Carter, Rosalind J.; Holmes, Carissa; Perio, Marie A. de; Lu, Peng–jun; Nguyen, Kimberly H.; Brewer, Noel T.; Singleton, James A.

doi:10.1016/j.vaccine.2022.06.069

Cited by 25 publications

(14 citation statements)

References 20 publications

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“…Recent studies similarly found that jurisdiction-level mandates for HCP vaccination were associated with higher vaccination coverage in HCP and were not associated with increases in reported staffing shortages. 8,20 Our finding that staffing shortages were lowest after the intervention period is consistent with other study findings that increases in COVID-19 vaccination among HCP may improve staffing conditions by significantly reducing HCP morbidity, SARS-CoV-2 infection, absenteeism, and duration of absenteeism during periods of high SARS-CoV-2 circulation in the community. 21…”

Section: Discussionsupporting

confidence: 91%

Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021–January 2022

Reses

Soe

Dubendris

et al. 2023

Infect. Control Hosp. Epidemiol.

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Objective: To examine temporal changes in coverage with a complete primary series of coronavirus disease 2019 (COVID-19) vaccination and staffing shortages among healthcare personnel (HCP) working in nursing homes in the United States before, during, and after the implementation of jurisdiction-based COVID-19 vaccination mandates for HCP. Sample and setting: HCP in nursing homes from 15 US jurisdictions. Design: We analyzed weekly COVID-19 vaccination data reported to the Centers for Disease Control and Prevention’s National Healthcare Safety Network from June 7, 2021, through January 2, 2022. We assessed 3 periods (preintervention, intervention, and postintervention) based on the announcement of vaccination mandates for HCP in 15 jurisdictions. We used interrupted time-series models to estimate the weekly percentage change in vaccination with complete primary series and the odds of reporting a staffing shortage for each period. Results: Complete primary series vaccination among HCP increased from 66.7% at baseline to 94.3% at the end of the study period and increased at the fastest rate during the intervention period for 12 of 15 jurisdictions. The odds of reporting a staffing shortage were lowest after the intervention. Conclusions: These findings demonstrate that COVID-19 vaccination mandates may be an effective strategy for improving HCP vaccination coverage in nursing homes without exacerbating staffing shortages. These data suggest that mandates can be considered to improve COVID-19 coverage among HCP in nursing homes to protect both HCP and vulnerable nursing home residents.

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Section: Discussionsupporting

confidence: 91%

Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021–January 2022

Reses

Soe

Dubendris

et al. 2023

Infect. Control Hosp. Epidemiol.

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“…Existing frameworks suggest vaccination requirements like mandates should be considered to increase vaccination rates 27 . While data have suggested that mandates did increase healthcare worker compliance with vaccination, 25,31 hesitant HHWs in our study emphasized that mandates do not address underlying mistrust around the vaccine and led some workers to even contemplate leaving the workforce or move to avoid vaccination. Therefore, additional interventions beyond mandates are important for increasing long-term trust and confidence in the COVID-19 vaccine.…”

Section: Discussioncontrasting

confidence: 73%

Assessing COVID-19 Vaccine Hesitancy and Trust in Home Health Workers in New York City: A Pilot Study

McCabe,

Venkatram,

Yarakala

et al. 2023

J Occup Environ Med

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Objective This study aimed to identify characteristics surrounding COVID-19 vaccine hesitancy and trust in home health workers (HHWs) in New York City. Methods Data was collected from HHWs through focus group sessions conducted via Zoom. We developed a facilitator guide using the 5C Scale, a validated psychometric tool for assessing vaccine hesitancy. We performed qualitative thematic analysis using a combined inductive and deductive approach. Results Major themes that emerged included: conflicting information decreased vaccine confidence; individualized outreach is valued when information gathering; mandates and financial incentives may increase skepticism; low health literacy and conflict in personal relationships are barriers to acceptance; and experiencing a severe infection and fear of exposure at work increase acceptance. Conclusion Based on our study, personalized yet consistent messaging may be key to reaching hesitant HHWs.

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“…This certainly needs to be a concern so that the existing virus does not spread. The good health condition of students seen from having participated in the vaccination program, not having comorbid diseases, and having done a swab test, is one of the success factors in implementing hybrid learning [11,23,24].…”

Section: Resultsmentioning

confidence: 99%

Measurement Scale of Student Readiness in Following Hybrid Learning: Validity and Reliability

Ubaidillah¹,

Prestiadi²,

Adha³

et al. 2023

Proceedings of the International Conference on Educational Management and Technology (ICEMT 2022)

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Research during the pandemic shows that there are many negative impacts during the implementation of online learning, the implementation of hybrid learning is expected to be a solution to solve these problems. The purpose of this study was to test the scale of measurement of student readiness in participating in hybrid-based learning. The research instrument that was tested for validity and reliability consisted of 15 statement items, with 38 research respondents. Based on the results of the validity and reliability analysis carried out, it is known that the instrument developed based on the indicators of understanding the implementation of hybrid learning, implementation of health protocol, students perception, parents support, and student readiness, was declared valid and reliable.

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Employer requirements and COVID-19 vaccination and attitudes among healthcare personnel in the U.S.: Findings from National Immunization Survey Adult COVID Module, August – September 2021

Cited by 25 publications

References 20 publications

Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021–January 2022

Coronavirus disease 2019 (COVID-19) vaccination rates and staffing shortages among healthcare personnel in nursing homes before, during, and after implementation of mandates for COVID-19 vaccination among 15 US jurisdictions, National Healthcare Safety Network, June 2021–January 2022

Assessing COVID-19 Vaccine Hesitancy and Trust in Home Health Workers in New York City: A Pilot Study

Measurement Scale of Student Readiness in Following Hybrid Learning: Validity and Reliability

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